Problem with Chronic constipation

Posted by bb03 @bb03, Feb 1, 2021

I have a history of hypothyroidism, severe endometriosis/treatment was a hysterectomy 17 years ago.I also have a hx of IBS. My thyroid hormone levels are stable. I eat like a rabbit(I poop like one too, LOL!!!!!!). I eat a large amount of fiber and drink almost every hour(nonalcholic).ONly prescription drugs I take are armour thyroid and my estrogen/prosterone troche. I make a coconut bread and I add psyllium husks,flax seed and chia seed to it. I eat it practically every am. I also eat a spinach salad for lunch daily with nuts and yogurt and eat a lean meat and veggie and more coconut bread at night. I do one cheat meal with a cheat dessert once per week. I am relatively active for my age of 60. I've been to a gastroenterologist and we have tried Linzess which didn't help at all. I take miralax, and a Super Cleanse tab one per day which has herbs to soften the stool and to stimulate the bowel and It barely works. I am at a loss. I have not tried Montegrity yet. I don't know if it will be helpful and the side effects scare me. I had a CT of my abdomen and it was ok, no obstructions. The gastroenterologist that I go to practically accused me of abusing laxatives. I would be impacted if I didnt use the miralax and the Super Cleanse. Diet/water and activity do not help. I had diarrhea from my late teens to the age of 36 when my intestines out of the blue just shut down completely. I was diagnosed with hypothyroidism, I was put on Synthroid but the constipation didn't go away. So if there is any gastroenterologist out there that can help me, please let me know.I feel defeated and worry about my health.

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@lucky786

I consulted with 2 laparascopic surgeon but they could treat it.I have followed many medicines and herbal product.But nothings works.I have checkup my intestine xray and ultrasound but results are normal.But without laxatives i cant live.Is my anal area is too tight or anyother problem?

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Have you been checked for SIBO? Very common in folks with chronic constipation.

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I have SIBO after right hemicolectomy with removal of the ileocecal valve. Since my flare was treated with antibiotics and the diarrhea went away my colon doesn't move. My GI put me on Align probiotic, IBGard, and Colace( Colace everyother day). My intestines and colon still don't move. And I didn't have hard stools. I too have hypothyroid due to Hashimotos Disease. I take levothyroxine and my levels are within normal range.
I asked my GI about Motegrity and he said it would give me diarrhea. Isn't there a medication for bowel stimulation that doesn't cause diarrhea?
I take Prunelax every 5 days and prepare to stay at home on that day. Suggestions I can ask my GI about? I see him on April 4th.

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I, of course, know nothing about your specific issues, but Motegrity works really well for me and does not cause diarrhea. Perhaps you could just try the 1 mg. Or what about Zelnorm?

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@sallyw133

I, of course, know nothing about your specific issues, but Motegrity works really well for me and does not cause diarrhea. Perhaps you could just try the 1 mg. Or what about Zelnorm?

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Thank you for the suggestion. I will ask him on April 4th again. Last visit I asked him about Motegrity and he said it would give me diarrhea. I appreciate your suggestions.

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I have been taking Motegrity for about 6 weeks. It has not caused diarrhea.
It really helps moving things along.

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@astaingegerdm

I have been taking Motegrity for about 6 weeks. It has not caused diarrhea.
It really helps moving things along.

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What dosage of Motegrity do you take and have you figured out the best time to take it? With or without food? I have a prescription for it but I can't seem to figure out the best time to take it. If I take it in the morning, I have a headache all day and if I take it at bedtime, it keeps me awake all night. I've only been using it sporadically due to those side effects but I'd like to be able to take it daily. Could you please tell me what is working for you? Thanks!

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Any trial of digestive enzymes?

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@bonn

What dosage of Motegrity do you take and have you figured out the best time to take it? With or without food? I have a prescription for it but I can't seem to figure out the best time to take it. If I take it in the morning, I have a headache all day and if I take it at bedtime, it keeps me awake all night. I've only been using it sporadically due to those side effects but I'd like to be able to take it daily. Could you please tell me what is working for you? Thanks!

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@bonn – I’m taking Motegrity 2 mg tabs. One tablet at bedtime- I think bedtime was recommended and it seems to help motility the following day. Most of the time. There are still days when the system is paralyzed.
Interesting to hear that it interferes with your sleep. I find myself too awake at bedtime, but I’ll sleep fairly well.

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hi just tossing out a couple of ideas. anyone ever tested for gastroparesis? it affects the motility of the stomach and gi tract. also celiac – doesn't always cause diarrhea, can present with constipation due to inflammation. i take 3 senna and 3 colace daily. my gi doctor doesn't want me to develop a mega colon. i recently started taking probiotics. i don't go always go everyday but go on a regular basis.

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@kayjay209

hi just tossing out a couple of ideas. anyone ever tested for gastroparesis? it affects the motility of the stomach and gi tract. also celiac – doesn't always cause diarrhea, can present with constipation due to inflammation. i take 3 senna and 3 colace daily. my gi doctor doesn't want me to develop a mega colon. i recently started taking probiotics. i don't go always go everyday but go on a regular basis.

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After months of constipation, I did the “smart pill”. It showed extremely slow motility from my stomach all the way down, with my colon taking twice the normal time to push stool through. I have no stomach issues, just the constipation. I use the Motegrity and Miralax. It is a constant struggle. I also have a tortuous colon. Is that the same as a Mega colon? I do have sleep issues but never thought they could be related to the Motegrity which I do take st bedtime. I’ll have to consider that.

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@rocknrobbn

I have SIBO after right hemicolectomy with removal of the ileocecal valve. Since my flare was treated with antibiotics and the diarrhea went away my colon doesn't move. My GI put me on Align probiotic, IBGard, and Colace( Colace everyother day). My intestines and colon still don't move. And I didn't have hard stools. I too have hypothyroid due to Hashimotos Disease. I take levothyroxine and my levels are within normal range.
I asked my GI about Motegrity and he said it would give me diarrhea. Isn't there a medication for bowel stimulation that doesn't cause diarrhea?
I take Prunelax every 5 days and prepare to stay at home on that day. Suggestions I can ask my GI about? I see him on April 4th.

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Hi, I’ve been on this site forever but you are more similar to me. I was told and scheduled for a total colectomy last September. I couldn’t do it. I had cervical spine surgery March 2020 with 3 fusions when my bowels completely stopped. I’ve tried every drug and I’ve had every test. I’m also clinical hypothyroidism . When I was 40, now 67 they found a pituitary tumor. So for years on and off thyroid meds. My tsh slightly was elevated. Some docs thought don’t need meds others disagreed so on and off. Well now on because of constipation. I hate it. Never gained weight before the meds but always gain when on so if it doesn’t stop I’m going off. Due to colon severe motility I’m no sugar, no dairy and no grains. No reason to gain weight. I walk, ride an recumbent bike and jump on a trampoline. I was told it could get things in my colon moving, absolutely nothing. I get colonic cleanses, visceral massage and pelvic floor PT, nothing.
Weekly I do a cleanse as if I’m going for a colonoscopy. Yes, I hate it. It takes away two days from me. I’ve tried all prescription drugs, nothing. I’ve tried OTC drugs, very little success. I did get recommended Mag07 which is a natural form of mag with potassium. I take it nightly, 4 pills. I have some days it does work. I only pass diarrhea never passing formed stools since 2020 but I will never have the surgery. Maybe try mag07. I was hoping thyroid med would help but since November on the med my tsh is elevated. Makes no sense. Hope you find something because I know how you feel. My life is wrapped around taking my laxatives before I find myself in trouble. All the best, Joanne

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@sallyw133

After months of constipation, I did the “smart pill”. It showed extremely slow motility from my stomach all the way down, with my colon taking twice the normal time to push stool through. I have no stomach issues, just the constipation. I use the Motegrity and Miralax. It is a constant struggle. I also have a tortuous colon. Is that the same as a Mega colon? I do have sleep issues but never thought they could be related to the Motegrity which I do take st bedtime. I’ll have to consider that.

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i do not think a tortuous colon is like a mega colon. tortuous to me means it has a lot of areas that twist, mega means very oversized giving it way too much holding capacity. for me, reglan at bedtime creates a lot of stimulation to my gi tract. enough to keep me awake. i'm not familar with motegrity but it is prolly similar. miralax is too slow to work for me. i respond to it in about 3 days. it's a long wait. have you ever tried probiotics?

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