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View Full Version : Resurrecting ... CONSTIPATION!!



BadKitty
11-10-2010, 10:46 AM
Seems to be a universal topic, so lets' talk about it some more!
I'm not alone in my ups and downs and confusion about remedies, good vs bad, effective vs. world-shattering, but here goes.

Graphic frankness follows ...
So far, the only things that worked in the hospital were a "mini-enema" that felt like a firecracker went off in my rectum, with minimal results ... and a combination of Colace and MOM which was VERY effective - once. After that it was poo baby pregnancy all over again for a week.

After i came home I asked the surgeon's office, and their opinion was that it didn't matter what I took as long as I did something that kept "things moving." I thought I was going to explode until I tried the MOM and colace, but that kept me on the pot for a whole day and let's just say it was pretty unpleasant. I lost four pounds.

Then, clean & skinny again, I ate dinner. BIG MISTAKE. Bloating, pain, etc etc etc once more. MOM worked alone this morning, not quite as violently, but what I want to know is: IS THERE A WAY to break this cycle of boating/pain/constipation/diarrhea over and over and over again? This time it left me weak and breathless with my heart beating fast and skipping like crazy. And feeling like I did a million situps. Plus making it diffucult to do the walking that is so necessary for recovery.

Any suggestions on what to eat, how much or little to eat, effective remedies, preventatives, fiber vs Miralax, whatever works or worked for you? I'm sure I'm not the only one out here who will be eternally grateful for advice!

mgs
11-10-2010, 11:18 AM
Constipation.. .that's the topic of the thread I resurrected this morning - "Last night into this morning - worst experience of my life". If I knew how, I'd move my comment from that thread over to this one.

BadKitty, you might want to go check that thread out. Lots of ideas, and Linda posted a link to an artcle about constipation resulting from opioid use that was informative.

Singer
11-10-2010, 11:22 AM
Poor you!

Miralax worked great for me. I also found that for a long time post-surgery, I was very uncomfortable if I ate big meals. I felt much better grazing on simple little meals throughout the day. I craved things like fruit, bread, milk and peanut butter. Eating too much meat gave me indigestion, although I ate small amounts of it for the protein. Drinking a lot of water throughout the day helped too. Good luck!!!

BadKitty
11-10-2010, 12:51 PM
Thanks mgs - I'll go through the old thread. There's gotta be lot of great advice there. Looking forward to reading Linda's article.

And thanks also, Chris - they kept trying to make me stuff myself at rehab, but the food was awful and I had no appetite. Small meals make a lot more sense to me, too. I'll also try Miralax again, and cross my fingers!

BadKitty
11-10-2010, 01:53 PM
Very helpful information at the old thread! Thanks again, mgs.
Bulking agents are OUT! Could cause serious problems when combined with opioid-induced constipation.

Looks like I'm doing everything right for me, probably add some Dulcolax every 2 or 3 days as needed, eat smaller meals, stay hydrated. This is all part of the healing process, changing according to need, but absolutely necessary as long as opioid pain meds are being used. Apparently the "eat lots of fiber and drink lots of water" instructions I was given are rarely effective against constipation from opioids!

mgs
11-10-2010, 02:17 PM
I found that last point extremely interesting. . .that particular piece of advice is said repeatedly by every doc and nurse who ever included this subject in my patient education. I thought it was gospel. ;)

This morning, I took 2 dulcolax and 2 colace, and a dose of Miralax. SUCCESS!! (Having read of other people's experiences, I expected a dramatic "event", but it wasn't.. . just a ho-hum bit of time in the w.c.) Crisis averted - yea!!!!!

BadKitty
11-10-2010, 02:32 PM
Exactly the goal from what I understand now!
Constipation PREVENTION (rather than relief), through the regular "tactical" use of stool softeners and intestinal stimulants, for as long as the opiods are being used. It makes sense now!

leahdragonfly
11-10-2010, 05:42 PM
Hi Badkitty,

I take one dose of Miralax at bedtime, and maybe one Senokot-S thrown in. When I was still taking opiates I would also take two colace per day as a stool softener. Also 3-4 prunes in the evening. Large meals are definitely out, I can only eat about 1/2 the amount I used to at best, so I graze also.

Prevention is WAY better than treatment when things get too backed up. No fun there.

BadKitty
11-10-2010, 07:31 PM
Thanks, Gayle ... I'll try Miralax tonight with a couple of Dulcolax (a stimulant like Senokot) and see what happens. There has to be a perfect combination for me somewhere out there.

(A heck of a mission in life, but it'll do for now!)

JenM
11-10-2010, 07:56 PM
Hi BadKitty and Mgs-

I totally feel for you. Mgs- that old thread you pulled up was mine from June 22. That was one of the worst nights of my life, I'll never forget it! The only thing that worked for me was to have the Fleet Enema given to me by a home care nurse. I tried Colace, MOM, and other similar stuff, but nothing worked until I had the Enema.

Hopefully things will get better for you!

JenM

Heidiv2
11-10-2010, 08:26 PM
When I was still on the narcotics, seemed like NOTHING would work, with ya on the bloating and horrible cramping. Senna was not budging, and I, like you had MOM working too well, I ended up cutting the MOM dose in half and finding the happy medium. HTH

Lily Girl
11-11-2010, 05:38 PM
After my surgery I looked like I was 4 or 5 month pregnant. I asked the doc what was up my stomach, he told me most likely it was the anesthesia (I suck at spelling). On day two after my surgery, I had various nurses coming in with depositories, since there was no such thing as Miralax. Let me just say having a finger in that area is not a pleasant experience.

What I suggest is to not eat really heavy or startchy foods. Oatmeal, Cream of Wheat or anything like that is great, right now fiber is your best friend. Also eat very slow, eating too fast may cause vomiting.

Jess

LisaB
11-11-2010, 05:53 PM
After leaving the hospital I took two prescriptions: 1 Senna S twice a day and 1 Doc-O-Lace twice a day. Plus I would eat Raisin Bran, prune juice and a latte for breakfast. I did this routine while on pain meds. Even after things were more regular I stayed on the Senna S and Doc-O-Lace until I was off pain meds for at least a week or two to make sure I stayed regular. After going through 2 half gallons of prune juice, I quit that and I was ok. Good luck. And keep walking; that keeps the gastro-intestinal system working!

Jacque's Mom
11-12-2010, 12:29 PM
This is one of my (many) fears! I am writing all this down and picking up these suggested items so I'm ready to go! Just the thought of this makes me ill. But we are strong and can do this.....let's hope! Thanks all for your suggestions. LYNN