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Long Term Severe Constipation, Useful Links Long Term Severe Constipation, Useful Links

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  #1  
Unread 02-11-2003, 09:01 PM
Long Term Severe Constipation, Useful Links

Hi Ladies, I have been battling severe constipation seemingly unresponsive to laxatives, Rx or otherwise. I had a TAH + prolapse repairs 8 months ago and 2 months after surgery I was only able to have BM's 1-2 times a week. It's gotten to the point where I have to take pretty strong laxatives in order to have any BM. I have searched far and wide for information related to this type of constipation, (oh yeah, there are a million different causes for constipation). Unfortunately, what's going on with me doesn't seem to point to a cause. There are thousands of articles on constipation, but most stop short of what happens when everything they suggest doesn't work. Here are a few of the most comprehensive articles I've found, I hope it can help someone else out there going thru the same thing. I also have links to colonic inertia that are more techical and perhaps not useful to everyone. Feel free to contact me and I'll post them also.

"Rectal Descent" (discusses rectal problems and symptoms related to prolapse)

http://www.muschealth.com/ddc/dise/rctdsct.htm

"About IBS - Constipation, Colonic Inertia, and Colonic Marker Studies" (this is very valuable if you suffer constipation pre hyst)

http://www.aboutibs.org.Publications.constipation.html

"How to Deal with Chronic Constipation" (really detailed!!!)

http://www.postgradmed.com/issues.1999/11_99.wong.htm

Detailed List of Causes of Constipation

http://www.omge.org/guides/g_data4_en.htm

"Functional Bowel Disease/Constipation" (possible causes and treatments in detail)

"Severe Persistent Constipation"

http://www-east.elsevier.com/ajg/iss.../ajg916edi.htm

"Transit Slowing through the Colon"

http://www.anemgi.org/html/colonst.htm

Hope this helps, feel free to email me!

Diane
chat name AlaskDian
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  #2  
Unread 02-12-2003, 07:37 AM
Long Term Severe Constipation, Useful Links

Thanks Diane!
We can use all the information and help here on the Road that we can get. One can never have too much info. I hope you can find some relief.
  #3  
Unread 02-15-2003, 02:11 PM
Long Term Severe Constipation, Useful Links

Diane:

Thanks for these links. I've long suspected that much of what causes the increased incidence of IBS-C around here had to do with intestinal "remodeling", with the distal colon shifting around in the space vacated by the uterus post-hyst. Probably makes for some interesting colonoscopies and barium enemas! (not... ).

About the only thing that works for me is mass quantities of fiber + water. My gastroenterologist recommended the Metamucil wafers as being the most effective, and they're honestly the first thing that has ever worked for me in this department -- and I've struggled with this for years. None of the laxatives make any difference at all. I eat a high-fiber diet with a LOT of fruit and vegetables, but it wasn't until I added these wafers in (I take one twice a day before breakfast and dinner) that I finally got some relief.

Again, thanks for posting these links! It's a pretty common problem in these parts...



Audrey
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  #4  
Unread 02-15-2003, 05:10 PM
Long Term Severe Constipation, Useful Links

Hi Audrey! Thanks for replying, I thought I should mention that my doc already ruled out IBS-C with a colonic transit study, (sitzmark study) and after trying a new IBS med called ZELNORM with little effect. This condition has a name beyond 'constipation' it is called colonic inertia or severe slow transit constipation. It is due to a lack of nerve and motor activity in the colon. It simply doesn't move AT ALL. It is most commonly seen in persons with spinal injury but also appears in otherwise healthy women in their 20's. I was advised with this disorder that fiber actually makes it worse. Since stopping fiber, (which i had taken religiously before) my symptoms have gotten better, (bloating, belching, nausea) although I still have infrequent BM's and only with strong stimulant laxatives.

I advise anyone being told they have IBS predominant constipation to ask for this very simple xray study. A Sitzmark study is where you swallow a capsule full of radiopaque markers, and xray of your belly is taken 5 days later and depending on how many are left determines how slow your colon is. I went thru ct scans, colonoscopy and this simple xray would have told what the other tests did not. It is also important to note that hormonal changes escpecially meno can cause bowel disturbances, but problems with thyroid function and some autoimmune disorders can also cause a 'slow colon'. I had all these things checked out prior to my diagnosis.

Unfortunately, colonic inertia leads to dependence on stimulant laxatives and eventually may lead to the removal of the entire colon. This will actually IMPROVE quality of life in someone with colonic inertia. I am seeing a specialist in this disorder next month and will most likely have my colon removed very soon. I should also note that it is now believed that this colonic inertia problem led to my prolapse, (the excessive straining). My hyst was for prolapse.

Thanks again! I hope this helps someone else going thru the same thing.

Love and Kisses to all my Sisters!
Diane
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