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Help! Constipation / Impacted stool

Pam M.
on 7/10/09 1:32 pm - WA
I have never in my life experienced what I have gone through in the past 24 hours.

Yesterday afternoon, I could feel something moving down the colon, so I took some Milk of Magnesium. At about 4:00, I tried to go, but the hard dry stool didn't budge. In the process, I gave myself a fissure. Ouch!

I kept trying every half hour, and in between trying I would lay on my bathroom floor and cry. My 20 year old son stood at my bedroom door and asked, "Mom, are you ok?" I sent him to the store and he came home with a Fleet enema. OUCH! With the fissure and the saline solution, the enema hurt. When I finally went, no hard stool would pass, only the liquid around it. At this point I am desperate, and I put my finger in my rear to try and dig out the hard stool.

Then I sent my son to the store for suppositories. 30 minutes later I could go, lots of liquid diarrhea. But the hard stool wouldn't budge. It hurt so bad I would literally fall off the toilet and land on the bathroom floor.

I managed to get some sleep, and called my surgeon this morning. He is on a 3 week vacation, so I got his new partner. All he said was, "Try the Milk of Magnesium again, and continue trying to remove the impacted stool. If you have no luck, you may have to go to the emergency room and they will dig it out."

Terrific. This is worse than labor.

Any advice anyone? I am absolutely miserable.

~My story on my revision to RNY from the lap-band is in my profile~

 

     

(deactivated member)
on 7/10/09 1:58 pm - Los Angeles, CA
Follow the doctor's orders. And then head to the OR.

After this, start adding colace (often people take 2 pills 2x a day), I use 1/2 capful of miralax every day.

I'm sorry, I know the pain. Just know you're not alone.
Aspiemom
on 7/10/09 2:10 pm - Enfield, CT
RNY on 11/03/08 with
Clean out your enema container and fill it with warm water a few times and hold the water in as long as you can, that may help soften the block.
Just an idea.

Karen

Lauren D.
on 7/10/09 3:07 pm - Lorain, OH
 mineral oil.  take a swig of mineral oil, maybe that'll help slide it out.  i am sorry for you :( 
       I count protein, fluid ounces, and my blessings everyday. 

FastFingers ~*~
on 7/10/09 3:17 pm
Sending mineral oil up from the other end does help grease the wheels a bit, too. :)

                                   Flying Spagetti Monster

"Doubt everything.  Find your own light."
--
Last words of Gautama Buddha, in Theravada tradition

*KiminFontana* *.
on 7/10/09 3:10 pm - Fontana, CA
RNY on 10/20/08 with
I have had the same exact problem for years...especially now since RNY 8 months ago. I cannot count the hours I have spent in the bathroom, crying, on the floor, doubled over fixtures ..etc...and the silent screams..oh Lordy!  I've decided never again!!  If you haven't gone to the doctor yet, try this.  (at hospital they will either give you an enema, not a bad thing if they are gentle, or soften the stool with suppositories (or both) and manualy remove it as it drops.  In any event, your bottom will be in pain for quite a few days and you MUST keep your stool soft to let yourself heal.

If you are still at home, fill your fleet container with warm soapy water...a 1/2 tsp. liquid soap and very warm (not hot) water.  LOAD the applicater with petrolieum jelly, plus apply some to your bottom.  With care, keep doing this every 10-15 minutes after passing the previous enema's water....after the first 2-3 times, soap is not needed..but be sure to use the jelly to ease the path.  When you have passed the stool, drink lots of fluids (no milk or citrus) and begin that day with a dose of Miralax ( and capsule stool softeners for a few days) and continue every day with 1 full dose or a maintenance dose of 1/2 capful a day. Capsules also if needed.  It has been my answer following years of pain and pressure and ugh..hemmies!  Keep your dairy and cheese products to a minimum until you can gauge if it hardens your stool or not.  I didn't know until 5 yrs ago that I can no longer tolerate cheese in large quantities or liquid milk products.
Good luck with this problem...pottying should be a pleasure, not a fear. 
Kim
FastFingers ~*~
on 7/10/09 3:20 pm
If you are that chronically constipated, you need to be very diligent about your maintenance regimen to keep comfortable, to avoid having to do any urgent fixes.  Talk to your doc about a sufficient daily dose of miralax and some stool softeners to prevent things from getting so bad.

I will say that I do medical transcription, mostly pediatric GI, and even SIX YEAR OLDS get a full capful of miralax!!!  I can't imagine that 1/2 capful doing you any good at all!

                                   Flying Spagetti Monster

"Doubt everything.  Find your own light."
--
Last words of Gautama Buddha, in Theravada tradition

*KiminFontana* *.
on 7/10/09 4:30 pm - Fontana, CA
RNY on 10/20/08 with
I use the lowest dosage that does the best job.  I include a proper diet (I sure pay the price when I get off track) and plenty of fluids.  I've been a nurse for 25 years and I always try to follow the less is best rule.  What works for one is not always the rule for everyone.  Chronic constipation is a common problem with many women in my family...I wish one answer worked for all of us.  I've found my answer and I sure hope all sufferes find their own ultimate answer.
Happy pottying!
Kim
FastFingers ~*~
on 7/10/09 3:14 pm

Adult sized fleet enemas, one per night for three nights in a row. During the same three days, take Dulcolax laxatives (bisacodyl sodium, 5 mg) as directed on the box.  You will want to take Pepcid, Prevacid, or Prilosec with each dose of the laxative, as it can irritate the pouch.

Assuming that gets things moving nicely (which it SHOULD), half the dose of the Dulcolax for a week, but DON'T stop taking it - things will grind to a halt again.  Then stop the dulcolax but replace it immediately with a stool softener (Dulcolax makes that, too, but there are LOTS of brands) and take as directed for a week, without fail.

You will also want to, along with the stool softener, start supplementing the fiber in your diet.  You'll want to be getting at least 50 g per day.  If you can get this through roughage and beans and fruits and vegetables, great.  If not, slowly start adding Benefiber to your diet.  Do NOT start at a large dose.  Start at 1/4 of the recommended dose, and slowly increase it over the course of a week or so until you are at the full dose, and then keep it up.

 

                                   Flying Spagetti Monster

"Doubt everything.  Find your own light."
--
Last words of Gautama Buddha, in Theravada tradition

fiveholts714
on 7/10/09 3:25 pm, edited 7/10/09 3:26 pm - St. George, UT
You poor thing!  Get some mineral oil enemas and saline enemas from the store.  Take the MOM, and give yourself a mineral enema.  Lie down and holdit as long as you can. It will lub the way and soften things up.  Then do a fleets to clean yourself out.  Repeat until you are empty.  You definitely need the oil enema.  I wouldn't take a stimulant laxative - avoid those for now.  Then get on a daily routine of a softener and fiber. 


jewels_is_melting
on 7/10/09 4:34 pm - Littleton, CO
Revision on 06/08/09 with
Gosh Pam - I'm so sorry for you.  I've had alot of pain from constipation but nothing like this.  I think you should go to the ER - they can give you some pain meds.  Hang in there - and again I'm really sorry!!

Diet = Did I Eat Thoughfully?

laura9488
on 7/10/09 4:37 pm - Denville, NJ
i am so sorry.  i don't have anything to add to the above advice.  Only when you are through the initial horror, if your fissure doesn't seem to heal, get help  right away.  I had the same impaction issue you are having last summer.  Ended up with a fissure, a horrible one.  I suffered with it for months. Worked with the rectal surgeon taking various creams, suppositories to get it to heal. finally in Mayhad surgey. But the pain while having a bm until surgery was unbelievable.  So don't wait to get help.
Don 1962
on 7/10/09 4:47 pm
RNY on 04/07/08 with
Pam,

Be sure to weigh before and after.  Other than the "Turdinator" laying in the bottom of the porcelain whirlpool you want to get a few pounds of loss for your efforts!

Never, and I mean NEVER, trust a fart!! 


Aspiemom
on 7/10/09 4:56 pm - Enfield, CT
RNY on 11/03/08 with
Did you ever imagine in your whole life that you would have such a large group of people praying, chanting and offering advise for you to have a good BM.  Such is life in RNY ' topia

Karen

Lauren D.
on 7/10/09 5:23 pm - Lorain, OH
 Pam, how you feeling over there?

I've been thinking about you and the absolute agony you must be in.  I think you should just go to the ER, like a previous poster suggested.  If this is not a common event in your bathroom, then let them give you pain med and "get that **** out of you!" Seriously, if you have insurance, you should go.
       I count protein, fluid ounces, and my blessings everyday. 

Sombrero_Sue
on 7/10/09 5:27 pm - NE PA, PA
Hi just adding my 2 cents worth. I vote for the Miralax....my son used to double ove in pain and cry and roll on the floor for hours from the age of about 7-10. The Miralax works and does not cause cramping or gas etc.
For maintence we do probiotics either in the form of Activia yogurt or in capsuls depends if he is sick of yogurt....:-)
I feel for you! 
Be well-
Susan

0...........

Life is too long to be miserable
(deactivated member)
on 7/10/09 5:32 pm - Falls Church, VA
RNY on 08/13/08 with
Daily Colace (2) with occasional Dulcolax is a must for me.  I go everyday.  Hope you get some relief soon and develop a good regimen so that you avoid this in the future.
ravengrrl
on 7/10/09 7:03 pm - Thornton, CO
Pam, I don't have much in the way of advice, but I hope you get to feeling better.

http://theincredibleshrinkingfattie.wordpress.com/ H/W: 375, S/W: 300, C/W: 285



ejjy
on 7/10/09 7:46 pm - Watertown, MA
i am so sorry you are going through this, i have been there and it is a truly horrible experience.  i was able to clear myself and did not have to go to the ER but do whatever you really have to do.  I think there is a poitn where it is just too impacted to break up enough to get out by usual means.  i hope some of the enema or other ideas worked for you.  please let us know when you can.

RNY 6/16/09 - Last weighed 10/27/2011 weighed 151 lost 52 pounds  66% toward personal goal  of 125, six pounds from unofficial unpretentious goal of 145lbs......basically very happy.   boo-rah, RNY!

Pam M.
on 7/10/09 8:29 pm - WA
Ok, I think I'm good for now. (or at least as good as one can be in this situation!)

I took another dose of MoM. The next time I had to go (which was within a half hour), I did what I could. Then (brace yourself), I got the KY jelly, a towel, laid down on the bathroom floor, and started digging. Grossest thing I've ever done in my life! It took about 1/2 hour, but I got a bunch of that sucker out of me! Then I took a nap. When I woke up, I had to go again. It was pure liquid. Other than the burning from the tears on my bottom, I think I got it all. Jumped in the shower to clean off, and then lubed myself with vaseline so that hopefully the next time won't burn as much.

Gawd. This sucks!

~My story on my revision to RNY from the lap-band is in my profile~