Posted 07 March 2010 - 05:28 PM
Looks like I've finally graduated from chronic constipation to fecal impaction. Last night, I was on the toilet from 8pm until 6am, trying to pass stool. It wouldn't come out. Well, it almost came out but it wouldn't expectorate. So for about 7 hours, I was in a state of emergency, stuck between a rock and a hard place. Literally a rock, since my bowel movement these days is like giving birth to jagged pieces of rocks. While sitting for 7 hours, I drank about a gallon of water, a 1/4 bottle of Milk of Magnesia, 1 bottle of magnesium citrate, 2 glasses of Miralax, 2 Colaces, and some additional magnesium supplements. Still, nothing came out and I was stuck, I mean, my feces were stuck. My lower buttocks were inflamed from the stool that was lodged there and was trying to come out but couldn't, because of lack of moisture and movement. My sphincter was basically dilated and stayed that way the whole time, because I couldn't defecate. So I downed 3 tablets of Metformin (Glucophage), my diabetes medication which induces diarrhea when I take more than 2 in 8 hours. Nothing. I waited for diarrhea to hit but no, not a movement. Then, I figured that I need an enema. I had never done it before. By this time, my undies were soiled so I made make-shift adult diapers, put on my pants and drove to where CVS has a 24-hour pharmacy, 5 miles away. Bought some mineral oil and regular enemas, some Preparation H, suppositories, and more magnesium citrate bottles.Did an enema with mineral oil. I had never done it before so I didn't know you have to do it in a kind of doggie-style position. So finally did it the right way and waited. Nothing. Waited another 2 hours. Nothing. Then I did a regular enema. Waited for another hour. Nothing. At this point, I was tired and had stayed up all night due to my constipation, and the night before, I only had 4 hours of sleep, because, during the day, I had to take a day off from work and drive my 70-year old aunt and her son, my cousin, to their doctors and labs. I was driving most of the day and I could not go to the bathroom since I was constantly late for appointments. And the traffic was horrendous. So I sat in my car the whole day and I was becoming very uncomfortable; I had some abdominal discomfort. Plus I hadn't gone to the bathroom for the last 2 days. Finally drove back home and I was ready to hit the sack. But then I realized, wait, I should try to take care of bidness right now, because previously, whenever I procrastinated my bowel movement, I ended up with really horrendous constipation! Well, this time, I not only ended up with constipation. This ended up becoming the most stressful moment in my life! Around 5 am, I debated whether I should call 911. Then I thought, what can these guys do? All they'll do is maybe an enema. If they still can't get the impacted feces out, then they'll do rock, scissors, paper, and will manually remove the hard stool with their fingers. Do I want this embarrassment, for crying out loud? I was getting tired, hadn't slept a wink day and night, it was getting hot, the bathroom radiator was overheating. I brought a fan in because I was getting overheated. I got worried at this point because I started having a fever. I measured my BP: it's 160/110. I never hit 130 since I lost 50 pounds. Measured my blood sugar: 115. Stress elevates everything.I suppressed the urge to call 911 again. Anyway, even after my second enema, nothing came out. By this time, I was so tired. I just put my adult diaper on and went to sleep. Woke up after 3 hours, felt the urge. Wow, that was still one of the most painful bowel movement I ever had. It was severely impacted. But not all came out. I mean, this has been an ongoing story: my inability to completely defecate, only a majority portion of it. But what the heck: downed another bottle of magnesium citrate, went back to bed. Another BM in 3 hours upon waking. But it's still not completely out. So now what? My PCP is a GI and I had a colonoscopy done in December and nothing was found. I also have T2 diabetes and Sjogren's Syndrome, an autoimmune disease which can make bodily organs really dry, especially your mouth, throat and eyes. Constipation, though, is not a frequent occurrence with Sjogren's. And my diabetes is well under control, though it was out of control for at most 2 years prior: I'm only 45 years old.I've tried everything: Brazilian nuts, figs, filberts, high fiber, Metamucel, Miralax, Citrucel, Colace, Docusium Sulfate, Milk of Magnesia, mineral oil, other stool softeners. High fiber and increased fluid intake. Actually, I ended up with one of the worst constipation ever when I increased my fiber to 50g per day. The stool balloons, and it's even harder to get it out. After having undergone the most stressful event in my 45 years of life (both physically and mentally), I'm trying to seek some help. I think I finally came to the right place. I'm 5-10/160 lbs. Over the last 4 months, I lost 45 lbs. on a low-carb, high-fat diet. I've had constipation since about 2004. It was occasional at first but is now the norm. It was annoying until last night, when I experienced for the first time the horrors of impacted feces. I know that the outside world may laugh at my plight. Now I fully understand just how painful and stressful constipation is.