How to break the diarrhea/constipation cycle?
Posted 11 May 2020 - 11:08 AM
I've had IBS since age 11 (now age 30). It began as IBS-D but switched to IBS-A in college. Over the past few months I've had periods of increasingly bad constipation followed by equally bad diarrhea. Right now I can't remember the last time I had a normal BM.
When I'm constipated, I will "go" multiple times a day, but only pass small amounts of stool, with difficulty.
When I have diarrhea, it's very urgent, watery, and sometimes has small hard pieces in it. I suspect that it may not be diarrhea at all but "overflow."
I already do most of what is suggested for IBS-A: exercise, healthy diet, lots of fiber, water, avoid stress, etc. I tried eating prunes - up to 10 a day - without effect. I'm now trying Miralax.
Does anyone have tips for how to break the diarrhea/constipation cycle?
Posted 11 May 2020 - 11:45 AM
Wish I did because I have many of the same symptoms. When I don't have real diarrhea I have maybe 10 small BMs and never feel finished. My doctor told me to try glycerin suppositories to help with incomplete evacuation. They seem to work but I don't think you are supposed to use them as often as I need them. I'll have to ask him.
- GJMody likes this
Posted 11 May 2020 - 11:55 AM
Thank you. And yes, 10x without feeling finished sounds very familiar to me! I will look into the glycerin suppositories.
Posted 02 May 2021 - 04:01 PM
I also have horrible swings. I may have no activity for up to a week, then a "dam burst" of activity, with anywhere from 4 to 10 or 12 bowel movements. There is often quite a lot of stool, for the most part well formed and solid, but to much every time that I wonder how in the world my system could have so much "gunk." Other times, I have moderate activity and feel relieved that something is happening without total chaos, and then wham, another day of high frequency. I take Miralax almost every day, either a full dose or half dose, and I often wonder if it's the Miralax that triggers the high frequency days, or whether they just happen. I've been using Miralax for many years, since my experiences with the various prescriptions haven't been successful. I've never found a regimen for how much and how often to take it that keeps me on an even keel, without either going days with nothing happening and a slow buildup of discomfort and pain, or a day when I don't leave the house if I can help it because my system has gone crazy. If there was anything that could even things out, I'd really like to know. The various GI doctors I've seen all seem to think that if I just take Miralax regularly, things will be fine. However, that isn't what I've experienced. I know that stress plays a part in IBS, maybe a large part, but I don't know how to be less stressed out given that it's the IBS itself that is probably the major contributor, the fact of never knowing what's going to happen, being afraid to be away from home, at least in a situation where I don't have quick access to a restroom, etc. I try not to obsess, but on a bad day, it's difficult not to.