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I need the "Atomic Bomb"

Constipation motility peristalsis

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#1 rob1553

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Posted 29 July 2020 - 10:42 PM

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For 25 years I suffered from constipation almost daily.  I tried everything that came down the road without success.  Some days it was bad and on other days it was terrible.  Most of you know.

 

In 2006, in a conversation with a next door neighbor, I learned that there existed a prescription drug called Miralax, an osmotic.  The neighbor, a retired pharmacy technician, highly recommended it and I got a prescription from my doctor.  It worked.  I couldn’t believe it. Then, in 2007 the FDA approved Miralax (polyethylene glycol 3350) for over-the-counter distribution.

 

I’ve been on Miralax ever since and in those 13 years I’ve never experienced a single day of constipation.  Sometimes, I experienced mild diarrhea, although rarely.

 

Now, after those many years being free of the constipation, I’ve got it back.  In spades.

 

What caused it is this:  A three-day regimen of an antibiotic named azithromycin also known as a Z-Pak.

 

I was prescribed the drug by my oral surgeon following the extraction of an infected tooth.

 

While the antibiotic did the job, it also did a job on my gastrointestinal system.  It wiped out all the good flora in my gut and left me more constipated than ever before and with stool so hard and claylike that I was forced to dig it out.  Not a lot of fun, to say the least.

 

That was two month ago and my system still hasn’t recovered.

 

Within a day or two after realizing what had happened, I went online and read everything I could lay hands on about this subject.  Yes, it is true that many of these antibiotics can really screw up an individual’s gastrointestinal system, resulting in either diarrhea or constipation.   And, yes, it can sometimes be long lasting.

 

So, I set to work setting up a program that followed the advice of the experts.  I start the day with a small serving of hot oat bran.  In the bowl are fresh blackberries or raspberries along with milk.  I drink a glass of water with Miralax followed by a second glass of water.  I take a quality probiotic.  Along with the second glass of water, I eat two dried prunes.

 

For lunch my entire meal consists of a large mug of freshly made split pea soup and a cracker.

 

At dinner, it’s usually seafood or chicken for the entrée, a vegetable (no starch) and a copious serving of bean salad made from cannellini beans with olive oil.  I drink another glass of water with a half dose of Miralax (this is added as one should normally require only one dose per day) followed by a second glass of water and two dried prunes.  For dessert, it’s a serving of natural Greek yogurt with blackberries or raspberries.

 

If a person who isn’t given to constipation were on such a diet, they would never be able to leave the bathroom.  For me, it’s hardly making a difference.

 

Specifically, there’s a bowel movement waiting for me almost every day without fail.  I get stirrings telling me I need to go.  When I sit down, the urge is there.  But, the fecal matter doesn’t want to come out.  I strain and strain and sometime squeeze without any success.

 

When I become exasperated, I will wet a folded facial tissue and insert it as a cover for my index finger and palpate.  Sometimes that palpation will loosen up a small amount of fecal matter.  However, this can go on for up to a half-hour before I’m emptied.  It is very unsettling and to let it continue like this is unacceptable.

 

What I need is what a pharmacist friend characterized years ago when he gave me medication for another type of disorder.  “Rob,” he declared, “this is the atomic bomb.”

 

I’m looking for an atomic bomb.  Interestingly, the poop that emerges is not hard poop.  It’s relatively soft and well formed.  But getting it out is the challenge.

 

If anyone has any suggestions for resolving or improving this situation, I would be very grateful.  I would prefer a solution using natural foods or additives, etc., rather than a prescription medicine with all its side effects.

 

All suggestions are welcome.  Thanks very much.

 

Rob in Arizona

 

 

 



#2 GJMody

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Posted 30 July 2020 - 03:56 AM

You can try probiotic drink. It's kefir. Supposed to help gut problems. I drink two glasses daily. It will be available in supermarket or you can make it yourself. Also there are several brands of probiotic supplements in health food store. Please check the internet for good brands. Your doctor can prescribe Rimaxifin to heal the gut devoid of good bacteria. This medicine is taken for short period. Consume apples, pears, banana, guava, papaya. Have you seen a gastroenterologist?

#3 annie7

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Posted 30 July 2020 - 07:40 AM

so sorry for your problems.

 

please do not strain to have a bm.  straining is counter  productive--it just locks up your pelvic floor muscles so that it is even harder to get stool out. plus it can cause hemorrhoids.

 

here is a good utube video that explains how to have a bm without straining. 

 

https://www.youtube....h?v=ZqdNEx81d2Q

 

also you might want to try elevating your feet while on the toilet.   elevating your feet on something like a footstool, shoebox etc or squatty potty while sitting on a toilet can help straighten out the anorectal angle and allow for a more complete evacuation.   

 

also--you mentioned that palpitation can help.  have you tried using a glycerin suppository to help you go?  you might want to give that a try, if palpitaion works for you.   dulcolax (bisacodyl)  suppositories are even more effective. 


these are just my own thoughts. for expert medical advice please contact a health care professional.


#4 flossy

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Posted 30 July 2020 - 10:55 AM

Hi rob and welcome to the board!

 

Try Dr. Schulze's Intestinal Formula # 1, max strength. You can get it directly here (or on Amazon):

 

https://www.herbdoc....l-formula-1-max

 

I've been on I.F. # 1 for over 5 years now. (I take the regular strength though.)

 

Also read this whenever you have the time:

 

http://www.ibsgroup....tion-aka-ibs-c/

 

Good luck & keep us posted!


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#5 rob1553

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Posted 02 August 2020 - 06:51 PM

Thank you to all who posted suggestions.  I'm very grateful.

 

It turned out that the regimen which I posted--with some modifications--was successful.  Big time.

 

It proved to be the "Atomic Bomb" I was seeking.

 

Now BMs are what they were like before I took the antibiotic six weeks ago.

 

The only major changes I made to what you see in my original post were these:

 

(1) I stopped taking any insoluble fiber because I suspected that the insolubles were largely responsible for the hardened and difficult to pass stools.  I received confirmation when I searched the Internet.  So no more oat bran or Fiber One or All-Bran.  Instead, I substituted  Greek yogurt for breakfast and piled on the fruit, raspberries or blackberries and also ate a whole banana alongside.  Then washed it down with a glass of water laced with a full scoop of Miralax.  That was followed by a second glass of water and two dried prunes.

 

(2) I also added a glass of water and two dried prunes to my mini-lunch which was a large mug of split pea soup.

 

(3) In addition to my dinner, there was always that substantial cup of canellini bean salad.  For dessert, it was a slice of banana bread in a bowl of milk and more berry fruit.  I followed with a second serving of Miralax and more water plus two dried prunes.

 

(4) Each night, just before going to bed, I insert a Preparation H suppository to grease the skids for the next morning.  It works, and there's no burning like one gets using glycerine suppositories.

 

This marked the first time in 13 years that I've taken two (2) doses of Miralax in the same day.  I'm still continuing to do this but would like to very gradually scale back to a single dose

 

It seems the I'm on my way to getting back my gut flora.  And I've sworn that in the future the only way any practitioner will get me to take an antibiotic is to make a sound case for it and convince me that there are no suitable substitutes.  And should that occur, I'll prepare myself in advance, knowing of the adversity that's to follow.

 

Thanks again.

 

Rob in Arizona



#6 Ilyria

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Posted 03 August 2020 - 12:25 AM

I'm glad things are improving for you Rob..I hope it continues this way and that you will be able to return to your one dose of Miralax soon.
My advice to you would be..if you need to take antibiotics ever again please remember to take probiotics with them(2 hours apart at least). It speeds up the healing proces for your gut and reduces the damage antibiotics make. Make sure you take them during the AB treatment and for two weeks after. Best of luck!

#7 annie7

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Posted 03 August 2020 - 07:46 AM

so glad to hear your regimen has been successful.


these are just my own thoughts. for expert medical advice please contact a health care professional.


#8 rob1553

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Posted 06 August 2020 - 05:40 PM

Thank you.  Thank you.  I am frankly overwhelmed by the number of helpful replies I've received.

 

Among these has been sound advice on how to prepare to deal with the consequences of antibiotics wiping out one's gut flora.

 

I learned that one must take probiotics in between taking the antibiotics and allowing a margin of at least two hours before taking the probiotic.  The same, I understand, applies to consuming yogurt.

 

On that subject, I now have three questions for anyone who can answer.  They are these:

 

(1) If I ask my doctor or dentist to prescribe Z-Pak (erythromycin), I would need to take two tablets on the first day and one tablet on the suceeding three days.  No more.  My question is does that mean that I can wait two hours after taking the medication and subsequently consume as much yogurt as I care to eat (also take probiotics) until  two hours before I take another Z-Pak tablet on the next day?  And is there a limit as to how much yogurt or how many probiotic capsules I take?

 

(2) Is there a preferred type and brand of commercial yogurt that will help restore normal gut flora?  I'm currently taking Trader Joe's natural Greek yogurt made with whole milk.  Should I be looking for something better?

 

(3) Since my gut flora got wiped out by antibiotics about six weeks ago, among other things I added an extra dose of Miralax following dinner.  I normally took a dose only at breakfast.  This has helped immeasurably, but I soon intend to titrate down this extra dose to zero over time.  My question is if there's any risk of harm coming from the extra dose.  I've meanwhile noticed no harmful effects as best as I can determine.  And as of this writing things have returned as close to normal as I can remember.

 

Thanks again to all who have offered their suggestions.

 

Rob in Arizona



#9 GJMody

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Posted 16 August 2020 - 01:17 AM

Hi Rob, how are you? Your constipation reduced?





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