My Intro & Story
Posted 08 September 2020 - 06:44 PM
I am desperately seeking help with a condition I have been struggling with for over a year. I apologize for the length of this, but I believe the story of how I got here is very important.
I was a 46-year-old healthy guy once. I have been struggling with chronic constipation and colon issues for 8 months, also on and off constipation before that for 5 months ever since some major events happened to me. These events all happened around the same time. I was placed on broad-spectrum antibiotics, Cirproflaxin and Flagyl, then had a colonoscopy due in irritation/pain in my colon (which came back clear with biopsies), then was diagnosed with gastritis after an endoscopy and put on 40mg of Prilosec. I feel one, or all of these things contributed to me being chronically constipated with IBS. If I even have IBS-C. Before this, I didn't have digestive problems at all, and I eat very well.
I feel lost right now after a year of figuring out what has worked for my stomach (which is finally getting better!), but since then my poor colon, which is now back to being completely backed up, irritated and painful, is affecting everything I do. It is very debilitating.
I refused to try laxatives at first since I was very concerned with dependency and harming/altering my colon in the long term. But after it became chronic (in January), I gave in, and tried so many things from until I finally found a diet that didn't upset everything, and a combination of laxatives that allowed me a complete bowel movement every morning. I was great for 4 months (mostly due to 1 Senna tablet a night, plus Miralax and Magnesia at different times) from this April to August, it was amazing. I was finally living! And recently everything just stopped, and now I am at my wits end. But I am determined, and I thought I would journal my history, as I have done with my nutrition and medications that I have taken during this whole time.
It began in April 2019 when my dog and I were attacked by an off-leash dog. I saved my buddy, but I got bit in the throat in the process. I was put on Ciproflaxin and Flagyl via IV and orally for one week. May through June I had colon pain and irritation on and off. In June it got worse and I had a colonoscopy to check things out and it came back normal with biopsies. Come July, I had severe stomach pain and was put on 40mg of Prilosec daily. Then I had an endoscopy done in which I was diagnosed with Gastritis. Then it was 40mg Prilosec every other day.
I could barely eat anything without being in pain. I was down to 800 calories daily and lost nearly 60 lbs. in three months’ time. Sure, I needed to lose weight, but not like this. I was 230 in July and I went down to 158 by October. Also, in October of last year, I was eating a bit more but the constipation started to come and go. This is where I thought the Prilosec could be causing it. I had no clue. But I continued to keep a nutrition log of all the foods, calories, and medication I’ve taken since July 2019, even until today. I made sure to eat only foods that didn’t upset my digestive tract (i.e.: cooked veggies, oatmeal, certain fruits, lean protein, and plenty of fiber, when tolerable, to help with this new constipation problem that was getting worse by the month. I stayed off alcohol, caffeine, never was into spicy or fatty foods anyways, and anything harsh as well.
By November/December of 2019, the constipation was more frequent, my colon very irritated, and I couldn’t even lean back in a chair because of the pressure/pain on my right side. I underwent multiple scans; liver, gallbladder, kidney, and a CT which confirmed the constipation again, backing up into my small intestine. Then I made the choice to find more help as I found another Gastroenterologist that took my constipation a bit more serious as the debilitating condition it is. In December I also tried many fiber supplements and stool softeners (Metamucil, Citrucel, Fibercon, Colace) but still kept getting backed up, as if my colon was just slowing to a crawl over time since last July. I even had a rectal motility test that showed no problems. By January 2020 the constipation became chronic with no relief. I was given Linzess and then Amitza to try which helped a little but the side effects caused very strong stomach pains I couldn’t keep taking them. After this, I had a breath test done for SIBO, Methane, etc. which came back negative. Then I was then told to take Senna, and although I was concerned about the dependency issue or worse. At this point (March/April 2020) I felt I didn’t have a choice, but Senna did help a lot.
From April until August 2020 I had finally found a combination of things that work (1 dose Miralax in the morning, 1 dose Milk of Magnesia at night, and 1 Senna tab at night). I took these daily to feel somewhat normal. All this while I was tapering off the 40mg Prilosec to 20mg every other day. (As of today I’ve been off Prilosec and taking Pepcid 10mg as needed for the past five days. The less pills the better I feel!) My weight went back up to 170 and I got back to working out and walking an hour a day!
Back in August, I tried to taper the Senna to every other day to see if there was any positive change, but after a week, I got backed up again quickly. This irritated my colon further and I had to go back to taking Senna every day. Now, as I write this during the end of August, I find the senna has stopped working and everything is backed up, irritated, and painful once again. The longer this goes on, the less I’m able to eat. Some people can have a few BMs a week, that’s not me, I’ve always gone once or twice a day to feel good/normal. Right now, if I can have a complete BM I feel great the whole day (which by now has to be via some stimulant along with a lot of magnesium, miralax, and colace), but if I don’t, I get an irritated and painful tender colon very quickly, and throughout the whole day and night until I can have a complete BM again.
I am hoping to find a GI Doctor/Specialist that works with a team, and has an approach that is connected with other specialists to help guide me through this. A GI psychologist, and a GI Dietician maybe? I have a referral to the Beth Israel Deaconess IBS Medical Center in MA, and i'm crossing fingers they have better answers. I have a nutritionist that I have been seeing but I don’t feel she has any experience with people who have IBS Constipation (IBS-C) or Chronic idiopathic constipation (CIC). It could be the simple fact that it’s a side effect of the PPI, which I’ve read is known to cause constipation and other major digestive issues. I have no idea. Completely no clue. But I feel the PPI messed me up over time tremendously. Hopefully now that I'm off the PPI, as some time goes by who knows, maybe I will see some positive things happening. I'll report back if they do.
I just feel like I’m back to square one and out of answers right now, and while I’m hopeful there are answers out there, I feel like I’ve tried everything, and every professional that I’ve talked to feels like they are out of options, while I’m left to fend for myself scouring the internet. Sometimes it’s so frustrating I end up just breaking down in tears. I am writing this as a last hope and any information or direction would be tremendously appreciated. Thank you for taking the time to read this.
Posted 16 September 2020 - 08:45 AM