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Okay, so about 3 weeks ago I was constipated so I went to the ER since it was 5 days I hadn't went. They took am X-ray and said I was COMPELTELY backed up. I got an enema, but it only for the bottom portion out. They gave me magnesium citrate but it didn't really work. The next step was they told me to take miralax. I've been taking it for probably a week now, about 2 capfuls a day. I've been going constantly, but the stools have been really thin and short (but I saw lots of reviews on miralax saying that happened to them too when taking it plus today one of my stools was more normal size). But since I've been eating a lot recently (I'm 17 and recovering from anorexia so I have to eat ALOT to gain weight/maintain since I'm going through hyper metabolism where my metabolism is super high), I'm still backed up, since I'm only going at a normal rate per day but was super backed up before so I'm guessing it just keeps kind of leveling off and not changing since I'm going to the bathroom, but then I'm eating so it's not really helping get rid of all of it. I don't really have any pains, except some cramps but I'm pretty sure that's from the miralax since all the gas etc, have started after taking it. I've been eating prunes, fiber, drinking lots, but I have upped my carbohydrate intake recently. I'm not sure what to do next, my stomach feels bloated since it's still backed up and it's just annoying to deal with. How can I get it all out? My doctor said I pretty much will have to have an episode of diahhrea all day to be sure it all comes out, so should I keep increasing the miralax? Are there any other remedies I can do to relieve the constipation?
Also there has been a lot of Undigested food in my stool... It mostly looks like skin almost, some reddish and some even darkish.. I have been eating grapes/ pears and prunes lately so could it be the skins of these? Is that normal?
 

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Metamucil ,one glass a day, has worked wonders for me as well as probiotic pills, and anything I eat with a skin on it,grapes peas beans etc. Comes out if me undigested for the most part
 

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Discussion Starter · #3 ·
Thanks for the advice, but I have the type of constipation that my digestion is slow moving, I don't have any problem with my stools being too hard. How can I help with this? I don't think the miralax helps with that does it?
 

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You might benefit from a cholenergic medication such as Reglan. This will help speed up the peristalsis of the intestines. Reglan can have some side effects though. There is another medication called domperidone that is available in the UK over the counter. They do not sell it in the US but you can order it. I took it years ago to help with my upper gut as when I would eat I would get severely bloated after only a few bites. The Domperidone helped to move things through normally. What your experiencing is not really constipation but more like just slow transit. Sorry you are dealing with this. You should try and find a Gastroenterologist who specializes in Motility issues of the intestines.
 

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Discussion Starter · #5 ·
Thanks, I'm only 17 so are those things safe to take? Should I ask my doctor first? And also, my doctor reccomended I take golytely (which is used for colonoscopy prep), but I've heard lots of bad things about it, and I'm not sure if I should try it or not? The miralax is sort of working, I'm going 3 times a day, but not a lot at a time. My problem is just not being able to really push it out (I think I have pelvic floor dysfunction possibly or my doctor said that my intestines were "stretched" so my colon isn't really shaped and therefore can't exactly push it out easily). I'm not really sure what to do... Should I take the golytely to get everything cleared out? Continue with the miralax? I'm not even sure how much is impacted still since the last time I got an X-ray was a week ago. I still feel hungry, not really any bad pain, but I still have a small "bump" which I'm sure is that I still have stuff in there but I'm not sure if everyone has that after a day of eating? I just don't know what to do!
 

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another thing you can do is maybe get in to see a Physical Therapist who specifically deals with Pelvic floor Dysfuntion. They may be able to help some. You would have to get a prescription from the doctor for reglan though I would look into Dpmperidone first. If you can get in to see a gastroenterologist that specializes in motility issues they can prescribe this.
 

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Discussion Starter · #8 ·
I'm 99% sure I have pelvic floor dysfunction, but I can't see a gastroenterologist until June 29th! That's the quickest appointment they have... What am I supposed to do? Is there anyone else who could diagnos me and refer me to a physical therapist? Does anyone have any tips on how to "go".
 

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about tips on how to go: i've posted this u-tube video a number of times here on the board so maybe you've already seen it . it was made by a pelvic floor physical therapist . her advice is quite similar to what my own pelvic floor PT told me.


also --have you tried elevating your feet on a step stool, shoe box, etc or squatty potty while sitting on the toilet. elevating the feet helps straighten out the anorectal angle and allows a more complete evacuation. it might take some experimentation to get the right height. i started with a step stool, then used a very large shoe box and later bought a squatty potty online at amazon.

you could try calling your gastro's office and asking them if they keep a cancellation list so you could maybe get in to see the doctor sooner. if they don't do this, just try calling every couple days or so and ask if there are any earlier appointments available.

it's kind of a long shot, but i have heard of a few people going to their gyn doc and getting dx'd and referred to a pelvic floor PT that way...
 

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I don't know how relevant or helpful it is, but when I know I have to go but not much comes out, it will sometimes help to squat down and then gradually stand up to an erect position. Like I'll bend down as if I'm going to touch the floor with my hands or tie my shoe laces, but bend my knees doing it. Sometimes doing that a few times allows me to go more, in cases where I've gone but I feel like its an incomplete evacuation.

As someone else said, a fiber supplement (like benefiber) might be worth a try. Then again, prunes are probably at least as good for that. I have to say when I had severe chronic constipation, fiber didn't seem like it really helped. If I ate a low fiber diet and did not take a fiber supplement, the constipation might have been a bit worse, but fiber didn't solve the problem.

Hopefully you can manage until you see the gastroenterologist. It seems like your problem requires a specialist.
 

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red apples and macadamia nuts and/or soaked almonds (chew well) for breakfast, ripe tangerine snack at 10:00 am, sun dried or cooked tomatoes for lunch, pineapple for dinner. If you did nothing else and ate fresh pineapple at around 7:00 pm every day for three days at least, something will happen.

Coffee helps too, don't know if you drink fresh coffee.
 

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Discussion Starter · #12 ·
Thanks for all the replies! I'll try the different positions, and the video seemed to help a bit for now. I'm getting a ct scan and a rectal exam to rule out some things, and in the mean time im just going to have to keep my stools soft so they're easy to pass. And tea seems to help a lot, I think it's the caffeine that helps. As for changing my diet/how much I eat I really can't right now because I'm recovering from anorexia, and I'm very underweight so I can't afford to lose any more or even keep maintaining this weight. My low weight and restriction in the past is what had caused my pelvic floor dysfunction and bowel issues, so I'm trying hard to gain weight, meaning I have to eat a lot (also taking supplements like ensure and lots of fiberous foods). Thank you again though for all the answers, they definitely help.
 

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Discussion Starter · #13 ·
Oh and also, is it possible that pelvic floor dysfunction can cause thinner stools? Mine have been thin lately, sometimes the width of a quarter, sometimes like a pencil, but they've been thin for the past few weeks. Or could this be because of miralax? Or something worse?
 

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miralax can cause thin stools.

straining with the rectum and/or the pelvic floor muscles to have a BM also causes thin stools. the advice in the video is quite helpful for this. like she says--make your waist wide and push from there--not from the rectum.
 
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