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illeus versus severe constipation?

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Crohn's Disease
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Posted 4/19/2016 2:42 AM (GMT 0)
Hoping some of you all will have some personal experience I can benefit from.

While I've stopped keeping very good track of things, my recollection was that I was last able to pass stool Wednesday night or Thursday afternoon. I've taken Miralax daily since Sunday without any response. The last two days I've been painfully nauseated. I've been unable to drive, and yesterday ended up vomiting as a passenger. I've had no success with using zofran to control the nausea.

about seven years ago I had illeus and had to be hospitalized for three days before things got back and working again. My biggest symptom was paralyzing nausea. At the same time, I literally saw my GI doc last Tuesday and said things sounded fine when he listened to my GI tract and palpated my abdomen. I don't think it is super likely that this is what is going on, but I don't want to disregard it as a possibility and end up in a medical emergency situation. Nobody looks good projectile vomiting.

I'm planning to focus on drinking electrolyte supplemented drinks and will probably be trying to eat as little as possible and as low residue as possible until the nausea abates. Does anybody have any experience that can help? I'm reluctant to take a laxative because my understanding is that if peristalsis stops, stimulating it will likely only lead my intestines to get angrier and would probably cause some unhappy cramping.

Thanks for any advice or personal experiences you share!
Posted 4/19/2016 3:43 AM (GMT 0)
I've had a similar situation. My bowels basically just stopped functioning. I was soooo nauseous. Zofran didn't help. I was in a lot of pain too. So I went to er. They gave me iv Reglan and pain meds. When they started to send me home is when the vomiting began. So they admitted me. I was told to take miralax when I got home. I kept increasing the dose til I got response. I was taking 6 capfuls a day. Then it became watery so I backed down which in return stopped my bms . My daily regemine was 4 capfuls. Then out of no where I started having watery D for the past week. So I've had to stop the miralax. I'm also dealing with Pain. The Dr told me that I had ibs as well as crohns. How much miralax have u been taking? Not sure if reading my experience has helped u any . I hope u start feeling better soon and can stay out of the hospital
Posted 4/19/2016 4:30 AM (GMT 0)
Thanks Bucko. Wow, 6 capfulls would be hard for me to to make myself drink. Right now I've just been taking one a day, but am going to force a second dose before bed. I normally drink a ton of water, but obviously right now that doesn't appeal.

My doc said that after prolonged constipation it isnt unusual to have D for a while, as your body has been working hard to clear the "backlog" by increasing water in the intestine, but you're stuck with the overcorrection. He said that this clears up on its own for the most part. I hope that is what you are experiencing and you start to feel better soon.
Posted 4/19/2016 8:28 PM (GMT 0)
Did your doctor check you don't have fecal impaction? I once went for 9 days w/o having a single bm. Nausea was there all the time. I saw the CR surgeon then and after examination he said that stool blocked my rectum. He prescribed me a medicine that I took twice for two days. He told me that if after 2 days I didn't have any bms, he would remove it manually.
I had another experience with constipation. It was on and off for almost 2 months and my doctor couldn't figure out what was wrong then. I was given all possible laxatives but in vain. I had an MRI dynamic which showed I had secondary megacolon still there was no solution. Then, suddenly, I lowered my Entocort intake from 9 mg to 7.5 mg and my d returned. My GI was amazed that my intestines returned to function normally. Sometimes a med can cause this unknown constipation.
Posted 4/19/2016 9:21 PM (GMT 0)
Well in exciting news, I was able to pass some stool early this morning. So while it was not nearly enough to make me feel better, its nice to know I don't have a total blockage or something. Today I've been doing liquids and a tiny bit of white rice. The rice didn't go over well but it could be worse!
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