Proximal constipation - advice

I had to look up what proximal C is, never heard the term before, even though I probably have had it.
My diagnosis is also left-sided and C is something I pay attention to as my D symptoms are now rare.

You should try different kinds of fiber pills to see which your gut likes. Mine only likes Citrucel (methycellulose) of course the most expensive but now available generic. I tried virtually all types but gut hated all of them except Citrucel. Some on this forum like psyllium seed while others like psyllium husk.

The other thing I had to do was eliminate insoluble fiber from my diet. Seems counterintuitive but my gut cannot handle roughage, so no nuts, broccoli, kale, popcorn, etc. Basically too much fiber and my gut comes to a halt. Good oils (coconut, olive) help keep things moving too.

Try eating a low residue (low fiber) diet for a week or 2 and see if it helps. Make veggie juice instead of veggies. White bread instead of whole wheat. No nuts or popcorn.

Good luck.

The psyllium seed may generate butyrate production, which is a good thing. (been a while since researching and trying it so don't take my word for it) Like everything else with UC choice of fiber is very individual.

/www.ncbi.nlm.nih.gov/pubmed/10966900
Here's a link about psyllium seed benefits, not referencing butyrate.
Add the term "nih" when googling a topic and scientific studies will appear for whatever you are researching rather than "somebody said" articles without medical evidence.

/www.ncbi.nlm.nih.gov/pubmed/10022641
This is the best link for you since it references distal constipation.

Post Edited (imagardener2) : 1/3/2017 7:02:33 AM (GMT-7)

Thanks imagardener2, I will do some reading.

Quincy. Yes I totally self diagnosed (the proximal constipation). Have had it before, previously diagnosed by a abdo X-ray. So it is just my guess.
Symptoms - passing blood and mucous 6-8 times a day (so not so bad) but minimal stool passing- for well over a week. Feeling abdo distended and generally tender all over. (I've never had huge pain issues). And feels worse if I eat.
Did speak to gastro clinic nurse this morning and upping the prednisone. And she'll probably send me a lactulose (not my favourite) script to get me through the week. And seeing gastro Dr on Friday.
Have previously been on rectal meds, you name it I have probably tried, and it didn't make any difference. The enemas made my Pelvic floor muscles go into spasm. So I hated using them.
I will be talking to Dr about switching the azathiopine for infliximab. Have been on azathiopine since August and has only made small difference.