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Would it be ok to take a laxitave?(sorry kind descriptive)

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Ulcerative Colitis
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Posted 3/4/2011 4:21 AM (GMT 0)
I have lots of bloody gas mostly in the mornings.  The rest of the day I fight trying to push stool out.  I get extremely nauseated and run to the bathroom, and sit and sit trying to go. Then I usually start throwing up, or have to fight the nausea back really hard. But as soon as I can push out the stool, the nausea and vomiting goes immediately away.

Told the doc about this, and he sent me for that test where you have to swollow that thick white stuff and then they take pictures. All showed no blockage. He gave me nausea pills but they are useless as I never know when I will need them.

I don't know if this is constipation or not.  The stool is small and semi hard I guess, but you would think the way I strain that I was trying to pass a boulder.

I am starting the enemas again tonight to see if that will help and I am on Asacol 3-3x a day. Haven't had any kind of "D" for months.

So, would it be okay to take a mild laxitive before bed to see if this helps?  I tried Dulcalax stool siftners but no change.

And BTW has anyone else ever had this problem?  I have never read of it here.

Posted 3/4/2011 6:34 AM (GMT 0)
You're flaring, and it seems limited to the lower rectum. The enemas can be of great help, but if you can't retain them, use the suppositories at least twice a day. Maybe by using the supps one during the day, you will have an easier time to retain the enemas.

I would also suggest you change the align to another probiotic.

I think you should go the food/fibre/other supplement route rather than laxatives.

Personally, when I was like that (flaring, but with constipation symptoms)...I upped the vitamin C to cause me very loose stool or diarrhea, it was much easier to pass until the rectal inflammation ceased after using the enemas nightly.

Keep us posted.
quincy
Posted 3/4/2011 11:34 AM (GMT 0)
This is all part of the UC condition. It's the inflammation causing the problem. The reason your stool is small and semi hard as opposed to D is that it's being retained longer in your colon. But then the inflammation stops it from the normal process of being moved lower.

So the answer is to get the inflammation lessened. Mesalamine enema is a very good thing to use nightly, that will help the bleeding also. How about trying to retain a small amount of it and perhaps eventually you'll be able to retain more. Meanwhile use the supp's at a different time of day.

Some other ideas: fish oil-it's anti-inflammatory and helps move things along, Vitamin D, turmeric/curcumin-also anti-inflammatory.

I used Miralax as a laxative in the past when I was in need and found it gentle and helpful, there is a generic version in almost every drugstore.
Posted 3/4/2011 1:02 PM (GMT 0)
Yes, I've had this. It's a very uncomfortable feeling. I try to get the inflammation down by using rectal meds first and if that doesn't work as fast as I want, I try to eat or drink things that are easy on my gut but cause looser stool. For me, that is apple juice. I have used Miralax in the past too but that was only after being fully constipated for 5 days. It's very gentle on your system. But I agree that using a fiber supplement might be a better route then using a laxative. It's a bit more "natural" for you system.
Posted 3/4/2011 4:15 PM (GMT 0)
Thanks all. Tried other probiotics and Align is the only one that helps, and when I first took it put me in remission after 6 weeks. I have probiotics in my fridg left over that did nothing, or made me worse.
Posted 3/4/2011 6:28 PM (GMT 0)
Joylu,

Yes I have had this when flaring I would start taking metamucil to help you go to the washroom.  Start small and make sure you drink a full glass of water and take it at bedtime so if it does cause gas at least your in bed.

I would stay away from  the laxatives, metamucil should make your stools easier to pass and hopefully make you more regular so you don't get this nauseated feeling when trying to go. 

Defintately continue with the enemas nightly they will help, if you have troubles retaining a whole enema use half and increase the amount nightly.  Cortifoam is great if you have trouble keping the liquid in, the foam aborbs quickly and can be used during the day as well.  It is much more effective than a suppository. 

You mentioned your happy with the align probiotic have you ever tried the Renew Life Ultimate Flora Critical Care, they have many more live bacteria percapsule than the Align and many of us here find it to be a good probiotic.

Posted 3/4/2011 7:55 PM (GMT 0)
Hi Puffed,
Thank you for the helpful response.
Yes the probiotic you mentioned is in a bottle still in my fridge and using it for 4 months did nothing at all for me but empty my pocket, and have to drive 18 miles each way to get it.
Align put me in remission for months, and the others I've tried did nothing at all to help.
I have thought of trying 2 different kinds together, but they are so expensive.
Posted 3/4/2011 8:21 PM (GMT 0)
How did you retain the enema last night?

q
Posted 3/5/2011 3:21 AM (GMT 0)
Some stayed in and some came back out within a few minutes. But at least I know it all didnt come out. Trying again tonight. Thanks~
Posted 3/5/2011 7:38 PM (GMT 0)
Kept the whole bottle in for the night. PROGRESS!!!!
Posted 3/5/2011 8:20 PM (GMT 0)
WOW,,,, awesome. What enemas exactly are you using?

q
Posted 3/6/2011 12:18 AM (GMT 0)
Quincy, taking Mesalamine. At one time I couldn't even get the tip inserted. Was going to stop last night after 1/2 but kept it going slow and managed to take it all. Held all night and I even slept late today. :)
Posted 3/6/2011 7:43 AM (GMT 0)
See...persistence is a good thing. I'd love to know who's at the end of the production line filing all those nozzle ends blunt instead of rounded..lol.

use KY jelly..that will help with insertion.

Actually, what I do sometimes is have the tip inserted, then squeeze a bit of the salofalk. Then withdraw right to the inside of the anus, squeeze more and then while pushing the entire nozzle in, I continue squeezing until it's all out.

Cool bottles, eh? Some, however, have been a bit difficult to squeeze...but I think it's because there's a bit of a vaseline or something in the nozzle tip.

Great all his good...keep us posted.

q
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