Colitis constipation help

i got Cs with my last remicade (could be i did after the first ones but i was having so many bloody Ds i wouldnt have noticed)
i dont have good advice because anything that slighly increased motillity caused me tremendous pain, gas and bloating hence the low residue diet
but i would love to learn of some better tips

Because I'm so backed up Quincy I don't have an appetite and haven't had one in weeks since the flare. I'm eating very little but drinking plenty liquids. I actually just started taking a probiotic today called culterelle. Not on any fibre supps or fish oil and mesalamine is out the picture for me since asacol put me in the hospital last week (hence the remicade startup). I think I have a very hard stool blocking the passage of everything else because I have urges all day with only very little liquid and small pieces, barely any blood. I was thinking about getting a laxative to get things going, bad idea?

Oh no! That's not good you-see, you're making your constipation worse by not eating (that's what I did to myself) and it can take some time to work itself out but longer if you don't eat enough and increase your water intake.

if you haven't gone in a while you need to see your GI or go to ER and get it looked after but after you get it taken care of you must eat and increase water intake or you'll repeat the cycle...try the low FODMAP after you get it straightened out and make sure you're getting enough protein, fibre and healthy fat daily with increased water to combat the constipation....do the FODMAP for a few weeks at least and then SLOWLY reintroduce some healthy variety food choices...unless you want to do the low FODMAP no fructose diet plan to see if you have any food intolerance issues that are causing your constipation....

common reasons for chronic constipation that my dietitian informed me of are;

poor diet and lack of daily water intake/lack of daily food intake (healthy foods balanced with fibre, protein, healthy fats)
stress
not enough exercise (any form, even just long walks)
food intolerance's that you're unaware of

Hope you get it sorted out ASAP, you don't want to get an obstruction/perforation

If you are interested in the low FODMAP no fructose diet and reintroduction phase let me know and I will post all the info for you (I paid enough money out of pocket for learning all this stuff) so I don't mind sharing it with fellow IBD/IBS sufferers.

You do have to eat...maybe more often but smaller meals through the day to get your appetite up again?

Good start for a probiotic.

You could try stool softeners such as docusate calcium. I can't remember how many I used daily, but I did use them for a few months at a time.

What is it that you do like to eat?

q

Twice a day isn't enough, and you're eating carbs (pizza rolls) you need some fruit and veggies cooked if you can't handle them raw check out the low FODMAP list for easy to digest fruits and veggies that can aid with constipation (avoid the high FODMAP items, check those out too to compare) I thought drinking prune juice would keep helping but it's a high FODMAP it has high fructose/fructans one of them anyway and it can make constipation worse which I never knew) instead go for blueberries, strawberries and pedialite is better than gatorade cuz gatorade has a bunch of nasty crap in it.

I would use suppositories because it sounds urgent and you need that lubrication to get it out.

Your diet is pretty conducive to constipation: carbs and meat.

You can try eating pitted dates, raisins and prune juice. They are all very laxative. Canned coconut milk often does the trick too, unless coconut is a trigger for you. Don't go chugging a full bottle of prune juice or you might cause the opposite problem. Start small.

Fruit smoothies (without the skins) are awesome for helping to get things moving. Here's one that I have every day:
- 1 avocado
- handful blueberries
- handful raspberries
- half a banana
- half a green apple
- 1 tablespoon nut butter (like peanut, almond, cashew, whatever...)
- 1 tablespoon raw honey
- 1 tablespoon blackstrap molasses
- water or some kind of milk, doesn't have to be dairy

When you get to the stage where stool is starting to firm up, you DON'T want it to become totally solid before the ulcers heal or you're going to be in crazy pain, and in some cases it can be dangerous. Likewise, you don't want to induce diarrhea or you won't be absorbing nutrition. So it's a delicate balance.

Sounds like you need a bit of the laxative effect right now.