The Veritas Health Forum is moving! On September 30, 2020, this Forum will no longer be available. Please read important information about the changes here.

Constipation struggling with it

MikethepikeMMikethepike MIchiganPosts: 491
edited 04/08/2019 - 9:52 AM in Pain Medications Forum

 Constipation struggling with it I have been  using Dulcolax ,  but it doesn’t seem to be working, I’ve actually used Dulcolax And then the next day if I don’t go I use a suppository. For those of you  on high  doses of opiates what works best?   I hate struggle , It sometimes comes to the point that when I go  I almost pass out.  Any and all help is appreciated. Take care And. God bless

 If you want to personal message me go ahead 



  • Mike

    Are you taking stoll softerner's along with the Dulcolax?

  • I took 2 stool softeners daily and one dose of Miralax mixed with water every evening. Kept me very regular during the months I was taking opiates. 

  • advertisement
  • MikethepikeMMikethepike MIchiganPosts: 491

     Yes  I take three stools softeners a day. One in the morning one at lunch and one at bedtime along with water. I also take MiraLAX just a half cup full  otherwise I drip for a few days. If I haven’t had a bowel movement  by the fourth day that’s when are use Dulcolax which I take on the fourth night and if I don’t go in the morning that’s when  I use  The fleet suppository .  I’m thinking of drinking coffee in the morning every day to see if that helps.  Thanks for your replies 

  • I just use the generic stool softeners, the 250mg size and use 4 daily. If needed I will use generic Miralax whih seems to really help. As pointed out lots of water or other liquids and of course high fiber diet

  • MikethepikeMMikethepike MIchiganPosts: 491

     We buy our stool softeners  at Dollar General. Five dollars per bottle where is your other places charge $13.50. Thanks Dave I try not to squeeze real hard  but sometimes I have to or else I’m dealing with it for an hour or two. What is the usual standard for having a bowel movement? It seems Most people go every other day., I feel going every four days is waiting too long. 

  • advertisement
  • Mike

      I feel your pain in this struggle.  I think most of us on opoid struggle with some form of this. I had a ct once and they came in told me I better get my bowel moving or my intestines will explode that's how backed up I have gotten at time. What I found works for me is Walmart brand senokot it's cheap too..but I have to take 6 to 8 pills. Which was fully ok by my doctor. I take them every other night may not need as many as me start with 2 or 3 see how it goes.

  • Mike, if all else fails, ask you doctor for Movantik. It’s a prescription designed just for opioid constipation. It works, believe me.


  • Jerome001Jerome001 Cocoa Beach, FloridaPosts: 331

    After my last set of fusions my home health care nurse gave me a recipe that I used that solved my constipation. Unfortunately I cannot recall the ingredients but I'd suggest calling your doc's office and asking if they have any home remedies they can recommend.

  • Speaking of movantik I have some samples but never took them once first workers comp denied  it then my health insurance wanted a pre authorize. I just kept doing what works for me..why do they make meds that help but then insurance doesnt want to cover them..its.crazy

  • MikethepikeMMikethepike MIchiganPosts: 491
    edited 04/10/2019 - 7:36 AM

    Very expensive, worked for a little while for me then quit.  Also gave me some withdrawal from opiates. But it might work For others

  • Mike yes that what I also heard that it causes withdrawls cause it works by blocking some of the opioid receptors in your brain 

  • MikethepikeMMikethepike MIchiganPosts: 491

     You’re absolutely correct Liz,  The only concern I have about taking magnesium supplements Are that they can  interfere with other medications.  I can’t remember where I heard that , Maybe someone has better information on that. 

  • What both nutcase and Liz said is should always make sure you dont have any interaction from food or medications before you take any new med or supplements. 

       I myself and I'm being bluntly honest have completely lost the sense that I both need to have a bowel movement or the ability to push it out. Whether its medication or spinal issues that are causing it. I was given all my doctors blessing to use the Walmart brand senokot.  It's worked for me. Yes it soften the movement but it also seems to get my intestines moving to so I get alittle sensation back. Opioids are know to slow and shut down the intestine rythm. 

  • Hot Dr.Pepper..just not cool  soda helped me within a acceptable time to loosen up the works. Diabetics and sugar sensitives know their poisons so its not for everybody.

    Coca cola worked to a lesser degree,a exeter nurse told me that back in the day the dark soda would be used as such.

    Hot tea..well hot drinks seemed to help loosen up the works as well as plenty of water.prunes for some reason dont work on me and ill eat a bag.

    A hot device of one form or another over the tum tum helped on occasion

    At its worst i simply stopped eating one or both meals. I recommend talking to your doc before that because it may cause bad things

    Bottom line for me liquids in quantities seemed to help me most

    Good luck!

  • MikethepikeMMikethepike MIchiganPosts: 491

    Boo , is the senokot a. Brownish colored pill,   I have some of those. Will They keep me from being constipated or just for occasional constipation

  • Yes there the brownish with me I have to take 6 or 8 of should start with no more then 4 and see how it does..I get the Walmart brand its 4 something for 100s it's in a yellow bottle next to the not get the one that has the added laxative which is also in a yellow bottle but close to the dulcolax. .I've been using this method now for almost 6 years..and all my docs told me it's ok. Now I will let you know you may from time to time have some cramping that only happen to me though when I dont use it for days and I'm really back up..but when I use it regularly it seems to give me those bowel rhythm and feeling back..without it I have none.

  • MikethepikeMMikethepike MIchiganPosts: 491

     Regularly you mean every day correct? The ones I have might have the extra laxative, I’ll check on it. Thanks boo 

  • Mike,

    I'm sure it's different for everyone but I find that my body gets use to the same regime and I have to switch it up frequently.As has been said, in general a good diet is critical, fruits, veggies, fiber, whole grains, lots of water. One thing that has been a huge help for me is probiotics, greek yogurt and kefir, especially kefir.  Now this will sound strange but I recently went to a pelvic floor rehab specialist and she taught me to use diaphragmatic breathing (look it up) and use a squatty potty like stance, feet up on something, butt down. It puts your body in the correct position for elimination. Be patient, don't strain. Breathe, just breathe, lol. It actually does release the pelvic floor muscles and I'm sure it works the same for men. 

    I've recently started weaning off the opioids and my digestive system is coming alive but that's an individual choice. I've read that Jewish people have a blessing for everything, I'm not Jewish but may your bathroom efforts be blessed, lol. We have to laugh, right? It really is good medicine. 

  • Joanne

       That might help some members here but wont help me. I've seemed to have lost the urge. So I could squat all I want too and nothing. I've been like that for years now. That why I have to take so much to soften and get my insides rumbling. I had hoped when I weaned down it would improve but it didnt.

  • Mike, 

    I was the same, that's part of the reason I saw the specialist, no urge. The squatting kind of takes the place of the urge but like you said, it may not work for you. If you haven't tried the Kefir, it's worth a try. It definitely gets things rumbling! And this sounds serious enough to see a gastrointestinal doc. I'm SO sorry, after going through weaning, you have to deal with this. I certainly didn't mean to be flippant about it. The senna has also helped. 

  • Actually Joanna it was me not Mike that made the comment and you weren't being flippant your information will helps other. I was just commenting cause I know I basically need a stick of dynamite up me to even go lol..

  • Oh duh, I should look instead of assume. It's really a frustrating issue and we've all tried so many things. Good luck with that stick of dynamite, I've heard it can cause hemorrhoids. ;-)

  • Joanne too funny  :D

  • MikethepikeMMikethepike MIchiganPosts: 491

     So when you say squatting you mean sitting upright but then having your feet up higher than the floor By about 2 feet?

  • Forgot to mention but my finance who is a nurse recommends drinking warm prune juice and yes tastes nasty but does the trick!!

  • Mike, about 4-6" will do just as long as it angles your rear downward and keeps your knees up. The breathing is a big part of it too. She told me to breath in (slowly)  to the count of 4 hold for 5, breath out slowly through your mouth. I know it sounds weird but it releases the pelvic floor muscles. That and the senna, softeners and kefir have really done the trick for me. I can't stress the kefir enough and start with about 6 oz or you might be sorry or 8 if you're a big guy. I've been able to cut the senna to 4 tabs instead of 8 and been regular! 

  • Ok this might be TMI but I have a couple of chunks of 2x4's that I keep next to the stool. Being a woman (and having my own bathroom) I've wrapped them in old towels for esthetic reasons, lol. And they tuck nicely behind the stool. I can't believe I'm saying this but hey, if it helps, I can humble myself  ;)

  • MikethepikeMMikethepike MIchiganPosts: 491

     Thanks Joanne I appreciate it. Also does  anyone use Metamucil? I also use liquid fleet suppository. Anyone else use it , I am concerned about using it though. 

  • Mike, try stool softeners or miralax.  There isn't the stomach cramping, or sudden bowel release...timed taking can make the constipation much easier to handle.

    Enemas can create dependence in your body coming to rely on needing them.

  • MikethepikeMMikethepike MIchiganPosts: 491

     Hi SandI,  I take three stool softeners the day breakfast lunch and dinner. I take one capfull  once a day, what happens is I have a constant drainage if I take more than that. If I don’t go by the fourth day that’s when I use the fleet.  It really isn’t a enema but it is liquid. Don’t know what else to do ,  I do know what you mean about using those then you become dependent. But it does make it easier to go

     Thanks for your input along with everyone else’s. Take care and God bless all of us that have spinal cord injury related problems  

Sign In or Join Us to comment.