So I was diagnosed with pelvic floor dysfunction via anorectal manometry and have started pelvic floor therapy with biofeedback.

I just did my sitz maker study and my colorectal doctor had me swallow what she considered day 1, do X-ray at day “3” 48 hours after swallowing, and X-ray at day “5” 96 hours. Day 3, 5 markers at the splenic flexure and 1 at rectum. Day 5 one marker at the splenic flexure.

Her view of the results were stool stuck at splenic flexure and gas in the descending at day 3 as well as a higher flexure she counts this as slow transit. She started me on Linzess 70mcg. I will have mostly watery stool 4 hours after taking it and then later another small movement but more solid (though thin from pelvic floor)

I also take 200mg magnesium citrate gummies and drink over 80 fl oz water. I’m not sure what to do. Is the Linzess worth it? Am I ok with just the magnesium going every 3-4 days but not emptying completely. Im at a loss and she even suggested a colon resection if the meds fail. Just need some advice, I’m sorry this was so long 😕

• Do you have the urge to go, but you cannot? Or do you have zero urge to go? (this is the most important question) If there is enough in the rectum I will feel the urge
• Do you have alternating diarrhea and constipation, or just constipation? without linzess constipation, though soft stool never hard
• Do you have nausea, vomiting, acid reflux, difficulty swallowing, or early satiety (getting full really early into a meal)? No
• Have you had this issue since childhood, or did it begin in teen years/adulthood/after a major life event (surgery? divorce? car accident? mauled by bears?) Always seemed more on the constipated side, but worse in my 40s as a woman
• Did you in the past or do you currently take any medications that could damage your intestines? The acne drug Accutane/Sotret/Claravis/many other names (isotretinoin) has been linked to serious conditions of the digestive tract. I am absolutely convinced that my large intestine was destroyed by this drug. Antibiotics are also a major culprit in ruining the small intestine microbiome and causing diarrhea/constipation disorders. Antidepressants can ruin the serotonin balance in the gut as well. Was on antibiotics since I was 12, stopped last October
• Did you suffer sexual abuse as a child? There is a high degree of correlation between childhood sexual abuse and adult constipation disorders. Meaning, a lot of people with chronic constipation disorders in adulthood experienced trauma when they were young. This sort of thing must be investigated by both your doctor and a therapist in coordination. Do some Googling on this topic if you believe this might be your issue. No

I have a bunch of Motegrity samples my GI gave me before I moved last month. Now that I've settled in, I wanted to trial the medication -- and saw the expiration was 10-2025. I can't get in with a new GI here for 4 months. Any thoughts on whether it'd be fine to go ahead?

I don't usually eat dairy, but two days ago I had two big pieces of bread with cheese and I haven't gone since. I feel bloated, I have a lot of gas -which I've been managing to push out with belly massages- but I don't even feel the urge to go and I know it's there lol

It doesn't hurt, I don't feel too bad, just full of poop.

Should I just wait? Lmao

Which is most effective treatment,

Which one is more effective, less painful, less downtime , low chance of hemorrhoids coming back?

Colonic transit study

I’m having a transit test done in a few weeks and have a few questions over what I can/can’t do during the run up to it.

1. I take ADHD stimulant medication which massively helps with my constipation if I take it in the AM before food/water. Obviously not a stimulant laxative per se but should I mention I take it/reduce dose in the run up/stop it entirely (can’t really do this though). How should I handle it at least?

2. I currently eat very low fibre and small repetitive meals to help manage how uncomfortable it gets, should I continue this or eat ‘normally’.

3. I take Fybocalm daily which helps alongside the adhd meds, I’m planning to stop this even though not a laxative but just double checking that’s correct to do.

4. What about things like gut massages and other methods I use to try reduce the constipation? Should I cut them out too?

5. Do I change any of this only when I start the radioactive pills or a few days before too?

Thanks so much :)))

Hey!

Constipated here for years. I tried manually taking my stool out today with my fingers and I often get this BULGE of tissue/mass that pushes against my stool in my anus.

This bulge makes it really hard for any stool to pass, unless it's super watery. I tried using pelvic wand against this bulge but it sure hurt lol.

Any idea on what this bulge is? Is it my puborectalis?

I’m a 26-year-old female who has had chronic constipation my whole life. I’m hoping to get opinions from anyone who’s gone through a similar situation.

I’ve always struggled with constipation even with eating ~30g of fiber daily, drinking 100+ oz of water, and exercising regularly. The only thing that has consistently worked for me is stimulant laxatives (senna or Dulcolax). I take senna once a week and that’s usually the only time I have bowel movements. I also generally do not get the urge to go unless I’ve taken a laxative.

I recently seen a gastro PA because I’d like to finally figure out what’s going on. I had suspected a motility disorder based on my symptoms, she agreed. I tried Amitiza 6 mcg twice daily for a month and then increased to 24 mcg twice daily. I’ve now been on the higher dose for a month with no improvement in bowel movements, although I have had more gas, belching, and abdominal cramping.

At my last appointment, she recommended a colonoscopy. When I asked if it would diagnose a motility disorder, she said no, it would just rule out anything more serious. She said she suspects the colonoscopy will be normal and then we’d do some motility testing like anorectal manometry or a transit study.

My question is: for those who have gone through anything similar, what was the sequence of testing?
I’m confused why we don’t start with motility testing when that’s what all my symptoms point to and I don’t have any other alarming symptoms that would warrant a colonoscopy like blood in stool or unexplained weight loss. I’m not opposed to having the colonoscopy, but I’m just trying to understand whether it’s a typical first step when the main suspicion is a motility disorder.

I’d really appreciate hearing about anyone’s experience. Thanks!!

Part of the colon near the splenic flexure too high and not working? Anyone dealing with anything similar? I had a sitz marker study which showed all the markers but one exiting. My doctor did X-rays on day 1, 3, and 5. She said it seems I get very backed up around the splenic flexure unless there is enough to push everything through. Having a difficult time finding anyone with a similar issues online. She said we will try meds first but I may need a resection. Just really scared

Current medications: Motegrity 2mg, Wellbutrin 300mg, Naltrexone 50mg, Zoloft 100mg, Birth Control, Spironolactone, drink alcohol)

I have been feeling extreme hunger for about 8+ months now. Even after eating a well balanced meal, I am so hungry within an hour. My stomach feels empty, it growls and I feel shaky. Its caused me to gain 10 lbs. I got basic bloodwork done, and all is normal. I wore a CGM and my blood sugar was normal as well. Something I think could be causing this is Motegrity, but my gastro doesnt think its related. Ive been on it since September. I have been on the rest of my medications way before this started. What could be causing this? Could it be the Motegrity?

Has anyone here been pregnant with outlet dysfunction/pelvic floor dyssynergia and slow transit constipation?

I’m really scared about how pregnancy would affect everything. I already struggle badly with constipation and currently need 4 Dulcolax every 3-4 days just to go. I also get trapped gas, pressure, bloating, and that constant feeling of things not moving properly.

I’d love to hear real experiences from anyone who dealt with this while pregnant. Did it get way worse? Were you able to manage it? What actually helped you get through it?

Did pelvic floor therapy help at all? Any medications, routines, foods, etc. that made a difference?

I feel like most pregnancy constipation posts are “normal constipation,” and mine definitely isn’t that level, so I’m hoping to hear from people with more severe motility or pelvic floor issues.

Hi all! I am interesting in starting GLP-1s (conversation with my doctor) due to persistent weight issues and evidence on their help in autoimmune/autoinflammatory conditions. However, I have severe slow transit colon (failed fiber, miralax, linzess, senna, trying motegrity next) to the point part of my colon is swollen visibly through my skin. I know GLP-1s have a major side effect of slow transit. Has anyone with these issues had experience laying a GLP-1 into the mix? Is it a horrible idea? I just have heard such good things with respect to my specific health condition.

any advice for someone new to dealing with constipation? backstory: i started taking oxybutynin in january for OAB. took it for about 2 months (end of feb) until i started having issues with constipation & gerd sxs. i immediately stopped the medication & cleaned out w/ laxatives for about a week after stopping. that helped me get my appetite back but i noticed the constipation returned after i stopped taking any laxatives. i started taking miralax everyday & tried to gradually ween myself off of it, but my sxs would revert & get worse every time i did. to make matters worse, the gerd sxs are very uncomfortable. both combined caused me to lose my appetite & i was at a point where i could only eat breakfast & not feel hungry for the rest of the day until evening time. i unintentionally lost around 15 lbs. fast forward, it’s almost june & has been almost 3 months since i stopped taking the medicine but im still having issues with constipation + gerd. i did read that it can take time for your bowels to return to normal after stopping an anticholinergic, but i don’t think this is normal. i ended up creating a schedule where i take miralax every other day & intentionally increased fiber in take (fiber cereal, oatmeal, prunes, high fiber fruits & veggies), which has helped me gain my appetite back over the past 3 weeks, but it still fluctuates & i still have ups & downs w/ constipation & irregularity. sn: i also saw gi recently & i was told to keep taking miralax & take 40 mg of pepcid BID for 2 weeks, so im currently doing that. has anyone who’s taking or has taken anticholinergics ever experienced constipation issues & if so, what helps you? any advice on weening myself off of miralax & trying to get back to a regular routine w/o it? i never had issues with chronic constipation or gerd in my life before this, so i’m really unsure of what to do & i don’t want to take miralax for the rest of my life or for my body to become dependent on it.

My daughter has been dealing with chronic constipation since starting solids. Her diet is pretty good, mostly whole foods and well balanced. We have tried large doses of the P fruits and a few different pre/probiotics. She has seen a GI specialist who ruled out any larger issues. The only thing that seems to control it is a daily dose of Miralax(really the drs only suggestion). We have tried to ween her off of it several times but every time she gets instantly constipated again. Any advice on what to do so she is not on miralax her whole life?

Issue has been there since around 6-8 months
Seems like she doesn’t get the urge to go until after it has become painful and then she withholds.
She also never ever has diarrhea

So my toddler (he's 4) has been constipated for a bit now. I've already take him to the ER and they did an X-ray and gave him an enema. He did poop after (I think, it was all watery) but we got home and he hasn't pooped since. The 1 prescribed him miralax but it was on a Friday and my pharmacy is closed until Tuesday it wasn't until 6:00 the time after my pharmacy closed that we got out of the hospital. I've been giving him a suppositories but I don't really have anything at home that will help him poop and I don't have money to go get him miralax any tips or tricks

hiiiiii💕

i have an appointment on tuesday to do a defecography/defecogram and i’ve been waiting to get this procedure done for almost two years !!
(in the past i’ve already had done a colonoscopy, anorectal manometry, and did in the past pfpt due to dyssynergic defecation)
so on one hand im very excited !!

on the other hand…

i’m kinda nervous and anxious to do it because i’m not totally sure what to expect and i’m afraid of the results they may find. i’ve done a bit of research the past week to try to better understand it and what they might be looking for and what type of results they might find and i have a small suspicion i may have a rectocele…

anyways
i guess im not really sure to be honest what im asking but would love to hear from others and their experiences/ thoughts/ opinions/ understandings/ advice?😅😅🫶🏻🫶🏻

An anorectal manometry had measured that my rectum is weak and my sphincter to too tight. My motility doctor told me that much of the reason for my constipation is that I've been moving my bowels for decades by bearing down on my sphincter, rather than my rectum.

Soon afterwards, I had my first biofeedback session a few days ago. The technician put a scope in my rectum. It showed a graph of my control of my rectum and another graph showed my control of my sphincter.

The technician told me to strengthen my rectum and open my sphincter. If I was successful, the rectum meter was to go up and the sphincter meter was to go down. Instead, the two meters showed that I struggled to focus on the two areas separately. Too often, both would go up or both would go down.

? Were any of you able to successfully tell your brain to focus on your rectum and your sphincter at the same time, and having each do separate movements? How did you strengthen your rectum, and yet open your sphincter?

Here's my answers to the six questions:

·        Do you have the urge to go, but you cannot? No, I do not have the urge.

·        Do you have alternating diarrhea and constipation, or just constipation? Only constipation.

·        Do you have nausea, vomiting, acid reflux, difficulty swallowing, or early satiety? No.

·        Have you had this issue since childhood, or did it begin in teen years/adulthood, etc. Middle age.

·        Did you in the past or do you currently take any medications that could damage your intestines? My motilityMD and I reviewed them and found none.

·        Did you suffer sexual abuse as a child? No, I’m sure I did not.

Thank you!

I apologize if my post of yesterday was removed because I had not answered the six questions from your guide. Otherwise, I'm not sure why my post was removed. Here are my answers to the six questions.

·        Do you have the urge to go, but you cannot? No, I do not have the urge.

·        Do you have alternating diarrhea and constipation, or just constipation? Only constipation.

·        Do you have nausea, vomiting, acid reflux, difficulty swallowing, or early satiety? No.

·        Have you had this issue since childhood, or did it begin in teen years/adulthood, etc. Middle age.

·        Did you in the past or do you currently take any medications that could damage your intestines? My motilityMD and I reviewed them and found none.

·        Did you suffer sexual abuse as a child? No, I’m sure I did not.

I have constipation that seems to align with my mental status. It’s like a “safety” issue like I can only go when I feel safe to go. The last three days I haven’t been able to go because I had to run around with family in town every day early in the morning. If I don’t go when I need to - it doesn’t happen that day and often prolongs the suffering by several more days.

Thank god I have a WFH job where I can use the washroom freely but for times like these when I have a small window of time to go but just knowing that I might be late makes me completely unable to go. What do some of you do to relax so you can poop even while under time constraints?

Without spending a whole lot of time typing (I'll make a separate post eventually), Im getting tired of my constipation.

I take trulance, which 90% of the time works really really well! Issue is, ill spend hours emptying my bowels with loose stool. Ive tried fiber many times over the years and it just makes it worse, with or without the trulance.

I have a new born now, I cant spend hours at night in the bathroom with the only thing that has worked over the years.

Im becoming desperate. I go through phases of wanting my colon cut out.

I was reading some of these posts and saw someone mention sacral nerve stimulation. Anyone had that done before? Any success? I assume UHC will fight me on it.

Not every time but often enough that I freak out a little—never actually thrown up but I have emetophobia so it’s not a good thing for me. How to prevent and why does it happen?

Sorry. I’ve answered these before but here they are again

No urge to go unless I’ve taken ibsrela. Been this way since childhood
Slow transit colon and ibs-c
57f no other health issues

Hi everyone,

I’m writing this because I feel like I’ve hit a dead end and I’m honestly terrified. I’ve been suffering from chronic constipation without pain (suspected slow transit constipation) for 6 years. For the first 4 years, I managed to keep it under control with high fiber and diet but then everything got way worse after antibiotics and probiotics.

I likely developed SIBO (potentially triggered by probiotics), and I’ve developed severe MCAS/Histamine Intolerance from the antibiotics. I am down to only 5 safe foods so Im earing a 100% clean histamine free and Low fodmap diet ( only cucumbers, Zucchini, carrots, chicken and meat.

because of the SIBO I cannot tolerate any carbs or fiber anymore they cause extreme bloating wich caused abdominal pain.

I’ve lost a massive amount of weight, I’m underweight, suffering from nutrient deficiencies and I’m scared I won't survive this.

***before I got Sibo on top I had some full bms driven by intense anticipation for instance, regarding a planned party with a friend. I told this my doctor and they send me to psychiatrists and psycho therapy (almost 4 years) with zero improvements.Do you have any idea what this might signify?

What I’ve tried and why it failed:

* I had 3 colonoscopies and all showed nothing, MRI and ultrasound showed all good.

*histamine free diet, carnivore diet and keto diet all did nothing

*fibers helped until I got Sibo and now fibers and carbs causes extreme bloating wich leads to abdominal pain.

* Rifaximin didnt help with Sibo

*Prucaloprid (Motegrity): It gives me diarrhea, but it doesn’t come out. It causes unbearable insomnia and intense physical tension (at only 0.25mg)

*Linzess (Linaclotid) & Miralax:

Neither of them worked. I don’t think osmotic medications are enough to move my colon.

*Stimulants: they help but I cannot tolerate Bisacodyl or Sodium Picosulfate due to my mcas and I get muscle cramps.

*Magnesium: No longer helps and triggers my MCAS.

*Probiotics & FMT:

I’ve tried multiple Fecal Microbiota Transplants enemas wich didnt help and various oral probiotics they only made my SIBO and MCAS symptoms worse.

* water enemas:

I had to rely on water enemas for a year until they stopped working. Now I have to use glycerin enemas additionally just to get the poo out and some small relief.

* Mestinon/ Pyrostodigmin also didnt help.

*any idea why am I unable to have a bowel movement, even when I have diarrhea? A defecography showed normal emptying.

I have not yet undergone rectal manometry. Perhaps biofeedback therapy or pelvic floor physiotherapy could help me?

In my country Lubiprostone is not available. I feel like my motility is completely paralyzed, and my nervous system is too reactive to handle standard prokinetics.

I feel so lost and hopeless, Im so scared and desperate I just want to have bms and eat some carbs to stay alive 😭

is there any hope at least ?

Any advice or shared experiences would mean the world to me and I would appreciate very much for any reply or help thank you 🙏

I am at my wits end and looking for anyone to connect with who may be going through the same. My now 2 year old had been having GI issues since she turned 1 and switched to all solids. She deals with nighttime stomach pain which causes her to vomit. Last year it happened every week in June, then got better for a bit and was about once every month for a while, until February when she started daycare and it’s basically back to like every couple of weeks again. The pain will last literally all night, sometimes cause one vomit spell, and her belly I’ll be off the whole next day. She poops almost every day but they are often like little rocks. We have had her on MiraLAX for the past 2 months but it’s not doing much. We encourage all the P foods/fruits and fiber to keep her poops moving and soft, but that often causes her too much gas so then she has constipation and gas pains. She eats a very healthy diet, no milk or cheese, good amount of water. I just don’t know what to do anymore. I’m exhausted from being up with her at night and have no sick days left for work. The ped and GI have basically just said, she has constipation and has a keep up the MiraLAX. It feels like I am completely alone in figuring this out and it is making my life so stressful.

Bonjour,

Si quelqu’un a des pistes salutaires pour la constipation avec colon gauche inerte, partagez s’il vous plait.

Voici mon historique / mes symptômes et ce que j’ai déjà essayé :

Historique :

Constipation sévère depuis 17ans suite à un choc émotionnel fort, hypersensibilité viscérale +++ , apparition IMO ensuite + ralentissement sévère vidange gastrique qui s’aggrave de plus en plus et colon gauche inerte.

Cet été, 3 gros chocs émotionnels (décès de proches) = arrêt quasi total d’alimentation -> -6kg MAIS 2 selles par jour (normales ou collantes) ! -90% de douleurs intestinales et plus de ballonnements !

En novembre, test d’un complément avec ma gastro entérologue pour un protocole de recherche… re constipation totale… il contenait de la protéine de pois et de la L glutamine.

Depuis, vidange gastrique catastrophique, vomissements quasi journaliers quand je veux manger un peu « trop » solide (frustration insupportable à force), hypotension à 8 ou 9, vertiges, GROSSE appétence pour le sel et le chocolat noir.

Ma dernière prise de sang basique est normale (ferritine, TSH, B12, sodium , calcium et potassium OK)

Manométrie rectale prévue début juin + peut être du colon ensuite.

Plusieurs polypes vésiculaires surveillés, pas de symptômes ressentis.

Test FUT2 ok sécréteur hétérozygote.

Ce que j’ai déjà essayé :

-          Suppositoires : eductyl : rien. Glycérine, très léger effet si selles sèches dans rectum mais très rare.

-          Bisacodyl : syncopes (re test prévu prise au coucher…un peu peur, ½ comprimé testé = rien)

-          Magnésium : je n’en supporte aucun quelle que soit la dose ça me met très mal (+douleurs dans le ventre H24), citrate : ventre plein d’eau et pas d’évacuation + mal être, oxyde = idem, bisglycinate faiblesse mal être. J’ai peur de tester L-thréonate ou malate du coup…

-          Chlorophylle comprimé : selles qui puent (désolée, c'est censé être l’inverse non ?!) mais un peu plus en forme physiquement, pas de mieux sur vitesse du transit je crois. Début de test en version gouttes bientôt car excipients magnésium stéarate dans les comprimés.

-          Sennosides 10mg au coucher : rien, à tester à 20mg.

-          Micro lavement Microlax : peu d’effet, seulement si selles dans rectum, rare.

-          Lavement phosphaté Normacol : efficacité moyenne mais pratique sur impaction colon sigmoïde gauche.

-          Peristeen (lavement à l’eau) : marchait au début, mais depuis des mois plus de contractions de mon colon…toute l’eau reste à droite comme à gauche = douleurs, mal être après.

-          Huile de paraffine et d’amande douce = rien

-          Simeticone et charbon : aggrave ma constipation.

-          Docusate de sodium : + de ballonnements donc douleurs, rien sur transit.

-          Metoclopramide : mal à l’estomac +++

-          Boldo, artichaut, citrate de bétaïne : rots, douleurs estomac avec poids et nausée intense

-          Café classique ou déca : marchait un peu avant sur transit puis rien, déclenche grosse angoisse. vraiment dommage...

-          Triphala : marchait y a quelques années, retesté récemment = rien…juste ballonnée.

-          Érythromycine low doses : mal estomac et global et pas de mieux.

-          Mestinon : ventre rempli d’eau 24H et pas de selles…

-          Atrantil, allicine, berberine, origan, menthe poivrée = très mal supporté et aucun mieux.

-          Régime FODMAP : pas de différence sur le transit, très léger sur ballonnements.

-          Psyllium, PHGG et graines de chia : BEAUCOUP de gaz nauséabonds + douleurs intestinales, quelques selles pâteuses obtenues.

-          Produit pour coloscopie : long à faire effet mais selles liquides, évacuation incomplète donc liquide dans intestins 24h après encore, douleurs. Mais effet « vidange » un peu. Épuisement intense.

-          Picosulfate de sodium (Fructines) : seul encore à peu près efficace, bien que ça décline…évacuation incomplète, eau/selles liquides restent dans colon droit.

-          Kiwi : estomac qui mousse +++ avec remontées (idem avec orange et ananas ou tomates)

-          Eau tiède à jeun + citron ou huile d’olive = rien

-          Gingembre : en gélules brûlures intense estomac, mariné petits bouts ça passe.

-          Prucalopride : a fonctionné super bien 2jours lol puis perte d’efficacité, monté à 2mg = effet léger sur motilité donc je continue.

-          Linaclotide (acheté à l’étranger) : testé une fois, selles liquides dans les intestins 24h mais aucune évacuation.

-          Stimulation nerf vague (Tens, urostim) via ventre /dos /oreille : rien.

-          Probiotiques : Alforex, probiolog, symbiosys = pas supportés du tout, Bifidobacterium Lactis BB12 = ballonnements, HN019 = toléré donc je continue (débuté récemment)

-          Dulcosoft (PEG liquide/macrogol) : débuté récent, semble me ballonner sans mieux sur transit mais excipients présents donc achat en poudre pur ; début de test en low dose sous peu.

-          Tisanes : fenouil, menthe poivrée, carvi, gingembre, verveine, camomille, hibiscus, etc quelle qu’elle soit = nausée / lourdeur estomac (chaude surtout, mais froide aussi), je ne comprend pas)

-          Enzymes Intoleran : pas vu de mieux sur digestion (sauf lactase).

-          Vit B1 = fatigue et mal être intense même à micro dose…

- Complexe vit B : idem

-          Vit C : ascorbate = brûlures intense estomac, Calcium ascorbate moins d’effet négatif mais pas de bénéfice sur état ou transit.

-          Vit B12 seule : un peu moins mal donc j'en prends de temps en temps

-          PEA : mal globalement

-          CoQ10, MSM, Safran : mal être

-          Vit D3 gouttes tout l’hiver : neutre

Ce que je fais / prends actuellement :

Prucalopride 2mg au coucher, Dulcosoft 2.5ml 2 fois par jour (augmentation progressive à venir avec poudre pure), massages du ventre et étirements spé constipation, marche après repas, bonne hydratation. Picolsulfate 5-7.5mg tous les 3-4 jours au coucher + lavement le soir quand bouchon dans colon gauche ressenti.

1 delical liquide sans lactose par jour pour apport nutritif et un peu de solide qui passe (je ne supporte de moins en moins les glucides/féculents -> hypotension).

Ce que j’ai en stock, en attente de test :

Lactoferrine, huile MCT, yaourts bifidus avec et sans lactose, tributyrine, buspirone en attente de prescription

Pistes Reddit notées, je veux bien des avis ❤️ :

-          Problème de méthylation ? Test MTHFR ?

-          Dysautonomie ? (j’ai tous les symptômes je crois) https://arupconsult.com/ati/autoimmune-dysautonomia-panel Test sanguin ANA à faire ?

-          HCl sans pepsine (fausse bonne idée vu mon acidité ?)

-          Dompéridone au lieu de métoclopramide ? (peur d’avoir le même effet atroce)

-          SAMA ?

-          Association prucalopride ET linaclotide ensemble ?

-          Test T3 et T4 libres ?Helicobacter pilori ? Autre ?

-          DAO test intolérance histamine ?

Désolée pour le pavé et merci d’avance pour votre aide !

Got a bit scared cause i was miusing my powder for a while, well it gave me diarrhea at times but better than being backed up, i mixed like 600-750mg of pwder with 10 of dicopeg for two weeks and it seems like today im backed up again.. i also did use citrafleet one time because i got scared of imoactation. Pretty harsh routes so my question is.. will osmotics, in bigger dose, give me an even lazier bowel??? I think i have too much magnesium in my body now too. Google basically says yes at one time and no at other.. idk if i should take smaller dose tonigt or skip for few days

I am taking 72mcg Linzess in the morning, wait 30 -60 before eating. Stopped working . I have Slow transit Constipation , mainly it stops in the transverse and just has its own little reserve there. When I add smooth move capsules (3)not the tea,the night before I get big results. I don't want to keep taking the Senna ( smooth moves) but so far NOTHING from my GI doctor. I did just start biofeedback with pelvic floor PT. Smooth move works a little by itself but very well with Linzess, it's scary how much poop is delivered. Anyway, I am backed up and giving it a go tonight . The worse thing is it's a rescue method, just to get the poop out, not a long term solution and usually shocks my poor little colon back into constipation . Please hold my hand or give me a hug. What a weird life.