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Gastroenterology (Expert Forum)
Not able to have bowel movement with Miralax
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Not able to have bowel movement with Miralax
by Bentfield, Sep 23, 2004 12:00AM
I have had a problem over the last three months. I have tried luctose and milk of magnesa for transit. I have been using Miralax for the last few months. I started with a cap full and strained to have movements in the beginning, now I am up to 10 caps 5x morning and 5x in evening. My primary doctor thought it was stress and prescribed xanax to help me relax. I no longer have Normal BM's I just sit and try several times a day. Color of BM is presently green, but I have went through liquid tar color when doing a prep for a test to yellow liquid after taking magesium citrate. I was diagnosed with IBS several years ago but this seems to be a complete shut down. Is there any test the I can have done to see if my body is becoming toxic? I can use my sphinter muscle to push out whatever is in the colon. But not getting the normal signal to go. I am not sure what I can eat I have tried ensure, normal diet and even just eating what ever I come across. I have had a barium mri, colonoscopy, barium enema and defecogram. I have done enemas and supositories to make it this far. Intitially it was caused by stress and I am on medication to for that but I can't have a normal BM with ten capfuls of miralax per day. I am worried because I have been trying to eat normally and output doesn't seem to be that same 1x per day as before all this started. Is there anything that anyone has tried that gives you normal transit. I am presently doing a sitmark marker test. If not and I am fecally impacted what is the next step? Is there a way to clean me out? Is there anything that is experimental. I have seem to be at my wits end. can anyone please share how they got there system back after long fasting due to religious beliefs and mental problems?
Doctor's Answer
by Kevin Pho, MD, Sep 23, 2004 12:00AM
, Sep 23, 2004 12:00AM
You have had a pretty comprehensive evaluation, including colonoscopy and now a marker test. Certainly irritable bowel disease can cause constipation, and optimization of treatment should be considered if the tests remain negative.
If the marker study is negative, anal manometry studies can be considered to evaluation if there is a problem with the sphincter.
If all the tests are negative, you can try a medication called Zelnorm, which may be of benefit in constipation-predominant IBS.
You may want to discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If the marker study is negative, anal manometry studies can be considered to evaluation if there is a problem with the sphincter.
If all the tests are negative, you can try a medication called Zelnorm, which may be of benefit in constipation-predominant IBS.
You may want to discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
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i dont know how old you are or male/female and what have you done??
severe fungal/yeast infection could cause constipation,hormonal change could do that too.
or something else ??
i think you should really see some one who know how to treat this kind of problem