Spastic Colon - Desending

I have Spastic Colon (Descending). I've seen it on an x-ray myself,and is confirmed by a barium test.

(1) What other treatments are available besides taking fiber and Milk of Magnesium ? Surgery ?

(2) I've been told that Milk of Magnesium can be taken for life with no problems, this goes contrary to everything I know about prolonged use of laxatives. Is this correct ? Is there medical research to substantiate this ?

(3) What other tests should be performed, besides a barium ?

(4) What other problems could contribute to my problem besides the spastic colon ? I may be developing food allergies, but with the spastic colon it's hard for me to tell.

I've probably been on laxatives too long already, about 1 year.

Occasionally I'll use a glycerin suppository to stimulate a movement, if it feels impacted low down, sometimes a syringe with water too.

The barium test is the only M.D. test I've had, although I've clearly seen it myself on a chiropractor

[Kevin Pho, MD]

To answer your questions:
1) You can try anti-spasmodic agents to help with the symptoms.  There are also recent studies suggesting the antibiotic Rifaxamin can be helpful.  Tricyclic antidepressants have also been shown to help in some cases.

2) Occasional use of Milk of Magnesia can be taken without serious complication.  However long-term use may be associated with bowel dependence.

3) A colonoscopy can be considered to exclude anatomical disease, masses or polyps.

4) Spastic colon can be worsened by anxiety, stress as well as hormonal changes.  

These options can be discussed with a GI referral.

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.
kevinmd_