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Opioid-induced constipation
I am experiencing pretty bad constipation caused by prescriptions opioids I have to take for pain. Is it all right to take FiberCon and Colace (stool softener version only) at the same time, or will their modes of functioning cancel each other out?  I take two tabs of Fibercon three times a day (each one contains 625 mg of calcium polycarbophil equivalent to 500 mg polycarbophil (bulk-forming laxative), and have had to add 300 mg a night of Colace. It had worked well, but now it takes several days to work and the first day the stools are hard and passing causes discomfort; normal stools don't appear until the 2nd and 3rd days and then the whole cycle begins again. What else can I take that will improve this situation? Thanks.
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144586 tn?1284669764
Taking fibre is absolutely positively the wrong thing to do with opiate constipation. This is contraindicated. The reason for the constipation is that the opiate inhibits peristalsis, the rhythmatic movement of the intestine that moves feces towards the bowel. Adding fibre may result in a complete blockage and necessitate a bowel resection and a temporary colostomy. A stool soften and plenty of liquids are fine. You are going to have to take a holiday every so often from the opiates. Bowel obstructions from opiates are treated with naltrexone.
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144586 tn?1284669764
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5080348 tn?1416848454
I also have to be concerned with this issue right now. I let myself get too involved with other things and just figured or just quit thinking about my first bout with this problem... remembered the hard way..
I had a couple of Hard painful large movements, painful struggle..
Mine is just coming back around..
Tried a Fleet... did not work.
So I did the M&M enema, to get the bulk out.
look this up, old faithful. This was directly from my GI doctor.
http://www.health-information-fitness.com/milk-molasses-enema.htm

Now, I never want to get to that stage again, ever...too painful
I take 17gm of Mirlax (bulk powder not another pill) generic is fine, 2x's daily, right now. (steady bulk )
I take 2 senokot-S at night (S is for softener easy passing) costs less than Colace, works about the same.
This is not going to cancel anything out... it has to move...what goes in, must come out.....

Now that I am sort of normal, I am going to start Probiotics. I was on them once and was normal as could be. I stopped a/c side effects can be gassy I have a lousy digestive tract and opioids DO NOT help this situation.. But, I think I will live with the gas.... uncomfortable and can be embarrassing, no stink but unexpected, so I will learn to say excuse me more often.. but for me it is better than a complete blockage... that usually means surgical.. NO thanks!

I know that "pain pills" are not the best thing in the world since they can cause so many more problems in other areas.. years of experience !!
Don't know your history or length of time on your pain pills.. But please Learn to eat more often, but eat less, Bulk is good, but without water it does not work... water, hydrate & hydrate more.. Keep moving, walk or swing or jog....or any exercise you can do.... I do a recumbent cycle and walk to and from the laundry room, couple items at a time.. but, I am moving.... Hope this helps & good luck

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That is scary. Are you a physician? My own doctor said nothing contra-indicting Fiber Con. Should I gradually decrease the FiberCon rather than just stop? Thanks
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