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  • BDD Moderators: Keif’ Richards | negrogesic

Opioids Need advice from heavy users regarding severe constipation asap

Zonxx, fucking legend man. Still don't know he is still alive hahsha. Crazy mofo
 
In the hopes of better explaining this, here is the deal.

As we know, there is a practical limit in which it will no longer be feasible for feces to actuallly be defecated by the power of your body/drugs alone and may require surgery. We all love to joke and don't get me wrong, a little scatalogical humor does the mind good, but this is serious.

Constipation leading to conditions like Toxic Megacolon are by way of simple scientific method discernment, the most obvious and truly lethal of the side effects produced by chronic Opioid use, which we know in modern times does little else to the body in the long term. There'es no reason a dope fiend can't live to be 100. If he doesn't eat, brush his teeth or has AIDS, yea, that's going to be a major wrench in that, but you get my point.

I've met many people who have gone a full 30 day period without a bowel movement and two of these required surgical intervention. "Normal" people would seek medical attention after say, a week of constipation. Just like how "normal" people would be wrecked by staying up two nights without sleep, but meth addicts make it look fun.

I recommenv seeking medical intervention as soon as possible. That's just the best course of action here. Waiting could produce a bowel movement or could devolve into something like Toxic Megacolon which can and does often kill. The hospital has myriad ways of trying to make it happen on-site prior to surgery. You know the drinks they give to people before colonoscopies to clear them out completely? Perhaps they'll try that. Maybe an enema or two. Maybe a cute nurse will be involved and your level of embarrassment will be quite literally off the charts as she gently massages your belly while you ask her about her favorite place to eat around here. Anyway. Do it.

Stool Softeners are preventative. They are not a real treatment for constipation. If you're succeptible to constipation, take some every day, it will most likely not hurt you in any way.


If past this point, Miralax is the gold standard buddy. It's even endorsed by Junk Fiends Local #309 Lowell, my labor union. It is after all, about to be labor day. Down with the fascists, up with the socialists. Che Guevara.....
 
PS fresh blood (bright red) in even quite large quantities is not necessarily a cause for concern. (The most likely scenario is an irritated haemorrhoid or a tear in the rectal tissue.) Especially if the bleeding stops very quickly, like you described.
You only need to worry if it either persists, or if you're experiencing black tarry shit.
 
Keif' Richards said:
I recommenv seeking medical intervention as soon as possible. That's just the best course of action here.
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I agree with your overall cautionary words, and I agree that a month without a bowel movement is probably worth getting treated professionally (and that stool softeners are preventatives with Miralax as the second line of defense). But I think it's worth mentioning that in less extreme but still serious cases, there is another optionavailable besides just OTC laxatives on the one hand or an ER visit on the other. In those cases where you've built up a mass of constipated stool that can't be passed safely (with or without laxatives), you *can* succeed in clearing it by manually breaking it up, at home sitting on the toilet with no special equipment.

If the mass itself has already gotten so large/hard that it can't physically be passed in a safe way, I'm not sure that even pre-surgical laxatives by themselves would be able to soften it sufficiently, though they could help by providing extra lubrication (which is why glycerin suppositories are a good OTC option). Once the impacted feces has reached a critical mass that can't be passed safely, it seems necessary to physically break it up before removing it. And for the price of some rubber gloves and mineral oil, you can do yourself a lot of good on that front -- just using your own "digits" to chip away, little by little.
 
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JTemperance said:
I agree with your overall cautionary words (and completely agree with stool softeners as preventatives then Miralax as second-line defense), but I think it's worth mentioning that you *can* manually treat the problem yourself at home, even when the constipation has been too prolonged and the feces has gotten too impacted to pass. I agree that a month without a bowel movement is probably worth getting treated professionally. However in cases that are less extreme but still severe, there is another option besides OTC laxatives on the one hand and an ER visit on the other hand.

If the mass itself has already gotten so large/hard that it can't physically be passed in a safe way, I'm not sure that even pre-surgical laxatives by themselves would be able to soften it sufficiently, though they could help by providing extra lubrication (which is why glycerin suppositories are a good OTC option). Once the impacted feces has reached a critical mass that can't be passed safely, it seems necessary to physically break it up before removing it. And for the price of some rubber gloves and mineral oil, you can do yourself a lot of good on that front -- just using your own "digits" to chip away, little by little.
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Hate to say it but yep I've had to do that on occasion. YUK. xd

... but yeah just gently 'digging out' the initial impaction which acts like a plug to your rectum, will enable you to pass out the rest in a more or less normal fashion. Also this avoids over - straining which can tear your anal tissue and on rare occasions even cause heart attacks.
 
.... Also if you're ever reduced to pulling lumps of shit - bricks from your own arse on a regular basis, ya need to ask yourself some questions about the size of your habit XD
 
Xorkoth said:
Yeah I've had to dig around before, it's at that point you start to question whether your lifestyle is working for you.
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Oh MAN I feel like I called MYSELF out so hard here! 🤣
.. Yep when you're on the bog for half an ice age with a reluctant finger up your own back passage to remove some stubborn obstacle, you're like REALLY starting to ask yourself whether this is in fact all worth it. (In my case add the memorable occasion where I was trying to be repeatedly 'discreetly' sick in someone's prize rose bush. No that didn't play well.)
 
When I was taking Kratom I had to grab a knife and cut my bowel movement into several slices in order for it to flush through the toilet
 
If all else fails, good old - fashioned castor oil. Just make sure you're within striking distance of the nearest lavatory if you take that. XD
 
I have strained due to constipation induced by opioids and seen blood many times and I do have hemorrhoids lol.
The only blood to worry about seriously is when it's internal bleeding and that would appear as tarry stools. Not bright red blood. That bright red blood is coming from a vessel that has burst open and it will heal without problems.
Keep using stool softeners to avoid straining and you won't have this issue again.
 
Yes seems to be a hard topic excuse the Pun no disrespect intended but I had this problem and no question it was by NON REGULAR using the CAN and going for week or more for real (Shit builds up)...The FOOD is what does it and water too. I truly had no problems if I ate lots of TACO BELL, I have no idea what the Hell they make their beef from but stuff makes Epson salts mild compared to a big serving of Taco Bell. Food and perhaps drugs do not mix well, maybe Dope causes muscles to not work well? Cannot say but, I did Roids long ago and can tell you they literally make allot of muscles harder and even there too>? Diet can have allot to do it but drugs too effect muscles and organs of the body in ways we cannot conceive ! Try diet that works well with you and keep it if things work well.
 
I know this too well.
If peg/lactulose/Metamucil (osmotic or bulk forming laxatives) aren’t cutting it, you need to move up to a stimulant laxative either oral or suppository. A stimulant laxative causes peristalsis to move the feces through the intestines. Normal peristalsis is interrupted by opioid use (many other drugs cause this too) which is why constipation is effectively universal in people who take opioids. That’s why I say if the bulk forming or osmotic laxatives aren’t cutting it you need to move up to stimulant type laxatives.
For me, I take PEG daily religiously and if I run into trouble I’ll use a ducolax suppository. If THAT doesn’t work then unfortunately it’s time to break out the old enema bag. 1L of lukewarm tap water with like 2.5 mL castor oil soap will fix any and I do mean any situation. It’s just rather messy- save yourself some trouble and just take my word for it and do it on the bathroom floor or even better in a bathtub.
 
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