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Dealing with OPIATE RELATED CONSTIPATION ~ Mega Thread

Stool softness and miralax are my front line prevention tools. Once I'm backed up and the stool is rock hard I use enemas and if it's really bad muvantik
 
strong cup of dunkin donuts coffee works for me everytime. even when im in terrible pain and feel like the thing from alien is trying to climb out of my butt haha...grosss. but ive been drinking more water, more fibre, and trying to get a little bit of exercise, that helps tremendously btw, really does get things moving.
 
ShroomySatori said:
Kombucha!!! I can't get enough of the stuff, and I definitely notice that it helps my digestion in general. Tea helps me with opiate constipation, due to the caffeine content, so it could just be that but nothing is really going to stop me from drinking my kombucha. I feel like the human race as a whole would benefit from the consumption of more kombucha, and less booze for recreational purposes. Think of all the livers that would be saved.

In a sense there is no real way of avoiding it (please correct me if I am wrong) - but I think it is a side effect of the drugs especially with daily use. I drink a lot of water, eat foods with high fiber content, and drink kombucha and a lot of green tea. I used to be constipated to the point that it was very painful at times, but now I just feel like my digestive system is really slowed down a lot.

Oh. How could I forget. What is wrong with me: dabs!!! Marijuana dabs will help with these digestion problems from opiates. I often wind up getting er done shortly after a large dab of some nice oil.
Click to expand...

I missed that post. good advice
 
Miralax i took it for a couple years a little bit each night not a full dose kept me regular everyday. After reading all the bad new press about Miralax i stopped and went back to my old way a two 500mg magnesium pills twice a day which a couple years back started to not always work so now i combine the magnesium with two heaping teaspoons of grounded from my coffee grinder Chia seeds and poof works great i read that chia not only bulks up nice it also draws water to your colon works for me good luck
 
Docusate Sodium, 120mgs daily. Every day. I hate to use this terminology, but there is such a thing as 'fecal blockage', where it's just too big to come out. Nurses get in there and break it up. I tried to make a joke, but it didn't go that well.
If you have insurance, a GI specialist can prescribe one of two things. One is a IM shot, the other is a pill. I cannot remember the names, so I apologize. But my issue was after H, then a three year Suboxone maintenance program.
It may seem more of an irritation now, but it has the chance to become something much, much worse. I'd take care of it. And if you must, the GI idea worked wonders for me.
 
TolstoyWasAJunkie said:
Docusate Sodium, 120mgs daily. Every day. I hate to use this terminology, but there is such a thing as 'fecal blockage', where it's just too big to come out. Nurses get in there and break it up. I tried to make a joke, but it didn't go that well.
If you have insurance, a GI specialist can prescribe one of two things. One is a IM shot, the other is a pill. I cannot remember the names, so I apologize. But my issue was after H, then a three year Suboxone maintenance program.
It may seem more of an irritation now, but it has the chance to become something much, much worse. I'd take care of it. And if you must, the GI idea worked wonders for me.
Click to expand...

Hi Tolstoy...Is the shot you speak of called "Relistor"? I have been taking Linzess 290 (along with 250 mg DS softeners) daily since partial obstruction last October. There are still days that even those don't work for me, as my bowels are choked by adhesions.

My GI issues are not caused by opiates, per se, but definitely exacerbate pre-existing issues with disease/chemo. I have a crimp in my intestine (left splenic flecture) that hinders the passage of stool. It's extremely painful, distending my left upper quadrant as though it could rupture. Surgeon says "Oh, we don't get alarmed because your transverse diameter is only 5" and "Keep those bowels moving".
 
Well, I just typed up an essay of an experience for y'all and my phone died just as I was about to submit...so, this will be a much shorter and sweeter version.
I went 13 days without taking a poop. I weighed myself that AM before the "dump" and was 13lbs heavier than after the epic bowel movement. I made the incredibly foolish mistake of taking a handful of laxatives to force a bowel-movement when I was severely constipated from opiates. This would essentially be the same as blowing up a football with a hand-pump until it popped. Same exact concept.
3 hours on the toilet. Most painful experience in my life while also being most satisfying gratification a man could know and feel.

What did I learn?

1) no one needs anything more than water consumption to cure opiate induced constipation. Twice your daily intake when on opiates and a fiber pill will be more than enough to keep you regular.
2) Never take laxatives when severely stopped up. NEVER!
3) Our bodies can store a lot more shit than I possibly could've imagined.
4) You can't simply hope: "I won't get stopped up this-time" when on opiates. Shitting is a privelage not a right. If you're gonna use and shit in a reasonable time frame, be conscious of it and take the necessary steps to ensure your colon and intestines maintain some lubrication.
5) Our shit can become literally harder than wood.Like dehydrated petrified poop style.
 
The supplement Inulin, as well as several cups of green, oolong, or black tea a day, is keeping my bowel movements regular, and also comfortable and normal looking (not way too hard like before), years into a chronic insufflated H habit. I was having major issues with this before I added these things to my diet. Sometimes I'll even go twice in a day when prior to this it was every few days at best.
 
I tried all the pharmacy laxatives and I find a good size bowl of oatmeal, fruit and at least 8-10 bottles of water help but my bowels are in no way the same shape as in before oxy and methadone
I never thought I'd have this convo lol but sometimes it feels as if I'm giving birth. It's almost to the point of wanting to be dopesick for a few hours, just to get cleared out
 
Miralax is working really well for me. Im pooping everyday on 170mg of methadone.
 
Lbe2003 said:
Well, I just typed up an essay of an experience for y'all and my phone died just as I was about to submit...so, this will be a much shorter and sweeter version.
I went 13 days without taking a poop. I weighed myself that AM before the "dump" and was 13lbs heavier than after the epic bowel movement. I made the incredibly foolish mistake of taking a handful of laxatives to force a bowel-movement when I was severely constipated from opiates. This would essentially be the same as blowing up a football with a hand-pump until it popped. Same exact concept.
3 hours on the toilet. Most painful experience in my life while also being most satisfying gratification a man could know and feel.

What did I learn?

1) no one needs anything more than water consumption to cure opiate induced constipation. Twice your daily intake when on opiates and a fiber pill will be more than enough to keep you regular.
2) Never take laxatives when severely stopped up. NEVER!
3) Our bodies can store a lot more shit than I possibly could've imagined.
4) You can't simply hope: "I won't get stopped up this-time" when on opiates. Shitting is a privelage not a right. If you're gonna use and shit in a reasonable time frame, be conscious of it and take the necessary steps to ensure your colon and intestines maintain some lubrication.
5) Our shit can become literally harder than wood.Like dehydrated petrified poop style.
Click to expand...

13 days lol

I'm the author of http://www.bluelight.org/vb/threads...ega-Thread?p=13652423&viewfull=1#post13652423
I wound up doing that to myself again. 92 days. Ninety-two days without pooping. When it finally came out it about 1' long and a diameter of 4", for reference a soda can is 2.6", followed up by more baseball sized lumps. Tried to break off pieces with my finger, but it was so hard I could barely dent it. No matter what I did I just couldn't get the urge to go. Now I'm taking mountains of laxatives. Does anyone else find heroin way more constipating than oxycodone? Because only once did I ever have a blockage with oxy, and only like 6 weeks, and that was shooting 1600-2400mg/day for years, compared to only 2 buns a day of h now.
 
cj said:
Miralax is working really well for me. Im pooping everyday on 170mg of methadone.
Click to expand...

Most interesting thread, I have read most, but not all comments on this long thread.

I started using pain meds daily,about eleven years ago, and, prior to even that, about 10 years earlier, I started,
using Metamucil, after turning around age 40, to 45 every night before bedtime. I also began, eating two pears
for breakfast, 5 day out of 7 beginning around age 40/41 along with a tall tea glass of water.

From 2005 until 2010, I used USA Percocet (generics) 5 mg with 325 mg. only 1/2 tablet twice a day, for about
5 years by mouth with water, for Plantar Facisitis.

Around the year, 2009, I discovered, a source, not from my USA M.D's, (urologist, dermatologist, psychiatrist,
primary care physician, periodental surgeon), or my chiropractor, nor, my masseur, a lower internationally
controlled, agonist/antagonist, called, Pentazocine Hydrochloride, marketed, outside the USA, as Talwin PX
in Canada, Fortral, in numerous EU countries, and as Sosegon, in Spain, and, I returned to what I thought was
a long arrested habit, from the late 1970's, of insufulation, or grinding up the pentazocine pills, with no APAP,
no Aspirin, no caffeine, nothing but pure pentazocine without naloxone, and, thus, "snorting" the ground up
pills, opened up a old habit, I had buried, since at least the year 1981.

I snorted Pentazocine from every other week, to, by mid 2010, to every day for two solid years, when my source
ran out, Krka and, Sanofi, had radically, reduced production of the pills, (not the liquid lactate) for IM or IV use.

I returned to my stash, of hidden Oxycodone 5/325's from August 2012, until July of 2014, when I again,
exhausted my su

When I started using, a very regular schedule from 2005 until around 2009, the Metamutacil, worked, but I
became gradually dehydrated,from lack of 8 to 12 glasses of water a day. My generic Percocet usage, never
exceeded one tablet of 5/335 mg of APAP I'd say 95% of those first 4 years. I also developed a habit in my
40's age range to eat at least two pears every morning with a tall glass of water or two. Back then, I belonged
to a gym club, and, a twice a week, Yoga Class, and, I walked every day, well 5 days a week of about
3,500 Pedometer steps.

Beginning in 2009 until 2012, I switched to synthetic narcotics, to the internationally lower class, from Oxycodone,
mild use, to heavier use of Pentazocine HCI, know in many countries, as Talwin PX (Canada), Fortral, EU, and,
Sosegon, Spain, to Pakistan. My consumption, increased, to 4 x 50 mg per day, from 2009 to 2012. I developed
increasing constipation, from this "higher pill use, thus, I switched to USA Senokot, that contains, 8.6 mg of
sennosides, per tablet, "not to be confused with much stronger, Senokot-K. I increased my dose from 4 tabs
daily to as many as 6 to 8 tabs daily, but, still was technically, dehydrated, ate poorly, meaning low content,
fiber, in all of my nutrition. I cut out my long running gym membership, yoga classes, regular fast paced walking,
especially buying 12 packs of Evian water or Fiji water, even cut back my twice annual one week vacations, to
well known Spa resorts, in USA/Mexico, such, as, LaCosta, (Calif) Miraval + Canyon Ranch + Loew's Ventana Canyon
Resort, + Omni Tucson National Resort, and my beloved, now closed down, Bishop's Lodge Ranch and Sha Na Na
Spa Resort, in Santa Fe, New Mexico, to Fiesta Americana Grande Golf and Spa Resort, in Los Cabos, Mexico.

By August 2012, I resorted to using my remaining lifetime stash, of hundreds of generic Percocet, (mfg Mallincrodht), that
ended by August of 2014. My sources, for both are gone forever, please do not PM me for my old source, or ask me on
this open forum how I obtained these items, it is just all over, except, one, desperate attempt to keep my addiction alive,
graduating, in August 2014, to OC 20 or OC20 in the EU old formula, and, you can guess, just how I abusively ground up
the pills, to begin inhaling the sinfully expensive pills. The longest I have gone without OC in my system was 195 days, for
6.5 months, Oct 2015 to July 2016. The PAWS, caused me to collapse, in psychological torment, in spite of over 200 AA
meetings. I had always heard, hillybilly H, only took about 5 days to kick, maybe so for the physical agony of 6 to 8 visits
to the toilet, daily, from constipation, to, the opposite, diarrhea. But, my education in Psychology, pharmacology, and my
Masters years ago, in Alcohol and Drug Abuse worldwide, tells me PAWS is a major issue, to gaining contented sobriety.

My latest estimates, range from 6 months to one year minimum, of discomfort, after, the physically withdrawal, and, without
a supportive weekly always, peer group, to assist one, in psychological, feeling dope sick, that 90% of opiate addicts who
only go thru "detox" and cold turkey all alone, always, have a slip, within 30 days to 180 days, worldwide !!!

I have my personal reasons to fighting methadone, or Suboxone treatment, or, from ECT, (Electro convulsive treatment), to rid
myself, of a life time of just "depression" with many fancy titles, Treatment Resistant Depression, Major Depression in Partial
Remission, Dysthymia, to, even, Cyclothymic Disorder 301.13, to DSM-IV USA BiPolar Disorder, Not Otherwise Specified, 296.80.
to even, "Mood Disorder, Not Otherwise Specified" 296.90" to even, "Axis II Personality Disorder, Not Otherwise Specified, 301.9.

My most recent attempt, to crawl out of the hole I dug for myself, was a one week vacation in opulence and grandeur, in the
US Virgin Islands, with a former, dear friend, who, spent 24/7 x 7 days a week with me, for a tropical environmental change, but,
I could not cut down, but only to 10 mg of OC 10mg per day, Dec 3 to Dec 10 2016 !!!. Now I am at the end of day one totally
out of OxyContin 20mg, and only have, 1 30 mg of dihydrocodeine, and, about 30 tabs of pure, 30 mg of codeine phosphate, to
taper down with, along, with about 90 ten mg of Diazepam, and about, 30 two mg bars of Pfizer brand Xanor/Xanax to taper down
with. "I am worn out, with, toxic self imposed isolation, due to a Divorce, 10 years ago, and to my responsibilities of care-taking for
my beloved aging parents, both who are age 89, who live 53 miles Round Trip from me.

I just hope the medical team, in 30 days do not discover, some form of Colon Cancer, or Stomach cancer, or even Prostate Cancer,
as, I have, been, going downhill, steadily, for the past two solid years, for sure, like fast. I resumed alcohol, in increasing amounts,
after 27 years of abstinence, from age 32 to age 59, and, I have not abstained from alcohol more than about 200 days, in a row, since
in the past 5 years in a row. Drugs, ruined my life, from age 16 until age 32, and, it is ruining my life, again, after all the time and effort,
again, since I turned age 59.
 
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dungerberries said:
hey i havnt posted in a long ass time if ever but ifeel as if ive gotten so much from this forum over the years so when i googled this topic and saw this forum and some threads on this topic i had t sign in and give my experiences. im currently using about .7- 1.0g of heroin a day and i have constipation in the form rock hard number 2 seshion that ive learned to deal with through a series of push pause push shift thenweight of my seating position push etc nothing to special lol what ive noticed is mo matter how accustmwd my bottom gets to a certain size and hardness level it can physically output my stomache jusy increases the payload causing intense pain. i find myself injecting a shot of heroin/crystal meth mix of .07h and .15 meth so the pain is bearable. ive never been sexually assualted thank god and its no joking matter. if i ever took part in rough anal sex on the recieving end i imagine the physical pain to be somewhat similiar though obviously not even close to the same as being assaulted/against ones will(im not trying to be a smartass so please dont interprete my comparision that way) i see alot of people on here who r reporting horrible constipatikn from suboxone and oh my god can i confirm that. last year when my doctor was getting me off a large heroin habbit my dose of ssuboxone reached 24mg which im pretty sure is the max dose seeing as when he tried to raise me again the pharmacist called him and told him that i had capped off at the limit. this is no bragging right at all, i was constantly sick as fucking hell from late doses, sweatinf perfusely,sleeping way too long and using copious ammounts of crystal meth to compensate. worst of all oni only was able to have 1 bowel a week on avg the worst gap being abit over 2 weeks. luckily with the crystal i hadnt been eating much at all but the dehydratiom and lack of fluids together with being awake for 4-6 days (i was new to the drug and had no idea how bad that was for me) made the constipation worse so all in all the crystal was deffjnitly not helping. i took every laxative available nd they all did jack shit. theonly thing thay helped was missing doses consequetivly and then when doomsday arrived praying to god i got through it. no joke or lol i wanted to die it hurt so bad. fast foward to now. im using again and i dont mind itvery much seing as i was abusing alot of drugs that ifind worse than heroin in larger ammounts than i deem survivable for me not that any drugs i inject r healthy i just knowthat some r alot worse then others for me. faced with the constipation issue again i now try and eat more regularly drink any fluids referablt not carbonates and most importantly i try to miss a couple doses as to force abit of sickness and get my bowels moving everyday or two so as not to be a week without a movement causing extreme pain that was otherwise unavoidablw. i dont know if my post helped anyone or was just vulgar due to my fairly graphic descriptiln although if it and u want to ask me skme questions please dont hessitate and ask away/ lemme know what ir thoughs r
Click to expand...

wow dude that is damn similar to my life these days....

IV crystal and hydromorphone is what I do, and its very common for me to not move for hours/rarely leave the house/ too scared to even have a bowel movement...

definitely need to get off opiates as this is my main stressor in my life at the moment which is just fucked to think about

thanks for sharing, can't write now mind is distracted but PM me if you want to chat
 
I've had some very serious constipation problems with opiates in the past... SO BAD I had to go to the ER a couple times.

Constipation is a VERY serious and DANGEROUS side effect...

One time I hadn't had a bowel movement in 2 1/2 weeks.. I was in UNBELIEVABLE pain.. they did that ENEMA thing with me, where they stick that shit up your @$$ and pump you up with enema. It was one of the most disgusting and painful experiences of my life. I was yelling and crying in pain.. sweating excessivly, all the bad shit.

What I was told to was,

-- drink lots of fluids
-- eat lots of fiber
-- lexatives such as metamucil
-- caffeine
etc etc..

this might not be a smart thing to do but, if it gets really bad, stimulants really help with this..

Another time when I hadn't gone in a week, I smoked some meth and that took care of the problem, lol.
 
This might sound stupid but eat a shitload of sunflower seeds and peanuts if you can. For me like four ounces of Sunflower seeds and about the same in peanuts cleans me right out. Also spinach will do the deed as well.
 
Just wanna say, I always thought it was kinda funny how all of us on opiates are literally full of shit...
 
Everytime my wife would ask me if I was high I would lie and say "no". She'd tell me I was full of shit. I never though about it, but you're right, she was correct in more than one way...

OT: I've dealt with opiate related constipation on and off for like 14 years or something.

I think the body eventually adjusts and it becomes more normal to be constantly constipated and passing humongous stools. What Im able to pass these days fairly easily would have had me screaming and in tears years ago.

My number 1 remedy seems to be to stay hydrated. How hydrated the bowels are makes all the difference in how difficult it is to go when it's finally time. Especially on Kratom IME.

And of course, just letting yourself go into slight withdrawals for a few hours once a day helps with regularity BIG time.
 
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