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Bupe Suffering horribly from constipation from subutex maintenance.. Please help me :(

pleasehelpmeplease

Greenlighter
Joined
May 23, 2014
Messages
1
I am posting on a new account here because I am embarrassed about this. I take a crap like once a week, taking it twice is rare for me. This has been going on for almost a year. I would appreciate you take a read at this and speaking your mind if I am damaging my body or mind.

I have a huge constipation issue. I was constipated before taking this medication but it really made it 10x worse. I take subutex 2mg daily (been on it for almost a year) for reasons being for relapse prevention and maintenance, and it is the main cause of my constipation.. I just suffered from it just now, just showered to get clean, and need to post this.

I have to go #2 about once a week, and when I do sometimes it gets really bad. Let me tell you the process I have to endure each week. I just took a horrible one just now and I'm wearing plastic gloves to not contaminate anything....
I sit down on the toilet, grit my teeth horribly, strain my head and push as hard as I can. This usually gets a bit out, but there is a huge mass left to get rid of.... Now this is where it gets gross. Sometimes I am forced to dig out the remaining shit with my hand, to help get it out. This usually helps a bit and then finally when I push super hard it falls out. I look in the toilet and I can't even believe it made it out... it is a hard mass, not soft poo like it normally should be, but extremely hard, with some blood. It is a big relief it gets out, but at the same time I feel like I am damaging my health. This routine has been happening frequently. I have probably had these nightmare #2 sessions about 10-15 times I believe since I started my subutex maintenance. I Let me say I cannot get off it at the moment as it does help me stay clean, this constipation is the #1 downside however and I HATE IT.

this usually clogs the toilet and I am sweaty from exhaustion and am deeply worried of how this affects my mental health. I just took a shower and washed my hands about 10 times with tons of soap to get the crap out of my fingernails (sometimes a tissue doesn't suffice and i actually have to use my fucking nails... I'm sorry if this is gross but it's true and I want to know how bad this is for my body and brain).
I did read that constipation causes mental fog, and I have experienced that. Also drowsiness, it is extremely hard for me to get up in the morning these days. How about my teeth and the veins in my head too? I clench extremely hard with my teeth just to take a shit, and my veins feel like they are going to explode. I feel like I am doing a considerable amount of damage to my head nerves, my teeth, and my colon. Is this severe? I am not lying about any of this and I posted on an anonymous account due to my embarrassment. I would love anyone experienced on this, and I googled "digging constipation" and I feel extremely sad that I am one of the few guys that had to actually literally dig the shit out of my ass.

I would love some advice, I do not have the best diet and that is one thing that can help. But am I doing any serious damage to my body or brain here?

its not 4am, i took a crap at 2:30am. This shit I'm dealing with needs to stop (no pun intended...) I will eat healthier, more veggies, etc...maybe even lower my dose of bupe... but I am concerned at what damage I have done.
 
Do you live in the United States? Go to any supermarket or pharmacy and purchase a stool softener such as Colace, or any generic one to save money. You don't need anything that says "stimulant" just get the stool softener. There is also a product called "super colon cleanse" which contains fiber and other natural plant products that will flush you out. I have bad constipation too, but I'm not at your level. However, if I did not take these products, I believe I could be close to experiencing what you are currently. if you take an opiate, you need to take a stool softener, a fiber supplement, and drink lots of water. People who don't do this, I just can't understand it.
 
get psyllium husk or orange fibers , stool softeners can be "addictive" and live endangering
 
Don't take fiber while constipated it can backfire and give you even bigger dry turds. I dealt with this problem a lot. I recommend a combination of mirilax ,stool softeneers, and saline enemas. Also if you have insurance I have had success with the prescription drug linzess. The enama is best for immediate relief the others take time but are effective.
 
Eat porridge every day & get onto Psyllium husks (eBay). That's the stuff in Metamucil (I dunno where u are so dunno what's it's called there) but that does the trick for me... Fibre, roughage,
PtP
 
You know the only thing that will actually fix this problem is a lower dose opiate / no opiate at all.

for temporarily relief...stool softeners have worked for me though... "Docusate sodium" is a pretty effictive stool softener that I use when needed.
 
Yea don't take a bunch of fibre anything while you are creating blockages I made that mistake and had to get the blockage removed while taking Suboxone. It wasn't fun having to go to the hospital for that my mom called the ambulance cause I was rolling on the ground in pain. Makes you wonder how people take doses like 32 mgs a day for years it just baffles me.
I take lax-a-day daily which adds water to the stool making them soft and easy to push out before I was just like you now I go at least once a day sometime 2-3 if I'm lucky;)
I also keep on hand senokot which works wonders when you need a bit of stinulent action.
Don't listen to the people trying to scare you saying laxatives are bad cause their idiots not shitting is worse don't worry about becoming dependent just don't take stims daily and make sure you keep things moving at least so your going every other day. Once your off the sub your colon will start going back to how it should be so don't worry yourself about laxitives.
Eat greens fruits a bit of fibre not much as you will be back to a shitting bricks as fibre makes your Stool bigger. Eat prunes into the morning about 10 prunes every morning could make you shit without laxatives so try that first.
Oh yaand drink about 1-2 gallons of water per day it really helps. If you keep eating whateevr you want and living this way your gonna end up rupturing something or dying from poisoning yourself with feces so its a matter of life and death.
 
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If it's really that bad you buy a home enema kit, usually does the job pretty damn quickly.

Opiates constipate me like crazy. What's to be embarrassed about?

I think the best thing about withdrawing from MS Contin was having the shits for a week. The fact that I could actually poo on queue was very welcome indeed.
 
Yea your body returns to its normal pooping pattern not too long after quitting opiates.
 
don't be embarrassed. I've suffered from really bad constipation from opiates too and one trick I do is to actually get my feet up on the toilet seat, and SQUAT. This REALLY helps move things along without too much straining. Oh, and I've also used the "pick it out with your finger" method but I have on hand a pack of the kinds of gloves doctors use...the thin ones...and I put on a glove before picking the turds out so that my hands don't smell, and you can still use your fingernail through the glove. Be careful though because sometimes I've had a hole develop in the fingertip of the glove so I get poop on my hands anyway. But FOR ME, taking pods daily is a blessing because that makes me more "regular" AND deals with my pain. I grind up the pods really fine and put them in size 0 capsules. That way I'm ingesting the WHOLE plant matter, which is sort of a fiber...and that seems to help. But I still have poops that feel like glass shards are coming out of my bottom...OW :(

Don't be embarrassed, I'm sure many people have been there before and done the same thing. I also drink a SHITLOAD of water every day to help flush things out more smoothly. Hope this helps! Good luck! :)
 
Wow, kinda suprised you have so musch constipation on only 2mg, I had the issue for a little bit when I was taking 16mg but then something changed and it seemed soon after I took my Sub it would make me go to the bathroom,wierd.. Anyway, I would suggest drinking the reccomended amount of water a day plus some, eating a diet high in fiber(get those fiber pills, and those fiber granlola bars). And get some laxitives if that doesn't help, heard milk of Magnesia really helps. Dont know if you smoke ciggerates or drink coffee, but before you take your dose have a strong cup of coffee and smoke a ciggerate, it does wonders..if you don't smoke just do the coffee still really works wonders.
 
I get that now too after I take my sub I have to shit as soon as 45-60 minutes pass. I forgot to say that too when your going to the bathroom keep a "poop stool" next to the toilet to put your feet up on while shitting to help things along its better than pulling your ass cheeks apart that's for sure.
 
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There are medications that have been developed that act as opioid blockers but only in the gut and not in the brain. Methylnaltrexone is one and alvimopan is another. Ask your doctor about 'em - at least on paper they should allow you to have a compromise between painkilling and constipation... in fact it could help with gut motility regardless of opioid use.

Make sure to get plenty of hydration and a modest amount of fiber. Magnesium citrate could probably be useful to soften stools as well.
 
Alvimopan is only available to in-patients following surgery. Methylnatrexone should be reserved for patients of advanced diseased who failed laxatives first. Plus it is injectable only and expensive.

I think Miralax+saline enema then daily docusate for prevention, as well as the increase fiber and liquids is the best bet.
 
There are medications that have been developed that act as opioid blockers but only in the gut and not in the brain. Methylnaltrexone is one and alvimopan is another. Ask your doctor about 'em - at least on paper they should allow you to have a compromise between painkilling and constipation... in fact it could help with gut motility regardless of opioid use.

Make sure to get plenty of hydration and a modest amount of fiber. Magnesium citrate could probably be useful to soften stools as well.

That's cool I never knew about those the thought has crossed MY mind when constipated from opiates and I thought what if they could reverse the effects on the digestive system but not the pain relief/euphoria.
After reading about them they don't seem readily available or even possible for anybody to get From the sounds if itthey don't know a lot about this drug..
 
After a week in the hospital on constant shits of dilaudid (;) ) I dident poop for 8 days. When I did, I think I might have cried . Luckily I had my pills in my pocket, and it was a 2 hour "ordeal"thing was a hard need football. Felt like a coke can wrapped in barb wire and not even joking, would not flush without breaking it up.

After that, milk of magnesia, prune juice and exlax. It's an experience I NEVER hope to go through for the rest of my life. Ithappens, when shit DOESENT happen
 
If it is at the point where you cant stand it, stop taking your normal dose. Cut back to a half dose for two or three days. This always helps. Plus wee all know going to a half dose isnt going to let you get sick in 3 days.
 
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