Opioids Can reduced shitting from chronic opiates be really bad?

[manboychef]

Having constipation problems can lead to a host of problems for your body.

I was on opiates for a very long time, and I experienced lots of severe constipation.

HERE IS WHAT I DID:

1.) change diet: More liquids, more raw vegetables, and a lot less dairy.
2.) routine: Get up at the same time everyday. This is important as your body will naturally try to establish a time to clean you out. (this goes along with 1. as having a steady diet will effect this.
3.) rescue: If you go for a day or two without a bowel movement take either milk of magnesia, or magnesium citrate and do not take opiates that day. Take a benzo to relieve withdrawal symptoms.
4.) rescue defcon 2: Get an enema kit and use it. Make sure you are still practicing all the above methods in order to clean the most out.
5.) routine maintenance: Schedule a colonic at the doctor's office every month. This is important as stool tends to build up in your intestines the more you are constipated regardless of if you have had a bowel movement or not.

Good luck.

 

[Prescottdave]

In my experience the combination of nexium and opiates can increase constipation to the point that I sought medical treatment due to the ungodly pain. Thankfully I did not really have to take the nexium. That does not mean you should stop taking it. I would definitely ask your doc if he thinks it could have an effect on your GI discomfort. Constipation is one of the side effects from taking nexium as well as opiates. The combo can be problematic. Increase fiber and water intake along with regular exercise.

 

[Cheezy]

Ive seen patients with ripped open anuses one patient in particular had his excrement still lodged in his anus he died shortly after from an agonizing death and we couldn't give him any morphine for constipation but i beleive good painkillers should not be wasted on selfish, greedy junkies who cost the NHS enough! i always will give any patient I expect to be a junkie nothing stronger than iboprofen im here to save lives not help a junkie get high im just old school like that but i soppose if you use chronically 2-4 satchets everyday (dose vary between patients)of "LAXIDO" an extremely effective otc stool losener and you dissolve it in water meaning even more effective if you have any more question and want to here from a medical expert message me anytime I have lots of Knowledge to share with you all farewell op and goodluck beating the habit you can do it! remember that.

 

[tacodude]

Cheezy you're an ass and I see why. Not everyone trying to manage chronic pain with opiates is ignorant to the emotional effect and unknowingly attempting to manage emotional pain with opiates. I've seen you make some heartless posts before this, but don't act like you're preventing junkies from getting high as you're just trying to protect yourself from getting fired at the cost of patient care like most doctors. I hope you burn in hell when you die as that's obviously where you are going. I may sound harsh and obviously due to personal experience, but I am thinking of every patient you deny help even the person with a torn anus who died an agonizing death even you acknowledge.

Edit: miralax over the counter is probably hundred times better than cheezy recommendation

 

[tightlywound]

Cheezy you're an ass and I see why. Not everyone trying to manage chronic pain with opiates is ignorant to the emotional effect and unknowingly attempting to manage emotional pain with opiates. I've seen you make some heartless posts before this, but don't act like you're preventing junkies from getting high as you're just trying to protect yourself from getting fired at the cost of patient care like most doctors. I hope you burn in hell when you die as that's obviously where you are going. I may sound harsh and obviously due to personal experience, but I am thinking of every patient you deny help even the person with a torn anus who died an agonizing death even you acknowledge.

Edit: miralax over the counter is probably hundred times better than cheezy recommendation

this post is funny because it assumes that cheezy is actually a doctor.

 

[Raysu]

Everyone is entitled to their own opinion. Mine is that it's offensive to see the word "junkie" used by anyone who isn't referring to themselves. To me it has the same connotation as "whore", and racist slurs. Maybe not all people feel this way but regardless of what one does it comes across as insensitive on a site such as this when used in that way. This site is primarily for harm reduction, to share experiences, etc. One kind post can change a persons life for the better. One hurtful remark can recommit them to addiction and self loathing. Just something to consider. This world is hateful enough. I'd rather change it for the better.

That being said, helpful suggestions pertaining to a post are always appreciated so thank you for those!

 

[tacodude]

Who knows if cheezy is a doctor or not. It would make his/her harmful posts make more sense if their source.

 

[mike.vick]

OKAY -BACK to my OP - I took a ~1.25mg of suboxone today instead of heroin ~0.85mg sublingual an ~0.40mg intranasal AND boy do I feel better! That shitty "heroin" I must have been near-void of any opiate or anything pleasant to my addictions... Thank you Buprenorphine- you have become a miracle drug once again!

 

[mike.vick]

this post is funny because it assumes that cheezy is actually a doctor.

Yeah - that being said "cheezy" is a cunt, probably a teenager. I am actually speciallizing to become a doctor and have been in college for pre-med for 5 years now, finally a senior, difficult work.
THAT BEING SAID (again)
Megacolon can be caused by opiate constipation and it will cost you ~$800-$1600 to go to the doctor to have them spread open your legs and ass cheeks and dig out little deer-ball turds, with both hands, for hours. Google image search megacolon and you will forever take stool softeners.

NOTE: AVOID STIMULANT LAXATIVES IN CHRONIC laxative use BECAUSE STUDIES HAVE SHOWN THAT ONE YEAR OF STIMULANT LAXATIVES COMPLETELY ELIMINATES THE HOSTRAL FOLDS OF YOU LARGE INTESTINE THAN SQUEEZE YOUR SHIT OUT.

 

[ovo1024]

Who knows if cheezy is a doctor or not. It would make his/her harmful posts make more sense if their source.

Cheezy isn't a doctor, there was a post made about a month ago about a guy suffering through hardcover benzo wd and cheezy was on there saying some stupid shit which indicated to the rest of us he was an idiot

 

[DixiChik]

Yes, I watched that episode as well. I thought "FFS, did he have MY doctors?".

I have a plethora of issues, all affecting my GI. It's beyond complicated.

I am told that my colon is "perdunculated (sic), long and loopy" with slow motility. My intestine above the left splenic flecture was expanded to a monstrous size in the CT scan. The stool was trapped in the "crimp" (like a garden hose). My god...I cannot tell you how severe the pain was.

The first ER doctor scoffed at the scan and sent me home with Lactulose and Cipro. Both my husband and I were BEGGING him to help me. I was scared to death that my small intestine was going to rupture. I couldn't stand to even breathe deeply or touch my side. This wasn't the first god in a white coat I'd encountered. He would be yet another who would be complicit in more unnecessary suffering.

We went home where I spent the next several days...oh, while giving myself hospital grade 32 oz. enemas, taking Miralax, Senna, Dulcolax, Lactulose and Mag Citrate. Nothing was moving! I even applied my TENS electrodes to my side/upper flank to try to "stimulate" movement of stool.

I ended up BACK at the ER after begging my GP for help (she didn't) by the following Wednesday at midnight. Another CT scan w/contrast showed the stool was still trapped (no shit, literally). I was hospitalized with IV fluids, liquids only by mouth, and ordered to drink colon prep.

Yes, it began to move until I was given barium contrast (non-water-soluble). The barium hardened in my colon like Quikrete. Nothing else moved. I insisted on seeing my GI surgeon 1.5 hours away after 6 days in hospital.

After being hospitalized last Fall with crippling pain in my left side into my back...I've seen many MORE GI docs, and consulted 2 more surgeons. The colon surgeon told me that "most ruptures occur in the cecum section of the colon". He reviewed the CT scans and said that my intestine was "only 5 inches in diameter". He calmly stated "We don't usually worry until it expands to 9 inches". He told me that he could remove my colon (ostomy) but it was too dangerous. He told me to continue the Linzess 290 and "try" hospital enemas daily.

I left his office in tears, again. Poor Elvis. I could not believe my eyes or ears when I saw that basically he had the same colon issues I have. IMO, he was just lucky he died. I have a macabre sense of humor. I NEVER realized that just because you're having partial bowel movements...stagnate stool can remain indefinitely. My body is literally killing me.

I've said for years that the fucking coroner will be the only one to say, "yep...this bitch was right all along...her bowels and bladder literally choked...this is one for the record books!"

Crying fucking shame that I truly have been "full of shit" all these years a-n-d...NO SURGEON in MS, TN, TX or MO will touch me!

I have NO HOPE.

 

[mike.vick]

^^^ If it is from opiates they have an opiate blocker for intestines only - it was on a superbowl comercial. related to naltrexone.

Why put "" around try? Docs arent miracle workers, they just give you things to try.

 

[DixiChik]

^^^It's not due to entirely to opiates. I have suffered with severe constipation for years before enrolling in PM. The opiates I have trialed have only made the constipation worse. Therefore, I must endure pain without opiates, or risk obstruction.

Yes, the OIC med is called Movantik. It is outrageously expensive without prescription coverage. Many don't realize this med for constipation can affect the opiate they're taking, lessening it's pain relieving properties AND causing withdrawal symptoms. It makes about as much sense as the rest of big pharma's money makers!

I said "try" because he already knew I was giving myself the enemas, but not daily. He didn't know if I could tolerate the DAILY ritual of enemas, so he said to "try". The blockage was so high up in my GI system, he didn't expect the warm water to reach the blockage. He did say, however, that the warm water "could" stimulate the colon to contract.

FWIW, I don't expect doctors to be miracle workers, as you say. IME, it takes a miracle to find one with compassion and courage to treat the hard cases like mine. One hundred out of 52,000 GYNs are trained to treat my disease.

I do, however, expect them to abide by their oath to "First do no harm". I also expect them to treat me with the same respect that I treat them. I expect them to listen, and engage, as I am quite capable of expressing my symptoms.

I know my body better than anyone. My medical history/records show the most asinine doctor that I'm not playing around.

I try very hard not to generalize...not to paint all doctors with the same brush. However, I have dealt with some real pricks and cunts along the way. I've had a total of 2 doctors who truly cared...one my GP since birth...the other was my cancer surgeon. Sadly, both retired around 2005-06. They died in 2015, 2016.

 

[mike.vick]

^^^ it only works on gut receptors so you wouldn't feel withdrawal from it or reduced absense of pain.

Also, docs deal with 30+ patients on hard days. If you expect a doc to treat you special than you are delusional. His job is simply to diagnose- and what you see is cold, is simply thought and concentration on your symptoms and pathology. Most docs will see someone like you as simply unable to be helped either because it is idiopathic and untreatable or, in most cases, psychosomatic- they deal with a few of these people everyday and see them as someone who needs counseling- they have 27 other actual sick people to cure with actual tracable pathologies and cures, like viruses, infections, and observational body ailments that are treatable. (5th year senior pre med student defending my specialization)

Now if your worried that a gut-only opiate will cause problems with pain relief- that is a good place to start to open yourself to being helped. (It causes absolutely no activity outside of the gut)

 

[Cheezy]

@ Taco dude i wasn't even in the ER room and obviously the docs who were treating him COULDN'T give morphine BECAUSE it would have made his constipation EVEN WORSE if that was possible it was a very sad day for us all if he had called us before going toilet he would probably still be alive one of my colleges (who had already seen far worse things before and not even drug related probably) quit because she'd just had enough1 week later she threw her self in front of a train so don't tell me im heartless when you haven't had my job(beleive me or not I ain't sharing my private info over the internet) and seen the NHS slowly get destroyed by cuts and untrained bloody staff who put patients lives at risk you may have heard but no one excepty NHS know the full scale except the government but they don't give 2 shits oh and your right about 1 thing doctor's/GP'S don't want to get someone hooked on opiates or be a drug dealer to addicts if you got a problem with that tell the government.

 

[kleinerkiffer]

^^^ it only works on gut receptors so you wouldn't feel withdrawal from it or reduced absense of pain.
Now if your worried that a gut-only opiate will cause problems with pain relief- that is a good place to start to open yourself to being helped. (It causes absolutely no activity outside of the gut)

Common side effects of Movantik include stomach/abdominal pain, diarrhea, nausea, gas (flatulence), vomiting, headache, and increased sweating
Possible opioid withdrawal, defined as at least three adverse reactions potentially related to opioid withdrawal that occurred on the same day and were not all related to the gastrointestinal system, occurred in less than 1% (1/444) of placebo subjects, 1% (5/441) receiving MOVANTIK 12.5 mg, and 3% (14/446) receiving MOVANTIK 25 mg in Studies 1 and 2 regardless of maintenance opioid treatment.

http://www.rxlist.com/movantik-side-effects-drug-center.htm
So yes, it can cause withdrawal, it's highly unlikely, but it can happen. Iirc Movantik is a P-glycoprotein substrate, so if you take something that inhibits P-glycoproteins the chances that you'll experience withdrawal increase and some people have less (active) P-glycoproteins (those can feel high off of loperamide) making chances higher that they'll experience withdrawal.

 

[Keif' Richards]

Constipation from Opiates or any cause can actually be a very serious medical condition. If you look up Toxic Megacolon on wikipedia, you'll get a glimpse of what severe constipation can lead to. More often than not, constipation resolves itself, but sometimes it gets so severe that it requires surgery or can even lead to death through infection.

 

[mike.vick]

http://www.rxlist.com/movantik-side-effects-drug-center.htm
So yes, it can cause withdrawal, it's highly unlikely, but it can happen. Iirc Movantik is a P-glycoprotein substrate, so if you take something that inhibits P-glycoproteins the chances that you'll experience withdrawal increase and some people have less (active) P-glycoproteins (those can feel high off of loperamide) making chances higher that they'll experience withdrawal.

The OTC availability of
p-glycoprotiens are nill.

 

[DixiChik]

Enough said.

Instead of "defending your specialization" by insulting me, perhaps you could take a quick look at ENDOMETRIOSIS...specifically STAGE 4.

If you pray...I would suggest praying that your wife or daughter never suffer with this disease. IF they do, please remember me.

On average, it takes up to 10 years to even get a diagnosis. By then, it's so advanced it has ruined your reproductive system. Most often it has infiltrated the bowel/bladder. There is no cure, only castration via surgery or Lupron to prevent further growth of mutant cells. I had 3 surgeries with Lupron in between.

My disease robbed me of my fertility, therefore my desire to conceive. It didn't stop there. It blocked the common bile duct of my liver, causing liver failure. It is choking my bowels and bladder as I type. My entire spine is mutated with blood-filled tumors (residual endo). Multiple surgeries removed uterus, ovaries and tubes. One "specialist" sewed a piece of fallopian tube into my vaginal cuff. Can you say "torture"? Oh, and the Lupron (chemo-therapy) ravaged my bone health to that of a 90 year old.

Yea, you're right...It's all in my head and I'm delusional.

The cherry on top of this shit sundae of a disease is that every day of my fucking life....I suffer the sensation of being raped both vaginal and anal with a serrated edge bread knife. Sexual intercourse is impossible, even if the desire were there. It's not, because HRT is prohibitive, even bio-identical. I am a shell of my former self...

If only the multitude of specialists I began seeing at age 11 (for heavy menstrual bleeding and vomit-worthy cramps) had treated me more "special". Perhaps my life would have been different, as the disease could have been treated 22 years earlier.

If only they'd shared your philosophy...Oh, wait! They did.

BTW, I'm a seasoned architect of 30+ years. I would never stand at the base of a collapsed building (where people were injured) and defend the shoddy work of a fellow architect. I would be in the rubble, looking to help the survivors.

 

[mike.vick]

Well if you actually have ENDOMETRIOSIS, than a doctor will see that and diagnose it. Most people, me included, read symptoms and become a temporary hypochondriac. Especially if you have some or many of the listed symptoms. Like you said if their is no cure, then why are you trying to be treated? Just to treat the symptoms? Their is no cure for most of the symptoms as well, except they CAN treat liver failure most-likely. The only other thing they could give is a benzo to toake your mind off of it. Your doc knows best, however.