Discussions By Condition: Colon conditions

Opiate use -> constipation -> bowel obstruction

Posted In: Colon conditions 5 Replies
  • Posted By: Anonymous
  • September 30, 2008
  • 00:13 PM

Opiates cause constipation and I struggle against it by eating lots of fruit and bran flakes, but lately it's caught up with me. I was to the point where I hadn't had a bowel movement for at least 5 days and then didn't go like I should have. I had a loss of appetite and when I did eat I could only ingest a little food before I felt full, like there was no more room left for food. I've lost 7 pounds over the past 2 weeks.

I usually rely on stool softeners if diet alone doesn't do the job and if I take 5 Dulcolax jells it will give me good results within 1-2 hours. However, the situation has gone so far that a full bottle of Mag Citrate laxative (I hate to take a laxative and rarely ever have), a Fleets mineral oil enema, and copious amounts of stool softener only took action after about 6 hours. I had a large amount of diarrhea which took away the feeling of being ready to burst but I had rectal bleeding so bad that I had to change my underwear twice soon after due to them being soaked in that area. I've had bleeding from hemorrhoids before so it didn't frighten me and I thought it would stop after a bit. Two days later there is still trace amounts of blood showing. I know this is serious but have been hesitant to take action, hoping it would resolve itself

I still suspect there is fecal blockage so I've continued to try to clear my system with no results since. Saline enemas come back clear. I called the ER this morning at 6am to ask their advise and they just recommended I call my regular doctor when the office opens this morning. (This hospital is a joke and partly why I haven't done more than I have up to now, I hate going there so bad.)

I'm writing this to make myself a little less nervous while I wait for the doctors office to open in a couple hours. I'm hoping he will take an X-ray and that diet and time will take care of things from this point. I had a sigmoidoscomy in 1987 and it was a horrible experience. The doctor who did the procedure only saw fit to allow me 1mg of Valium and I was awake for the whole procedure up to the point I told him to get that thing out of my a**.

I could use all the prayers you could send my way and will follow up on how things go.

P.S. A friend of mine who goes through the same thing told me they took a 40lbs blockage out of John Wayne, and I just happen to have gained 40lbs over the past year...

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5 Replies:

  • This was my post before registering. I contacted my doctor and he advised me to go to the emergency room ASAP. ER staff did a fine job and were all set to admit me but X-rays came back good with no obstruction. :) My liver functions were high and potassium level low. They had no idea why and neither do I (about the potassium level.) They left it up to me how deeply I wanted to look into the reason I passed so much blood but I'm not worried about it and just came home. I have a history of pollops back from when I had the colon exam in '87.
    alias2277b 18 Replies
    • September 30, 2008
    • 11:26 PM
    • 0
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  • Going without a bowel movement for 5 days is not inherently abnormal. There is a lot of normal variation in how often different people need to go. It may be abnormal for you, but alone it's not a serious problem.You shouldn't be abusing stimulant laxatives like Dulcolax. You most definitely should not be taking them on a daily basis. You also shouldn't be using opioids on a regular basis without a very good medical reason for it.What color was your rectal bleed? Red, dark red, brown, black, clear? Each of those indicates that the source of the blood is higher up in the GI tract. If it's bright red, it's probably only due to hemorrhoids. If it's clear, it originates in the stomach.If you don't have severe pain at a particular point in your abdomen, there is likely no blockage. There is such a thing as bowel pseudo-obstruction, where it seems like there is a physical blockage preventing stool from passing, when in fact there isn't. Particularly in the case of heavy opioid usage, which depresses the intestines' ability to push fecal matter through it.There's nothing wrong with what the ER told you; you were not having a medical emergency, and therefore did not need to go in. An ER preferentially treats people who are in imminent danger of death. Gunshot/stab wounds, people who are v-fib on arrival, serious car accidents, heart attacks, intestinal perforation, etc. It was your doctor's call to send you to the ER at that point, but when you called you were capable of waiting.John Wayne died of stomach cancer, which was probably induced by the shooting location of Howard Hughes' "The Conqueror", which was downwind of a nuclear bomb testing range. Many more of the cast of that movie have died of cancer than would be expected by chance. The government has never paid anything in damages for cancer-related deaths in areas likely to have been affected by fallout from nuclear testing.
    bobwick 21 Replies
    • October 6, 2008
    • 00:01 PM
    • 0
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  • opiates are well known to cause constipation..read my web page and you'llsee my vast experience in this matter.. Going every 5 days isnt unusual but having to use enemas is as like with all things it eventually will stop working, it happened to me!! You could have a rectal prolapse google and see if your symptoms fit or possibly obstructed defecation syndrome. It is def not right so id def go back to your GP and ask for a second opinion from a colon specialist
    crunchiejoe 61 Replies Flag this Response
  • Gosh, I had really serious constipation and nothing helped UNTIL I started eating two prunes every morning. Since then I have had absolutely no problems. You should give this a try.opiates are well known to cause constipation..read my web page and you'llsee my vast experience in this matter.. Going every 5 days isnt unusual but having to use enemas is as like with all things it eventually will stop working, it happened to me!! You could have a rectal prolapse google and see if your symptoms fit or possibly obstructed defecation syndrome. It is def not right so id def go back to your GP and ask for a second opinion from a colon specialist
    Anonymous 42789 Replies
    • December 19, 2010
    • 05:23 PM
    • 0
    Flag this Response
  • When you have this problem again, you should try a colonic.  There are many natural medicine places that are able to provide this service in a private, gentle manner and you come away feeling much better.Opiates cause constipation and I struggle against it by eating lots of fruit and bran flakes, but lately it's caught up with me. I was to the point where I hadn't had a bowel movement for at least 5 days and then didn't go like I should have. I had a loss of appetite and when I did eat I could only ingest a little food before I felt full, like there was no more room left for food. I've lost 7 pounds over the past 2 weeks.I usually rely on stool softeners if diet alone doesn't do the job and if I take 5 Dulcolax jells it will give me good results within 1-2 hours. However, the situation has gone so far that a full bottle of Mag Citrate laxative (I hate to take a laxative and rarely ever have), a Fleets mineral oil enema, and copious amounts of stool softener only took action after about 6 hours. I had a large amount of diarrhea which took away the feeling of being ready to burst but I had rectal bleeding so bad that I had to change my underwear twice soon after due to them being soaked in that area. I've had bleeding from hemorrhoids before so it didn't frighten me and I thought it would stop after a bit. Two days later there is still trace amounts of blood showing. I know this is serious but have been hesitant to take action, hoping it would resolve itselfI still suspect there is fecal blockage so I've continued to try to clear my system with no results since. Saline enemas come back clear. I called the ER this morning at 6am to ask their advise and they just recommended I call my regular doctor when the office opens this morning. (This hospital is a joke and partly why I haven't done more than I have up to now, I hate going there so bad.)I'm writing this to make myself a little less nervous while I wait for the doctors office to open in a couple hours. I'm hoping he will take an X-ray and that diet and time will take care of things from this point. I had a sigmoidoscomy in 1987 and it was a horrible experience. The doctor who did the procedure only saw fit to allow me 1mg of Valium and I was awake for the whole procedure up to the point I told him to get that thing out of my a**.I could use all the prayers you could send my way and will follow up on how things go.P.S. A friend of mine who goes through the same thing told me they took a 40lbs blockage out of John Wayne, and I just happen to have gained 40lbs over the past year...
    Riley500 5 Replies
    • February 2, 2012
    • 02:20 PM
    • 0
    Flag this Response
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