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tina41602

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Feb 15 14 2:07 PM

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My scan showed a partial bowel obstruction (a kink) . Have been on MMT for 8 years and I knew this would possibly happen. Very, very little can get through. I hate to get too descriptive. Have tried EVERYTHING ....Will be seeing the Dr. (surgeon)  2/20/14, for treatment of the obstruction. What can I expect?  Waiting for a bathroom visit , is not working.  Anyone tell me the options the dr may have?
Thanks
T
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mythoughts2

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Feb 15 14 3:40 PM

I'm so sorry. I've been obstructed, but no to the point of having to go to the doctor. I do know of a woman who had to have it manually removed by the doctor. I'm sorry. My thoughts are with you.

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wayovermyhead

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Feb 16 14 12:16 AM

WoW is this caused by methadone? I know constipation is but bowel obstructions (kinks)?

So is this inpatient or outpatient?  What about general anesthesia?  give us more specifics so we can tell you somethings to keep in mind...such as the surgeon knows you are on methadone??  etc....You might want to submit the Dear Doctor letter to him...

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wayovermyhead

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Feb 16 14 12:29 AM

Fecal Impaction Following Methadone Ingestion Simulating Acute Intestinal Obstruction   see the below link to this study done at Beth Israel Hospital regarding this.

Then we have a total contradiction study where methadone is preferred to use

Treatment of pain in chronic bowel sub obstruction with self-administration of methadone.

Fecal Impactions and Bowel Obstruction

When It's More Than Just Constipation!


Causes of and Digital Removal of Impactions:

This is a condition where the stool or fecal matter cannot pass by normal defecation. This happens as the result of extreme constipation. We all know that we need large amounts of fiber and liquid in our diets to keep our bowels functioning normally. Sometimes, we become constipated and the stool is hard to pass. As we get older, and less active, constipation can become more serious. Sometimes the accumulated stool can extend up into the sigmoid color which is the loop of large intestine above the rectum. This condition is extremely uncomfortable and can be very painful and dangerous if not corrected.

Untreated fecal impaction can lead to serious health problems that must be surgically corrected. Untreated impactions can cause the bowel to become chronically over-dilated (called megacolon), a condition requiring surgery. Other conditions caused by an obstruction can include possible damage to the bowel tissue, ulceration or even necrosis--death of the tissue by loss of blood supply from the pressure of the stool pushing against the tissue There are several causes of impaction, These include:

A diet lacking in such fibers as bran, vegetables and fruit

Poor bowel habits; not having a regular schedule for bowel movements

Medications such as antacids (that have aluminum as an ingredient); calcium and iron supplements; anti-hypertensive drugs known as calcium channel blockers; allergy medications (antihistamines); psychotropic medications such as antidepressants and tranquilizers; hormones like estrogen and progestin; and medications to reduce spasms like Parkinson's medications; narcotic pain medications; Methadone; anticholinergic medications, antidiarrheal medications; excessive laxative use; and in bedridden patients and people with limited mobility.

Sometimes the sufferer can remove a fecal impaction him/herself. This is called digital removal, and the finger is inserted into the rectum. wear a latex glove and use liberal amounts of a lubricant. Insert the longest, lubricated finger into the rectum to break up and manually remove pieces of the mass of hardened, clay-like stool that is lodged in the rectum.

In some cases, when it is impossible to remove the impaction at home, it must be removed manually by a doctor or nurse in the emergency room or physician's office. Medications can be used to help prevent reoccurrences. In rare cases, surgery is required and sometimes, part of the bowel must be removed.

There are several things to help prevent bowel impaction. These include:

Drink plenty of water

Eat a diet rich in fiber

Do not use laxatives on a regular basis

Avoid prolonged bed rest

Avoid medications that can cause fecal impaction (see above)

Exercise on a regular basis

Bowel Obstruction:

A bowel obstruction is when the bowel (this can be either the large intestine or the small intestine) becomes partially or completely blocked so that the fecal matter (stool) cannot pass through.

. Many things can cause a bowel obstruction. One of them is called paralytic ileus. This is when the bowel doesn't function correctly and the stool cannot move normally through the intestines to the rectum. Some causes of paralytic ileus can include:

Medication (see the list above for bowel impaction)

Infections of the intestines (intraperitoneal infection)

Mesenteric ischemia (decreased blood supply to the intestinal and abdominal tissues)

Injury to the abdominal blood supply

Complications of intra-abdominal surgery

Kidney or thoracic disease

Metabolic disturbances such as decreased potassium levels

Ruptured appendix (peritonitis)

Obstructions such as hernias, adhesions (scar tissue), impacted stool, gallstones, tumors, abnormal tissue growth, twisted intestine (volvulus), foreign bodies that have been swallowed and obstruct the intestines.

A bowel obstruction is a very serious condition. If the obstruction blocks the blood supply to the intestines, the tissue can die. This can cause serious infection and even gangrene.



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sapphire76

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Feb 16 14 7:23 AM

If the obstruction is fecal matter, you would need to try an enema, that might get it out?

Taking laxatives constantly makes your bowel lazy, so that is not a good thing to do.

For the future I suggest a magnesium supplement every day and a high fibre diet, that should stop you getting bunged up in the future.

If they are going to deal with it at the hospital/doctors, the first thing will be an enema or a stent (this opens up the blockage).

Depending on whether the blood supply to the colon has been cut off, you might need a colostomy or a ileostomy.

The doctor really needs to get to the root of the problem, to make sure something like diverticulitis or Crohn's disease is not causing the problems, as if they are the blockages will likely return.

All this info is based on the blockage being fecal matter and not anything more serious.

Has the doctor confirmed that it is definitely fecal matter and not anything else?

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Allisonb93

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Feb 16 14 10:53 PM

Ok my post is going to be TMI, but I feel like we are all adults here and I think I might be able to help.

I just looked bowel obstruction up and I remembered what my friend did. She had taken methadone off the street for like a week and had never used opiates before.

She didn't poop for 3 weeks. And once method that was used is putting in a glove, lubricating the inside, and kind of using the finger to break it apart.

I have gone 1 month once and it hurt so damn bad after I bled lots. One way to help, and this is TMI, but out Vaseline up there and around the area. It helps it ease out and if you do rip it won't be as bad. The tissue your lips are made of is the same tissue our anus is. So if you think about how sensitive our lips our. Imagine having chapped lips and stretching them out, you lips would bleed and tear, the same thing happen with the anus. But if you put on Vaseline, even if your lips rio it doesn't feel as bad.


The other thing that helps TONS is getting a stool to out your feet up on when in the toilet so your in a squatting position. When we sit on the toilet regularly, our colon is kinked, squatted straightens out this kink. I've been constipated and don't want to push because I know it will hurt, and then out my feet up and it slides out. This could be one of the reasons why you have an obstruction or a kink.


The other thing that helped me was eating fiber one bars, they made me use the bathroom everyday and got rid of my methadone constipation. The other way is to try and go #2 even when you don't have to go. Opiates slow down the digestive tract, so it needs help moving the fecal matter down. So even if you just sit on the toilet every time you go pee, even if you don't have to go, just sit there and try and lush for a few minutes, not continuously, just short pushes. Even if nothing comes out, it gets your digestive tract moving.

Part of what is bad about constipation is, the longer the fecal matter is inside, the bigger and harder it is. I used to get so scared to use the bathroom after having a huge problem, so I would avoid it, it just made the problem worse.


Ok here is something else that helped me when I would have a huge bowel movement that I knew I was going to tear. I would first put Vaseline, sit in the toilet, out my legs on a stool and be in a squat, and I would pull my butt cheeks apart, and I would kind of move side to side like lift up off one side, and pull move on one, depending on where I felt it was having a hard time coming out.



Wow that was all so embarrassing to say. But if I can help even one person through all my trial and error. What I hated, was after having a huge bowel movement, I wouldn't want to stop pushing because when the sphincter closed it would hurt hella. One way to help that was to have witch hazel on a piece of toilet paper and put it in the area right after.

All I know is I haven't had any problems since I started using a stool, eating fiber bars, and pushing even when I didn't need to go.


Sorry for the graphic nature of that. I just know how terrible being constipated is. I couldn't use the bathroom anywhere without the toilet clogging.


Here is a link I found while researching, graphic picture, but 22lbs of fecal matter where found in a heroin addict during an autopsy!!
http://deep6inc.com/previewher15.html


And here is a diagram of the kink that happens when we sit on a toilet and how squatting changes that.
http://www.kegel8.co.uk/blog/2013/01/17/change-how-you-poo-stronger-pelvic-floor-squatty-potty/

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wayovermyhead

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Feb 17 14 12:22 AM

OMG Allison

I don't know what to say except you are truly selfless willing to help at all costs and I truly admire that.....Thank You for well you know what I mean thanks...lol

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Allisonb93

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Feb 17 14 1:27 AM

I'm so pissed off! I just posted a long this and I was logged out!

Anyways the just of what I wrote was;
1. I hope someone reads all the advice I have and it helps them
2. I can't believe all that I would put up with for heroin
3. Since being on methadone nothing near what it was like on heroin with constipation
4. I'm honestly still in shock I wrote all of that... It was kind of like type vomit. Once I started writing I couldn't hold anything back
5. Even after all I went though, im so glad I never had to use a rubber glove up my ass and scope the shit out.
6. Yes, my friend never used opiates after that!
7. Why don't they tell us about this shit in school!
8. My aunt told me her friends used to refer to getting high on heroin as "getting shitty" be use of all the problems that came after with taking a shit.

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sapphire76

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Feb 17 14 5:22 AM

Allison is right that when someone is that constipated, no amount of laxatives is going to unbung you. The only way to get it out is from the bottom end!

This is a really serious subject, when I first started using, I used to hang round with my BF at the time, this older girl and her BF. The older girl told me one day that she hadn't been to the bathroom for nearly 4 weeks. I told her to go to the doctor.

The next week she was admitted to hospital when she collapsed. The faecal matter inside her had all backed up and given her septicaemia. She ended up dying from it.

So, my advice to anyone that doesn't 'go' for more than a week is to do an enema, and then if that doesn't work, see your doctor!!

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mythoughts2

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Feb 17 14 8:02 PM

I have had to go in there and break it up. It is awful but sometimes you have no choice. Things have gotten bad for me in the past as well. I've done the whole 'butt-cheek-push'. Now I eat flax, drink lots of water and exercise. Now that my dose is around 100mg I'm ok but it was like every 11 days when it was above 200,mg. I tried a glycerin suppository once. It worked, but I had horrible stomach cramps for weeks. It was so hard and ;large even though my body was in pain trying to push it out, it wouldn't come. The glycerin softens it so it can get out. That only works of course if it's already in the lower colon.

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sapphire76

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Feb 18 14 5:57 AM

Good point @mythoughts. Most people are actually dehydrated, they just do not realise it. Dehydration has a massive effect on constipation. People need to drink more than they think they need!

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mythoughts2

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Feb 18 14 7:12 PM

Yes, water is key, and so is fiber. For me, flax works well. Exercise is also important. For me, getting to 105mg was like turning on a switch. 110mg I never can go and 105mg I can go.

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sapphire76

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Feb 19 14 5:19 AM

Yeah, I think that exercise has definitely helped me in a lot of areas. I would recommend it to anyone, and I hate physical activity usually!

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reviewsatisfaction

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May 1 14 8:24 AM

Great Information...heart wrenching web pages

Kudos to all of you
Thank you @Allison for the links
As well as the information you shared....you truly care. I know this subject matter is so very important to our health....you handled it GREAT.
Looking through the rest of that website, reading through those stories was heart wrenching for me. , yet to understand and remember just how  close I came ..all of us came...is mind blowing. Remembering episodes in that time of my life was something hard for me but harder for those still living it.
It was a real, reality check along with a strong empathy that moved me in such a way...I prayed for all addicts that died, as well as those that are still suffering.
What a sad lifetime for us all before seeing the error of our ways..and having the medicine that made it possible to begin anew.
...Most importantly,.I shall never forget what happened to me as well as so many others that are lucky to be alive     Like, all of you...image
May others find places, like the good people I have found here on the pages of this website....
I am so happy to be a part of dawg....Also to be able to share with all of you.I thank each one of you for that.

With all my heart... 
Review

My recipe for a good constitution....prune juice every night, lots of fiber in my meals and snacks, all the filtered water I can drink although  I should try to drink even more.
I am going to try a stool in the bathroom...the one made of wood. lol

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wayovermyhead

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May 7 14 1:36 PM

Sorry I am just now posting But been busy with Mom

Awe I feel the same way about the DAWG.


Peri Colace is god to but you have to be committed no matter what you do or you can make constipation worse by nt being consistent with habits..

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kar92

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May 10 14 7:58 AM

On the board way back when there were always several threads going on Constipation and they were all helpful.

Anyhow, I had a friend who died from the adhesion type of bowel obstruction at the same age that her Mother died of the same thing.

My answer, is to let my Sub wear off, if I feel uncomfortalbe, which has a discomfort of its own, as you can imagine, My main advice is to EAT NUTS! I first got this from Carol over at Methadone al Methadone Anonymous many years ago, and she said she eats Pistachios.. We have Walnuts, Almonds, and Pecans every day... And PIstachios often but they are pretty salty and aren't good for us, (to have too much salt I mean)

Let's have more USEFUL THREADS LIKE THIS, thanks to all who posted on it!!

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xjunkie4jesus

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May 12 14 4:36 AM

My experience-HUMILIATING!!

The first time I EVER went on Suboxone (cuz I couldn't get into the Methadone clinic quickly enough), I hadn't had a BM in 7 days. 7 days didn't SEEM very serious SO I IGNORED IT and kept trying mass amounts of Prune Juice. **UNTIL-I GOT TO THE POINT I COULD NOT PEE AT ALL!-VERY PAINFUL! I walked into my doc's office and just said "I need a doctor NOW!!". A doc said I HAD to be catheterized IMMEDIATELY. Then, the WORST THING EVER HAPPENED: The need for a "digital rectal" became a medical emergency!! The doc came in wearing safety glasses and a plastic apron and had to force my stool out with 2-3 fingers inside my rectum. She told me to continue with prune juice and exercising and liquids and said: "I FULLY expect that we will need to repeat this in a few (2-3 days. You're full and it's SO SOLID I could barely break it out. If you can't pee at ANY MOMENT, GO DIRECTLY TO THE E.R. EVEN IF YOU HAVE TO CALL AN AMBULANCE!" This was by FAR my most humiliating,WORST and most painful

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sapphire76

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May 12 14 5:25 AM

Suboxone is well know to have the side effect of urinary retention, it affects quite a few people. With regards to constipation though, prevention is far better than cure, so a diet of lots of fresh fruit and veg, lots of fibre, drink lots of water, take a magnesium supplement. Don't take Senna based laxatives or any laxative that increases peristalsis of the gut regularly, as if you take them on a regular basis they will make your bowel 'lazy', and just make the constipation worse.

If you go for a week without doing a BM, and OTC remedies and enema's will not work, consult a medical professional, as it can potentially be life threatening.

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wayovermyhead

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May 18 14 11:24 AM

sapphire76 wrote:
@Way, what's Peri Colace, I have never heard of that?

What is Peri-Colace (docusate and senna)?

Docusate is a stool softener. It makes bowel movements softer and easier to pass.

Senna is a laxative. It stimulates muscle movement in the intestines.

The combination of docusate and senna is used to treat occasional constipation.

Docusate and senna may also be used for other purposes not listed in this medication guide.


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