Constipation is a problem for my 81-year-old husband with dementia and severely impaired mobility — we had to go to the ER a few months ago for de-impaction, and although I swore “never again,” I let the daily dose of Miralax slide last week when he was afflicted with chronic hiccups (that happens every year or so) and we were dealing with that. Now, he’s really stopped up and I fear impacted again, but he is resisting another trip to the ER (COVID running rampant in TX). Yesterday: 1 dose of Miralax, 3 tabs of Dulcolax stool softener, 3 tabs of Colace stimulant laxative, and today: 2 more doses of MIralax and a bottle of Magnesium Citrate. No satisfactory result yet, but he wants to get out of bed every 10 minutes only to produce a tiny amount. Tried to give him an enema and that did not go well. This will be the second night of his constantly saying he must go to the toilet immediately for no result. He has no pain, nausea or bleeding, but seriously backed up. I want to give him 3 laxative tablets, as if one were preparing for a colonoscopy, but if he is really impacted I don’t know if that is advisable.
Thank you for letting me vent - this is a wonderful group and you just can’t share this with the ladies who lunch. Any suggestions welcome.
Get a prescription of lactulose--it can be taken regularly without addiction. Works wonders. A lot cheaper than miralax
Unlike laxatives with magnesium or phosphates, Lactulose is kidney-disease friendly and will not harm kidneys.
1. Smooth Move tea (find it in the grocery store)
2. A jar of tapioca baby food! Yep, really.........it always worked for him!
Best of luck.
Papaya in the AM can help. I have made smoothie with it and added about a cap of magnesium citrate (cherry flavor). Probably about 6 oz of drink. Softens, doesn't create diarrhea issues.
You can ask the dr about Linzess, however start with smallest dose possible. It can work a little too well, too. If he tolerates it and does a good job of just keeping regular, hoo-rah. If not, go back to your Miralax.
This is what works for me: Daily 2 probiotic chews and lots of water throughout the day.
If I do get stopped up 2-3 prunes a day for several days works. Also a cup of coffee will work in an hour or so. Or the Smooth Move tea.
If he has been on antibiotics that med will kill off the helpful bacteria in his gut. Probiotics and/or yogurt with cultures daily can help in the long term.
2/3 if the planet “poops” in a squat position.
It allows gravity to work better.
I found aloe with fennel pills to be helpful. I only need (1) once a month, but after (2) 7 1/2 hour spinal fusions, I took one every other day. No belly ache like some stool softeners give.
Squatty Potty is just a stool to set your feet on, after you sit on the toilet.
Pears have tons of fiber so try canned in their own juice and have him drink the juice too.
Milk of Magnesia was the unclogger for me after those surgeries.
Its tougher when they stop moving around.
Just my 2 cents.
Hope things get better-
I have been worrying about you and your husband.
Otherwise 30ml lactulose morning and evening is a good treatment.