Constipation following Chemo

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honeybair
honeybair Member Posts: 746

Help, I cannot get the urge to go, though ushing Miralax, drinking lots of green tea and water and eating whole grains and vegeetables as well as stool softeners.  I am tolerating the aches and pains of the chemo, but the constipation just really is making me miserable.  Anyone out there who has some helpful advice? 

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  • Alicethecat
    Alicethecat Member Posts: 535
    edited January 2013

    Hello Honeybair

    I'm sorry you're going through this. Constipation is such a downer.

    It happened to me after nearly every chemo (4 X FEC and 4 x Taxotere) until I discovered Lactulose, a sugar syrup recommended by a pharmacist. I had no health problems such as diabetes.

    After three glasses of water and three teaspoons of Lactulose, I found things moved along very nicely after half an hour or so.

    Worth having a chat with a pharmacist about this? They are such clever people.

    Hope you get a bit of light relief soon!

    Alice

  • dlb823
    dlb823 Member Posts: 9,430
    edited January 2013

    Hi, honeybair ~ I never tried it, but I overheard a chemo nurse telling another patient that warm prune juice works like a charm.   I think it would be worth a try.   Deanna

  • blondiex46
    blondiex46 Member Posts: 5,712
    edited January 2013

    unfortunatelly with taxotere and me I get constipated, ended up with divertictulitis and the drs. told me when I was in the hospital for an acute attack to just take stool softeners everyday, so I do!!!

  • mamabee
    mamabee Member Posts: 546
    edited January 2013

    I'm so sorry - I had that issue too during chemo. When the Senakot and Colace failed me, I bought some Smooth Move tea and it worked. Make sure you walk and move around as much as you can every day. Good luck!

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited January 2013

    I think there is a thread about this with lots of good suggestions. I'll try to find it and bump it for you. Yes to the warm prune juice and stewed prunes with a bit of lemon juice is good too! Caryn

  • honeybair
    honeybair Member Posts: 746
    edited January 2013

    To all who kindly reponded to me, I thank you. I have had stool softeners, Miralax, and tonight ate some microwaved prunes with butter on them. I will also take Milk of Magnesia at bedtime. The most frustrating thing is getting no urge to go yet feeling I need to.  This is so uncomfortable.  Will also try to find some Smooth Tea if these other remedies fail me.  Such comfort from all of you.

  • tenaj
    tenaj Member Posts: 1,052
    edited January 2013

    Warm prune juice works very well. Or 4-5 prunes boiled in 1 cup of water till soft, drink the broth. I had terrible constipation after my MX so I can attest to it but also as a nurse. I've been telling my patients about this & it works wonders.

  • lago
    lago Member Posts: 17,186
    edited January 2013

    I too had the big C issue. Metamucil worked for me (3X a day as directed till things were moving normally). I also ate dried apricots and took Nutraflora (as directed 1X a day) in my water. I still do the Nutraflora because I have IBS and constipation can be an issue. This all helped soften the stool so it was much easier to pass. Meticmucil also isn't bloating.

    I would start taking it the night of chemo then as mentioned earlier stop when things were back to nomal (about 4-5 days).

    Milk of Magnesia didn't work for me but hopefully it will work for you

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited January 2013

    I don't know if you are taking any anti-nausea meds before and after you have a round of chemo.  The Zofran I took as my anti-nausea med was contributing to light constipation I was having.  After reading more about Zofran, i discovered that constipation is a side effect of that drug.  Ughhhhh.....  You may ask your onco to change your anti-nausea med. if you are taking Zofran.

    I ate one to two prunes with every meal which helped me a lot.  I reached a point where I couldn't face another glass of prune juice so eating them was the next step.  I ate those Sunsweet Ones prunes which come individually wrapped and really moist and sweet.  You can get them at Target on the shelf near the raisins/baking supplies.

    Hope you feel better soon!!!!!

  • lago
    lago Member Posts: 17,186
    edited January 2013

    My constipation was really bad until I found the solution. Other than the Emmend I wasn't taking any anti-nausea drugs because oddly enough I didn't have nausea as a SE.

  • mdg
    mdg Member Posts: 3,571
    edited January 2013

    I had TCx4 and had constipation so bad the first time.  I started taking docalax and senokot the morning of chemo and continued taking it for 4-5 days following chemo for the next 3 treatments and it was much better.  I also ate lots of fiber and it did not help at all that first time......good luck!

  • Mermaidia
    Mermaidia Member Posts: 18
    edited January 2013

    During Chemo class, I was given the following recipe...

    1 lb figs

    1 lb dates or raisins

    1 lb prunes

    3-4 oz Senna tea leaves

    1 cup sugar

    1 cup juice of lemon (fresh squeezed)

    Seep tea leaves in 3 1/2 cups boiling water

    strain tea

    take 2 cups of tea, put in a large pot, add fruit and boil for 5 min.

    Add sugar and lemon, stir into warm mixture and let cool.

    take ingredients and place in blender and process.

    put into 1 cup sizes - one in the fridge and the rest in the freezer.

    take 1-2 tblsp daily.

    I haven't needed to use it yet, but the nurses at my onc. office recommend it.

  • SeattleMama
    SeattleMama Member Posts: 147
    edited January 2013

    melrose, I don't take my anti nausea meds and still have this horrible problem.  BS said if I don't 'move' tomorrow, they might have to take special measures :(:(:(  I've done prune juice, miralax, smooth move tea, TONS of fluids, ruffage...............UGH!!!!!!!
    Going for Milk O Magnesia tonight. Goodness Gracious I hope it works. Maybe boil some prunes too.

    Honeybair, I hope something works for you too.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited January 2013

    This was the absolute worst part of the chemo for me.  I thought it would kill me.

    I suffered terribly for 2 weeks and then broke down and called the onco.  I should not have waited and neither should you!  She prescribed 3 dulcalax/day plus 2 stool softeners.  They did the trick and i had no problem after that.

    Don't wait!  Get the dulcalax and stool softener immediately.  You'll be glad you did!

    BTW, i was eating lots of veggies and fruits and drinking tons of water.  nothing natural worked.

  • Moderators
    Moderators Member Posts: 25,912
    edited January 2013

    Here's a link to the Constipation topic that exbrnxgrl mentions. honeybair, we hope that you (and everyone else who suffers with this) get some relief!

  • SeattleMama
    SeattleMama Member Posts: 147
    edited January 2013

    M.O.M. to the rescuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuue !:)
    Milk of Magnesia did the trick, though I will get some dulcolax and stool softeners too.  This problem seems to have a mind of its own and changes protocol.

  • Hortense
    Hortense Member Posts: 982
    edited January 2013

    I was so miserable that I finally used a Fleets enema twice - two mornings in a row - which my nurse didn't like when I told her as she were concerned I might cause myself some damage. I was very careful and using them gave me some relief and got a bit out each time which helped. I really do not think she understood how uncomfortable I was at the time.

    The dulcolax stool softeners, Senacot and Milk of magnesia eventually were able to work ...  explosively. So be prepared.

    I learned to take stool softeners and Senacot preemptively - the day before each chemo, the day of and a few days after until I was certain things were working as they should, and didn't have any more problems.

    Good luck and you have my sympathy as it is dreadful.

  • SeattleMama
    SeattleMama Member Posts: 147
    edited January 2013

    Hortense, yep, the big A was on the list next I believe.  But as you said, BS did NOT want to have to do that, and were going to admit me. :S
    I will definitely put digestive tract top of my list of "things to do" before treatment.  Though, I am dosed weekly now, so not much down time.....much to learn, much to handle, on top of what we already have to endure.

  • helenlouise
    helenlouise Member Posts: 420
    edited March 2018
    Hello! I wonder if anyone is having a problem with constipation.

    This is the second thread I have found on the topic but both are from a while back. Happy to share ideas with anyone.

    Prior to diagnosis and commencing treatment I struggled with irregular constipation, so upon reading the side effects I knew this was likely to be an issue for me.

    My onco prescribed coloxyl with senna (up to 4) add 20ml of lactulose if required. Early days (end of week 2, cycle #1) but I don't seem to get any relief unless I take the lot and then I get spasms and the other extreme. :(. Can't seem to find a balance between the two extremes.

    I see my GP next week so will ask her. In the interim I will try prune and prune juice. I am eating well and staying hydrated.

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