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Health - i haven't pooped for a month! [[constipation + methadone]]

Discussion in 'Methadone' started by CaliforniaDream, Nov 17, 2013.

  1. CaliforniaDream

    CaliforniaDream Silver Member

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    hello...
    alright, ive been on my own methadone maintenance (not md supervised) for nearly three months and its, for the most part, been a full success (I only used heroin once, and it was lame thankfully, so I haven't had any desire for it since!). This has only been my second stint on methadone, the first time being when I lived in SFC, a block away from the baart clinic. Now I live in Oakland and the clinic is far too sketch to go without having to fear being robbed as well as the car I had been driving was totaled so I lost transportation and have been forced to just stockpile the liquid from a friend's take-homes (I take approximately 60mL/day, but its difficult measuring, so in actuality, I think it's been steadily increasing to around 90mL/day)
    [[okay, im getting far too detailed, none of you need to know this many details to come to realize that this whole time im just trying to say that I can't poop]]
    Okay, getting to the point. And, this is what is weird to me because my diet has improved tenfold, I've greatly increased my water intake (im actually drinking water!), my diet consists mainly of fresh fruit and vegetables, with a decent amount of fiber....
    I haven't been able to poop for a month. I'm getting really worried and have been popping stool softener like vicodin, but I believe those only work from the top down, so im picturing some giant blockage I can't quite work out followed by the softest poo ever lol.
    I'm broke and have no health insurance (I lost Healthy SF when I moved to the east bay), can't afford to buy a bunch of OTC stuff (plus, im hurting so bad that I can't really leave the house and vow not to till I poop.
    What I've tried today::
    OTC stool softener
    Coffee (which I never drink so I thought I'd give it a shot)
    Meth (although just smoking it....i just thought about booty bumping it which has always made me go in the past? If I waste a quarter gram, it won't be missed)
    Sitting on the toilet for two hours hoping for a miracle
    Can any of you recommend something for me to try AT HOME? I have no transportation to get to the store and forgot to ask for some cash when my partner left.
    I'll try anything at this point, I'm getting too concerned now.
    Thank you for your help.
     
  2. BowserNasty

    BowserNasty Silver Member

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    If you havent deficate in a month you need a hospital immediately
     
  3. Kate023

    Kate023 Silver Member

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    Well, first off, YES you do need to go to the hospital- they have to see you at the ER whether you have health insurance or not. You're going to have to tell them about the methadone. I've found that methadone is just about the most constipating medication out there. You could tell them you have a presciption for it if you don't feel comfortable sharing the information that you've been getting it "off the streets." As you stated, things like stool softeners and fiber will not work at this point and very well may make the situation worse. Also, you should really lay off of the methadone for at least a few days. This dose is obviously too high for your body to handle and you will end up with worse problems than withdrawal if you keep up this dose for much longer. You need to then taper to a lower, more sustainable dose or switch meds all together. You also need to determine where the poop is. I know this sounds extremely gross, but is it right at the end of your rectum there? If so, you could try an enema or dig yourself out. Gross, I know, but better than the potential alternatives; however you still need to go to the hospital as something is very clearly wrong with your digestive functioning. My mother in-law had not went for a month and this was only from low dose vicodin. I forced her to go to the hospital and she was told she had a life-threatening fecal impaction. She had emergency surgery in which they had to remove a small portion of her intestine, so this IS serious stuff. The longer you wait to seek medical attention, the worse it will get and it is life-threatening!
     
  4. CaliforniaDream

    CaliforniaDream Silver Member

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    okay, its really close to coming out, I don't even want to tell you how I know this (you've been warned, TMI) but I can feel it when I stick a finger in vaginally, and in the past, have been able to "guide it down" so to speak. Is it as dangerous so close to the exit point (heh), as up in the intestine?

    I've so many medical bills already and unfortunately, I'm one of those people who feel morally obligated to pay all bills on time.

    can I do an enema with stuff I have at home?? FML.

    CaliforniaDream added 1 Minutes and 22 Seconds later...

    i think youre right though and its something ive been considering... I need to decrease my dose for a number of reasons.
     
    Last edited: Nov 17, 2013
  5. BowserNasty

    BowserNasty Silver Member

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    You shouldnt do anything at home. You should go to a fucking hospital.

    Edit: i wasn't trying to be rude, I was just trying to show the urgency of the subject.
     
    Last edited: Nov 21, 2013
  6. CaliforniaDream

    CaliforniaDream Silver Member

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    okay and I appreciate your input, I really do, but I have asked for at home remedies and I realize that I probably should go to the hospital and I very well may go later on when my partner gets home to take me, but right now, that would involve an ambulance and the whole ordeal and I just think about all of the gangbangers in my neighborhood who are suffering from gunshot wounds and how they need the ambulance's attention more than I do right now (I'm not stereotyping west oak at all right now, lol)
     
  7. BowserNasty

    BowserNasty Silver Member

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    I have given you the only advice i will. Thats to get to the ER. I hope all will end well for you. Keep me updated.
     
  8. whatstheproblem

    whatstheproblem

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    You came here looking for advice right. You heard from more than enough people the advice and you have had another person give you a fuckin example of how life threatening it is and you still arent listening. im wondering, first, why did you come to this site if your not gonna take the advice and what is it you want to hear. That not taking a shit for a month is ok? My God, get to a hospital. No one looks over the grave of a loved one and goes "well, thankfully we dont have to pay for that ambulance ride."

    Sidenote for ya: my Dad used to work at a VA hospital in Los Angeles and he would tell me all the time about guys that would come in that hadnt shit for a month and it is life threatning. they had to get these guys into surgery all the time. Again GO TO THE HOSPITAL. i cant believe your still on here. I think this should be closed so the person stops checking this thread. She obviously wont listen to what we say and its doing her more harm than good.
     
    Last edited: Nov 17, 2013
  9. CaliforniaDream

    CaliforniaDream Silver Member

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    Whatstheproblem,

    I also appreciate your input as well but please don't speculate about how my family is. I was brought up by a very dysfunctional mother who, upon hearing of my hospitalization in the ICU for an illness which required my calling an ambulance and would have ended in my dying had I not gone in, told me that I was selfish for wasting medical resources and could have taken public transportation if I felt unable to drive; and who, upon hearing about my eating disorder at 14, which was very severe, told me that I was ridiculous to think I could possibly have an eating disorder because I "wasn't nearly thin enough", and who, upon hearing about the dude who tried to kill me and sexually assaulted me, told me I was at fault because I am a drug addict and if I were a morally sound individual, bad things wouldn't happen to me..... So, my view of a medical emergency differs drastically from the norm and I DO in fact need to hear it several times from several different people so I apologize for being so bull-headed and ignorant and I apologize for this long-winded response, but I do appreciate you taking the time to encourage me because I know deep down you are correct, but I'm just an idiot.
     
  10. Midnite

    Midnite Titanium Member

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    You can use Castor oil or mineral oil if you have them at the house. Both can be taken orally or as a edema. Also, you can lube up your bottom, and guide the stool out with your fingers, pushing on the stool vaginally like you said you have tried in the past. Make sure both legs are spread apart, and lean forward as you do this. No matter what you do, you are going to want to make sure you take care of this problem as soon as possible; fecal impactions resulting with surgery, Toxic Shock Syndrome, and bacteria infections are only a few of the things that can result from this. I just responded to another thread with a similar problem, you can read my advice for her here: http://www.drugs-forum.com/forum/showthread.php?t=230495 Spending a few bucks on some laxatives might be your best bet~ if you can spend the cash on the methadone you can spend 5 bucks on something that could potentially save your life. If none of this works, get your ass to the E.R; This is turning into a serious matter. Hope this helps. Good Luck!!!
     
  11. Beenthere2Hippie

    Beenthere2Hippie The Constant Optimist

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    Even if you manage to go a little, that doesn't mean that your out of the woods with this. To get your bowel functioning again as it should, you do need to see a doctor and perhaps get a prescription laxative to get back to normal bowel function.

    You should be eating as many healthy, natural laxative foods as possible--and drinking lots of water. Foods that are natural laxatives include bran, oranges, raw vegetables, prunes, carrots, tomatoes, seeds and nuts, and beans. And Plenty of WATER.

    Not to scare you but your bowel can become packed and doctors may have to go in and physically remove the feces, if this condition goes on too long. It's Sunday and I, like others, suggest you see a physician right away. This is not a situation that should be taken lightly. Good luck.
     
  12. idfma

    idfma Titanium Member

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    Glycerin suppositories might be useful. They can be very effective in loosening/somewhat liquifying a stool, but I can't speak to one that's been hardening for a month; however, if you insist on not getting medical attention, the laxatives could be assisted by the suppositories. Good luck to you--I hope you're okay.
     
  13. BowserNasty

    BowserNasty Silver Member

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    Last edited: Nov 18, 2013
  14. SwampFox56

    SwampFox56

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    That's incredibly dangerous. If it really has been a month, you're probably experiencing kidney failure. As well as probable perminante damage to your Colon. I can't even imagine the damage you've done to your liver. Makes my head spin just thinking about it.

    You need to get to an emergency room, now. Not tomorrow, not after breakfast, NOW! You're slowly killing yourself. You will die if you don't seek treatment.

    But.......I didn't read any of the replies, so many this has already been taken care of. If that's the case, I recommend you keep some laxatives around. Personally, when I've had constipation to the point of bad stomach pain, I've used Ducolax (Bisocodyl) or something like that.

    It instantly relieves my stomach pain, and allows me to keep pooping when extensively using opiates. Keep in mind though, you don't want to take laxatives long-term. There's evidence to suggest they can cause some damage when used in the long-term.
     
  15. chibi curmudgeon

    chibi curmudgeon Gold Finger

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    If you're not going to the hospital, you have a few options left. Keep drinking water, regardless. If you haven't already, stop the methadone, and spare me the excuses why you can't. It's literally killing you.

    1. Double dose of bisacodyl, either orally or you may be able to find suppositories. It's OTC, it's cheap, and in your case you need an actual stimulant laxative, not a stool softener. Softening won't work when your problem is a GI tract that's ground to a halt.

    2. Magnesium citrate. Also OTC, also cheap.

    3. An enema, which is probably pretty cheap, too. They're available pre-filled, but if you get a bag type do NOT use ANYTHING except water.

    And stop waiting for a different answer. Start picturing your face next to an obituary with the phrase "fecal impaction."
     
  16. whatstheproblem

    whatstheproblem

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    Family? When did i talk about your family. I didnt mention your family at all. If your talking about the comment over the grave its just a general comparison. Just trying to say it shouldnt be a thought when it comes to your mortality.

    I apologize and didnt mean it to relate to your family. i dont know them

    Your not an idiot by the way. Were not perfect by any means. You came here for advice too though
     
  17. jazzyj9

    jazzyj9 Titanium Member

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    If you aren't pooping today; I think the responsible thing to do would be to go in to the ER and get a CT scan of your abdomen (if that is deemed necessary by your clinician) and other testing to see if your bowel is okay. A month is a really long time not to poop! I'm surprised you haven't addressed this sooner. Has it really been a month? Seriously, one month. That is a very very long time!

    That can damage your colon severely if you are retaining poop for that long. Plus, toxins your body would be getting rid of in your poop, are staying in your bowel.
     
    Last edited: Nov 18, 2013
  18. whatstheproblem

    whatstheproblem

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    i dont want to beat a dead horse here but one last thing from me. i typed in "i havent pooped in a month" using a popular search engine and i clicked on the first option it gave me which was one of those question and answer sites. Someone had made a post and people had answered it

    First most everybody that did comment thought the person who had made the thread (not me) was totally joking. Saying its impossible, should be dead, get to ER immdeiatly etc.

    This one lady said that poop happens no matter what and if its not coming out one end, its going to come out another and i think you know what i mean. it happens.

    Please update us when you get back from the hospital so we know your ok
     
  19. headfull0fstars

    headfull0fstars Titanium Member

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    I have gone a month without having a 'good' bowel bowel movement. It certainly isn't impossible. I talk about my pooping issues on DF all the time and I believe that some people have much worse GI side effects from opiates/opioids than others. When I was using heroin I had pretty bad GI side effects, but I was high most of the time and it didn't bother me very often. The short half life (and my lack of money) caused me to be in full blown withdrawals many times a week and that gave me an opportunity to poop. With methadone a more constant level of opioids is maintained so those opportunities don't come as often. I think methadone has a much much more serious effect on the GI tract and causes some of the worst opiate/opioid induced constipation of any drug of it's class.

    I am not shocked that you haven't gone in a month. I lived with OIC (Opiate Induced Constipation) for much longer than I should have. I wasn't going very often- a couple times a month max- so I didn't think of it very often. The only time I thought about it was when I was doubled over on the bathroom floor crying and feeling like I was going to die. After those experiences I would put it out of my mind and I wouldn't do anything about it.


    I went to a colon hydrotherapist, but after a few agonizingly painful sessions (and two broken industrial hydrotherapy machines) she told me that something was seriously wrong and it was beyond her scope. I finally ended up seeing a GI specialist. I told him that I was able to shit 1-2x a month but there were times when I would go a month in between full bowel movements and that there was sometimes a fair amount of blood in my stools. He said that I had very severe constipation, but he didn't rush me off to the hospital. He did an exam where he felt around on different places of my stomach- he said it was hard and bloated because it was so full of shit. He did an anal exam and said he could feel extremely hard compacted shit in my rectum.

    He put me on methylnaltrexone (brand name Relistor)- which is an opiate antagonist that only works on the receptors in the gut. It only comes in injectable form (subcutaneous injection). I did an experience report on it since there are very few accounts of people taking it on DF.
    Experience Report-Methylnaltrexone (Relistor) for Opiate Induced Constipation

    He also scheduled me for a colonoscopy because the blood in my stools could indicate other health problems. Before I could undergo the colonoscopy I had to get x-rays taken to make sure I didn't have an impaction. I did not have any impactions so I was able to start prep for the colonoscopy. The prep was extended because of the severity of my case- 4 days 3 nights of fasting and taking laxatives like candy, I also had to do an enema to get things moving in the first place. If you want the specifics of what I took and when let me know I and I will get that information for you. By the day of the surgery I was shitting almost clear water- the prep really cleaned me out. I had the colonoscopy and everything appeared healthy.

    My doctor told me that I needed to take a few over the counter medications (Miralax and Ducolax) every day up to two times a day and make sure to drink lots of water. I would advise you to start taking miralax and ducolax twice daily immediately. He also said that saline enemas were fine to use if I needed to. Have you ever tried an enema? That is something else I would suggest you get ahold of and keep extras in your home. Usually an enema will produce a bowel movement within 5 minutes.

    I know what you mean about inserting fingers vaginally and guiding the stool down- I do it and have spoken to several other female opiate users who do, too. You can also insert fingers in your anus and manually remove hard stool. I asked my GI specialist about these practices and he said that they are not dangerous.

    It sounds like you are as bad as I am and I REALLY feel for you. It is absolutely awful. This really is a situation where seeking medical attention would be best, maybe going to a primary care doc instead of the ER if that's possible? If it isn't possible then I would definitely advise you to stock up on miralax, ducolax, and saline enemas. Make sure that you are drinking at least 64 ounces of water daily. If you still haven't shit I would say to do a saline enema right away. Take the miralax/ducolax combination 2x a day for a week and evaluate the results.

    Feel free to message me if you have any other questions or want to talk about your experience. I know that it can be shocking to people who haven't experienced the level of constipation that we have, but it is absolutely possible. I hope that you are feeling better and were able to go. I also hope that you weren't scared away from DF by any of the responses to this thread. It's a great place where you can get great support and harm reduction information. I hope you will come back to this thread and let us know what happened and that you are ok!

    <3 headfull0fstars
     
  20. bluenarrative

    bluenarrative Silver Member

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    This is a genuine medical emergency that can cause you to DIE at any minute. Call 911 and go to the ER Now! (Please!) No excuses-- call NOW!