only taken it for 1 week, treats pain great. but, i am constipated and can't eat. i do not like laxatives, so what can i do??
I'm glad you added more info-I was confused there until I read that! I take morphine too and it can really constipate you. I find the key, for me, is to drink lots of water, at least 64 oz per day, and plain water is best. Iced tea, hot tea and coffees dont replace fluid-they are actually dehydrating, but juice is okay and water is truly best. I drink R/O (reverse osmosis) water at home and bottled water when I am out because our tap water is nasty. I try to be sure to eat plenty of fruits (with apples you must eat the skin) and vegetables. High fiber cereals help. If I find I need a little extra help I will eat bran cereal or mini-wheats or any whole grain cereal. Whole almonds with the skins works well too-a handful a day or so. This usually does the trick as long as one gets plenty of water to work with the fiber. If it doesnt, something like Benefiber also helps.
Citrucel or Metamucil work well too but I like Benefiber because it has no taste and doesnt thicken so it can go in my morning coffee or whatever beverage (except carbonated ones). Again, these fiber supplements require you to drink plenty for them to work well. If Benefiber doesnt work (and this is a rare occasion) I will either use Colace or Miralax, or on occasion, Dulcolax. I dont like laxatives either because I dont like to cramp up but I find that Miralax doesnt cramp but it can sometimes take a while to work and may take more than one dose. Dulcolax will work by the next day but it does cause mild cramping so I only use it if I am really uncomfortable. The key is not to let yourself go too long without going. I am usually good with just diet and water but if I havent had a BM in 3 days, I start adding extra fiber or consider a stool softener (colace) or Miralax. I know some people use Colace or other stool softener daily but I find if I do that, my body gets used to it and it doesnt work. I have been on first Oxycontin for 8 years then this past year MSContin so I have been on these meds a while and you just have to find a bowel routine that works for you. This above it what has worked for me. If this doesnt work, talk to your Dr. Some research shows that low doses of Naltrexone can help with opioid induced constipation. Naltrexone is an opioid antagonist. High doses are used to reverse the effects of opioids (like in the case of overdose-a kind of "antidote") but very tiny doses have been shown to help with constipation without affecting the pain controlling properties of opioid pain meds. Hang in there and try some of the above and it should get better.
I am on Morphine 2mls (40mg) up to 6 times a day for break thru pain. I have Crohns Disease so a temporary break from diarrhea is appreciated. However, occasional constipation can be really bad. Since I am used to going potty many times a day, when a day goes by without a BM, I take a stool softener before it gets bad. I have found that the store brands are just as effective as Brand. By getting ahead of it, I only have to use stool softener every once in a while. No cramping or the dreaded "accidents".
I take oxycodone for chronic pain, which makes me constipated. Stool softeners did not work well for me, so I decided to try something else. I buy the clear fiber, that you can mix into your coffee or cereal or just about anything and it has no flavor and no texture. Other times, I make it a point to eat a bowl of oatmeal every single day. Eating oatmeal every day gets old, so that's when I switch over to putting fiber in my coffee every morning. Although on the fiber container, it says to take 2 teaspoons three times a day, I prefer to take 6 teaspoons all at once in my coffee or other drink or food in the morning. It works just as well for me that way.
Good luck! I know how miserable constipation can be!
I'm so glad you are having good results with the morphine er. I take MS Contin 60mg twice daily for back, neck, and oh heck everywhere pain. I have herniated discs and osteoporosis along with IBS and IC. I'm pretty sure I was born constipated, and my Gastroenterologist says I have a "torturous colon", meaning it's very loopy instead of straight.
After my 4th colonoscopy and 2nd endoscopy my doctor prescribed Linzess, which has only been out for a little over a year. I got the first month free and then got a coupon that knocks the price from a $75 copay to $30.00. After about 4 days I had no more constipation, but almost constant diarrhea. It's not pleasant but it beats the constipation. I also drink lots of filtered water and make a fresh juice from spinach, kale, carrots, celery, tomatoes, kiwi, apples, pears and a touch of lemon.
I know the juice has helped to loosen things up as well. I was using Miralax daily, but the doctor said to cut that out and see how it goes, no pun intended. I don't like laxatives either, but I have no choice between my structural issue and taking opiates. I think of the Linzess as a sort of "last resort", and hope to be able to cut down to every other day eventually.
You've received good advice, and if the constipation continues you may want to call your pain management office for their input. Good luck!
- Morphine Information for Consumers
- Morphine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Morphine (detailed)
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