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We have just begin to try suppositories - they work great, but will have to discuss with the doctor the longterm effects. We do use Ducosate, Aloe Vera juice, prune juice and Metamucil daily, but am afraid we are reaching the stage that Bob just can't generate a bowel movement on his own. Any advice on longterm use of suppositories?

Thanks so much,

Elaine Grimmesey

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,

As the autonomic system that controls bowl movement breaks down in MSA, the

bowel can get fuller and fuller along its whole length, even though it is

not technically blocked. You need to have this symtom checked out. In Peg's

case they took an x-ray of the bowels that showed her large intestine was

extended and full along its whole length. That indicated that we had to be

much more careful about making sure she had regular bowel movements.

Peg and Jim from Guam

> Date: Mon, 26 Aug 2002 08:05:15 -0000

>

>Subject: Laxative Question

>

>Hi Guys (& Gals :-)

>

>Okay, I'm admittedly forgetful, and don't know the finer points of

>surfing this group's postings yet...

>

>Anyway, quick question.

>

>For most of last week, I was having worse and worse abdominal

>problems. More than just vomiting, serious pain - which just seemed

>to intensify daily, and encompass more of my day with each day that

>passed.

>

>Finally, last night, I gave up and took a laxative as a trial. It

>was supposedly " natural " - with Sennosides.

>

>Today, my abdomen actually did not cramp until I put food into it.

>At least not as bad as it had been.

>

>Admittedly, I tend to ignore this stuff, so perhaps it's just that

>I've been gradually getting worse (I have been in many other areas),

>and am now in need of something to aid in establishing regularity.

>To me, if I had a decent BM every 3 days or so - that was fine - but

>perhaps my body thinks otherwise.

>

>Or... perhaps it was purely coincidental, as I did not really " empty

>out " - just my typical 3rd day decent BM - no diarrhea - nothing. I

>had thought perhaps I was impacted - but apparently not. Anyway, any

>input would be appreciated.

>

>Abdominal pain is back tonight - but I'm not going to take another

>laxative - natural or not :-)

>

>

>

********************************

*** Peg & Jim

*** # 29 Cruz Heights

*** Ipan-Talofofo, Guam 96930-4736

*** USA

***

*** Note: Guam is 15 hours ahead of

*** Eastern Standard Time (EST).

*** 14 ahead of EDT.

********************************

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Can't really give you any advice, we've been using them about 3 years and they still work.

Ginger

Re: Laxative Question

We have just begin to try suppositories - they work great, but will have to discuss with the doctor the longterm effects. We do use Ducosate, Aloe Vera juice, prune juice and Metamucil daily, but am afraid we are reaching the stage that Bob just can't generate a bowel movement on his own. Any advice on longterm use of suppositories? Thanks so much, Elaine Grimmesey If you do not wish to belong to shydrager, you may unsubscribe by sending a blank email to shydrager-unsubscribe

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Thanks. How did they check it? CT scan? My gut hurt terribly again

today. But I won't take a laxative until tomorrow or the next day.

Although it did not cause any marked clearing of the tract, I have

meetings tomorrow and don't want to mess them up.

I have kinda feared this today though - that this is effecting my

lower digestive tract. GI at Mayo noted abnormally slow movement, of

the intestines, but that was it.

GI stuff will be very tough to get done here. Went through 2 GI docs

pre-Mayo in Tulsa. Basically, had last one quit - because he said it

was not a GI problem. Very closed minded. Of course, GI doc at Mayo

wasn't much better. He said " neurologist stated patient MIGHT have a

SLIGHT case of autonomic neuropathy... " and went on to ignore that

finding and say that nothing neurological could explain all I was

experiencing. However, the neuro at Mayo actually said the

opposite. He said I definitely had autonomic neuropathy, and that it

explained ALL my symptoms. Anyway, I'm rather soured on GI docs, and

they're rather soured on me. Meanwhile, I continue to lose weight

and vomit daily (8 months plus now).

Sorry for the rambling.

Thanks for responding, and I'll pass it on to my internist. She's as

frustrated as me with all of this stuff :-)

> ,

>

> As the autonomic system that controls bowl movement breaks down in

MSA, the

> bowel can get fuller and fuller along its whole length, even though

it is

> not technically blocked. You need to have this symtom checked out.

In Peg's

> case they took an x-ray of the bowels that showed her large

intestine was

> extended and full along its whole length. That indicated that we

had to be

> much more careful about making sure she had regular bowel movements.

>

> Peg and Jim from Guam

>

>

>

> > Date: Mon, 26 Aug 2002 08:05:15 -0000

> > From: " pulalupu "

> >Subject: Laxative Question

> >

> >Hi Guys (& Gals :-)

> >

> >Okay, I'm admittedly forgetful, and don't know the finer points of

> >surfing this group's postings yet...

> >

> >Anyway, quick question.

> >

> >For most of last week, I was having worse and worse abdominal

> >problems. More than just vomiting, serious pain - which just

seemed

> >to intensify daily, and encompass more of my day with each day

that

> >passed.

> >

> >Finally, last night, I gave up and took a laxative as a trial. It

> >was supposedly " natural " - with Sennosides.

> >

> >Today, my abdomen actually did not cramp until I put food into

it.

> >At least not as bad as it had been.

> >

> >Admittedly, I tend to ignore this stuff, so perhaps it's just that

> >I've been gradually getting worse (I have been in many other

areas),

> >and am now in need of something to aid in establishing

regularity.

> >To me, if I had a decent BM every 3 days or so - that was fine -

but

> >perhaps my body thinks otherwise.

> >

> >Or... perhaps it was purely coincidental, as I did not

really " empty

> >out " - just my typical 3rd day decent BM - no diarrhea - nothing.

I

> >had thought perhaps I was impacted - but apparently not. Anyway,

any

> >input would be appreciated.

> >

> >Abdominal pain is back tonight - but I'm not going to take another

> >laxative - natural or not :-)

> >

> >

> >

>

>

> ********************************

> *** Peg & Jim

> *** # 29 Cruz Heights

> *** Ipan-Talofofo, Guam 96930-4736

> *** USA

> ***

> *** Note: Guam is 15 hours ahead of

> *** Eastern Standard Time (EST).

> *** 14 ahead of EDT.

> ********************************

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Miralax is a prescription item. We have used it with Terry for a mild, but

persistent, case of constipation. It is more effective than Metamucil and

much more palatable. However, we are not sure her constipation is MSA related.

Message: 8

Date: Mon, 26 Aug 2002 20:08:25 -0400

Subject: RE: Laxative Question

I believe some have used Miralax with some success. I think it may need a

prescription. Debbie

[This message contained attachments]

Sennewald Charlottesville, Virginia

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Elaine:

We too used suppositories quite often for Ken. But I always bought the

glycerin ones until the Hospice nurse told me how much better the Dulcolax

ones were. Be sure you get them. the difference was amazing.

Barbara

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