Dear Leo,
this is a biggest problem for me too. I had never problems with this matter before my spinal fusions and damaged nerves in my bowel and bladder areas + I take very high doses of opioids + very powerful steroids and medication for my other condition, Coumadin included (strong blood thinner). Believe or not I get every day 32 pills and some days more, depends...
I don't feel my colon, the needs of it and have severe constipation.
I had an app with my Gastro., he even gave me Rx meds - nothing works. After my second spinal surgery I did not have bowel movements in 16 days (all of them I was in the hospital) despite all the meds they gave me there.
After I came home I wasn't allowed to push, neither I could after PLIF 360 + ...
I ended up in a surgeon hands, who gave me colonic and also Citricel. It took them 4 hours working on helping me. Mind you this was after major spinal fusion, my stitches still were there.
Anyway, I was told by many of my Doctors to experiment and do whatever helps me since I have nerve damages and no feelings in there. I am on Coumadin and each push causing me such a blood loss!
My every day routine is such:
A.M.
I tsp of RAW honey. Honey is a natural delicious antibiotic and excellent healer used in Europe and Middle East for thousands of years.
I take a dose of Mirolax
One Tbs of Olive oil (helps moving...)
2 Tbs of Metamucil
1/2 glass of prune juice + one plum or couple of prunes (I can eat more, but they high in calories and sugar)
After breakfast I take Phillips stool softeners or Phillis laxatives
Before Lunch I take again 2 Tbs of Metamucil
At night I take a dose of Miralax
2 Tbs of Metamucil + 1 plum or couple of prunes
2 Phillips stool softeners.
During the day I drink tons of water. You must drink a lots of water, otherwise your fiber will cause you more problem than good. Fiber works only if you drink at least big glass of water with your dose and than during the day a lot of water too.
You have to watch what you eating too. For example, nuts, strong tea, hard boil eggs, apples, pears, for me also milk is a big cause of constipation.
I can't say that my colon is working after all I do religiously every day. Nope, I still have problems, but not as severe if I wouldn't do it.
Stay away from Senna and supplements causing cramps. You don't want to use them often, they may cause condition called "lazy colon" when colon stops working on itself, waiting for stimulates only. Also strong stimulants may cause serious problems for your health.
All the best,
Moldova