So many problems advice needed

Okay heres the story I had gastric bypass surgery in December 2008. I have had a lot of complications including two scar tissue removal surgeries.Now I'm having sever abdomenal cramps like I have to go to the bathroom but I cant no matter how hard I push. My nurse told me to take Milk of Magnesia...did that didn't help. So I called my regular doctor and they gave me prescription strength colace. Still not working. Even if I have to urinate I have to push to do so. I'm having trouble passing gas and I falt out feel sick. Last time scar tissue was pulling my liver outta place. Could it be pulling on my bladder or bowels. Whats going on here!? I live in Mount Clemens Mi about 50 miles from Detroit where my surgeon works. And the hospital near me doesnt do baratrics and knows nothing about it.

 

 

 

BTW: How do you change your ticker I now weigh 199lbs. So it's not right

I wish I knew your first name, because I can't even bear that you have "dyinginside" as your screen name.  I wish I could say I have the answers, still trying to figure them out for myself.  Feel free to read my blog posts, and ask any questions, and sadly there are more on here that have similar issues.  This is probably TMI, but severe constipation, which can go hand in hand with WLS, can be extremely painful and cause a lot of cramping.  The trapped contents can become so dry and compacted that even the most "dynamite" of prescription relief cannot always help.  I cannot tell you how many times, due to my delayed gastric emptying, I have drank bottle after bottle of the pre-op bowel prep, and even the colonoscopy prep, and still didn't go.  I eventually went, but it can take a lot.  The Colace only softens the stool, doesn't make you go. I have found that just going back to basics, like prunes or prune juice are more helpful than the meds, at least for me.  Scar tissue/adhesions can trap anything, and can be known to "stick" everything together.  My liver and spleen have been stuck to my stomach, and intestines, etc...The problem is, the more surgery they do to remove the adhesions, it is almost a gurantee to grow more and worse, so just be careful of that as you move forward.  Gosh, I hope I'm helping and not scaring you more.  Biggest advice: Even if you have to drive or get on a train/plane, before it gets out of hand, get to a teaching/university hospital.  The more bariatric surgeries they have done, the more likely they are to not only recognize your problem, but resolve it before you really become more ill.  Best wishes, listen to your body.  I'll add you as a friend to keep an eye, if that is ok.
Hugs
Jules

Wow, I never realized that delayed gastric emptying or gastroparesis causes problems with the bowels.  I drank an entire bottle of citrate of magnesium for a sigmoidoscopy and nothing happened. I had to go to the store and buy 2 enemas.  Then a year later when I had a colonoscopy, I drank Moviprep and I wasn't nearly cleaned out.  I only take 20mg of Reglan a day = all in 1 dose at bedtime which helps all my symptoms of nausea and heartburn but I wonder if I need to increase my dose back to the 40mg per day that I am supposed to be taking to get my bowels to working better.  I do go often but have trouble getting the stool out. Without being too gross - I have to pull out the stool with my fingers cause it wont come out itself.  It gets only so far and then it stops.  Have you ever heard of anything like that?  I had it preop also, so the surgery didnt' cause it.  But preop my IBS was so bad that I had diarhea so much that this didnt' happen to much.  Now my IBS is almost gone, so no diarhea, so I have this problem almost daily. I am getting really tired of it.  It is gross but my gastro doctor doesnt' know what to do for me.

It can cause the constipation because the whole system is on slow down, food sits around too long.  I have had a gastric bezoar, basically a calcium stone that my body formed in my pouch around some food that had sat so long, my body couldn't get rid of it, so it calcified it.
If your GI can't treat chronic constipation, no offense, but you may want to find another GI, preferrably one who is familiar with bariatric surgery, believe it or not, there are many GI docs who don't know about it.  If I were a GI doc, I would make it my business to know about a surgery that changes the landscape of the digestive system, and the function as well...sorry, it just annoys me when doctors don't continue to educate themselves.
I am glad the Reglan is working for you, it didn't work for me, just be careful because it can have some wicked side effects, on some people.  Right after I started taking it, I was seeing all of these "bad drug" commercials about Reglan.  I did some research, and some of what I was seeing on TV was true, and the doctors agreed that if it wasn't working it wasn't worth the risk of taking it.  If possible, try and find gentle, non-laxative ways to treat the constipation. Laxatives, stimulant ones, make your body dependent on those to work, and then you can't go unless you take those, vicious cycle.  So, if you can get a lot of fiber naturally, fruit juices, etc...it may not help the "crisis" episodes, but it can help keep you more regular once you are over the hump.  I hope this helps!

My GI doctor isnt' the problem. He wants to treat me but I wont do what he wants to do.  It isn't that I am constipated, I go 4 sometimes 5 times per day - I just can't move the stool myself by pushing. I think it is either the muscles or nerves that aren't working.  I need the stool to be on the hard side so I can get it out easily, if it is soft it is impossible to get out - just a plain ole mushy mess.  The only time it comes out itself is when I get explosive diarhea and then it comes out with out a problem.  It is the pushing that doesn't work.  I eat lots of fruit but I wont drink juice - too many calories.

can someone tell me how to update my ticker with weight lost.

May need to see a motility specialist.  they can gelp figure things out when even bariatric can not or other gastrointerologists.  a motility specialist is a gastrointerologist with specializing in problems with BM both too long and too much.  GL

Hi.  I don't have your problem but I wanted to just say hello and wish you well.  I am from Canton and work at the DMC, had my surgery at Harper but had lap band with Dr. Gazayerli.  He is wonderful but of course Dr. Wood has a great reputation too. I hope you get some relief soon and that Dr. Wood can help.

i bet some of the nerve endings in your colon arent working uuhh it has a name and i know im gonna spell it completely wrong hurschbaums? my brother has it and had to have a colostomy bag put in but his became a really bad case

sorry that was to rbb825. and to dying inside im sorry you are having trouble hun.