Let’s Talk About Poo!

Back in early April, I made a quick reference to poo. Now that I’m on stronger pain killers, it may be time to revisit the discussion…

poo-2Most of us who live with FM also have Irritable Bowel Syndrome (IBS). FM and IBS are co-diagnosed in up to 70% of FM patients. IBS (also known as irritable colon, spastic colon, mucous colitis, or spastic colitis) is a disorder of the bowel, or large intestine. It is characterized by severe abdominal pain and cramping, changes in bowel movements, and a variety of other symptoms.

It has been estimated that as many as two-thirds of all IBS patients have FM, and as many as 70% of FM patients may also have IBS. These statistics differ greatly from the corresponding rates in the general population, where only 10%-15% of individuals are estimated to have IBS. It is unknown if the two conditions are related symptomatically or causally, or if their frequent co-occurrence is merely a coincidence.

Adding pain killers to the mix can be frustrating and painful.

Pain killers are used to combat headache, body ache, muscle pain, etc. Prescription painkillers including Vicodin, Darvocet, Percocet, OxyContin, Fentanyl, Tramadol and Lortab are widely prescribed to treat moderate to severe pain. At times (all the time?) we are forced to take painkillers due to too much pain. The opiate analgesics block pain signals by attaching to opiate receptors located in various parts of the body and brain. Prescription painkillers are effective treatments for chronic or persistent pain and can be taken safely, but these pain killers have side effects associated with them. Along with reducing pain, these pain killers also give rise to some other disorders as well.

bird_pooConstipation is a commonly reported effect associated with the use of prescription painkillers. Whether taking opiates at therapeutic levels or abusing them, many users report sluggish bowel movements, a condition which can be both annoying and painful. The problem can be compounded when we are taking a combination of prescription medications. Opiates can interfere with normal elimination by relaxing the smooth muscle in intestines and preventing them from contracting and expelling waste. With regular use of opiates, stools can become rock hard, blocking the bowels. In severe cases, bowels can rupture, leading to sepsis or death. Symptoms of constipation include: abdominal bloating, swelling and cramping; straining to pass stool; pain, discomfort or blood with a bowel movement; nausea; weight loss; and decreased appetite.

The use of a laxative or other form of stool softener is often suggested. Further, to prevent constipation, users must consume plenty of liquids when taking painkillers. Regular bowel movements could also be kept intact by consuming a diet rich in fibre. Mommy swears by prunes (yuck!) and a greasy, cheese pizza tends to work for me!

And, for the sake of completeness:

Mild and More Serious Side Effects

Even with short-term use, patients can experience one or more side effects. They can include sedation, euphoria, dizziness, fatigue, depression, tremors, sleeplessness, anxiousness, flu-like symptoms, upset stomach, dry mouth, pupil constriction, itching, hallucination, delirium, sweating, muscle and bone pain, confusion, extreme irritability and muscle spasms. Taking too much of an opiate medication, or more frequently than prescribed can be dangerous, even fatal. Combining opiates with alcohol and some other drugs can also lead to severe reactions. More serious side effects can include severe respiratory depression, confusion or stupor, coma, clammy skin, circulatory collapse and cardiac arrest.

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8 Comments

  1. Danielle Huertas

    I have had really bad reactions to some of the pain killers!! I do drink Shakeology everyday to keep me regular. It helps with the exhaustion from the meds and the fibro and if I am too tired to eat I am just drinking a healthy meal instead of skipping one. If I skip a day of two I feel even more run down so it is part of my day and by lunch I need my shake!! I don’t usually fall asleep at afternoon nap anymore but I still lay around and let my body heal or do low key read a book or pay some bills. You might want to try samples before you actually buy it. It seems pricey at first, but I love the flavors and tried it first and is only $5/day which is less than a cup of coffee and is doing good things to your digestive system and your whole body!!! To me there is no price on my health anymore.

    I would be able to mail out samples if anyone wants to private message me. A lot of people do the exercise programs but I just use this and signed up as a coach to get it a little cheaper. http://myshakeology.com/Daniellehuertas

  2. redheadboxermomma

    I’m a dog lover and highly involved in animal welfare/rescue. Poo is always a topic of discussion. I had horrible problems when I started on my pain regiment, but it improved after my body adjusted…and I started eating oatmeal every morning. Any change in my pain meds causes problems, but they do subside.

    Drinking water is a good thing…and it’s a good thing for my diabetes too. There is an herbal “drug” called Heel that I take when I’m having problems. Tablets easily dissolve under the tongue. After a few doses, I’m back on track.

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  4. You’re really brave to tackle this hun, well done 😉

  5. Yep. Constipation is certainly one of the side effects of Hydrocodone, which I occasionally take. A daily dose of prunes does help. Sometimes. Eating beets seems to help me too, although I’ve never read any research on the subject. It’s a really annoying problem. Thank you for talking about it!

    • Constipation used to be a real big problem for me when I was on Panadeine Forte. Now that I have switched medications and am gluten-free, it’s a bit better but still every now and then, I get clogged. Laxatives and fibre supplements do nothing for me. I usually drink an extra litre of water and a small pot of chamomile tea (stewed for 20 minutes), and it usually irritates my bowels enough to do the trick..

  6. I thought Darvocet was banned by the FDA. I used it for many years with great results but stopped 2 years ago.

  7. Rasin bran once a week works great

Got an opinion?