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40,819 members
May 10, 2025

Seeking Advice for Consistent Bowel Movement Routine

Topic Explanation:

The forum discussion is centered around a user seeking advice for establishing a consistent bowel movement routine after experiencing constipation and a severe bowel obstruction, which led to the creation of an ostomy. The user is currently using Miralax and apple juice but finds it less effective than before. They are looking for tips to ensure daily bowel movements, considering their medical history.

Advice and Insights:

1. Diet and Eating Habits:
- Ensure you are eating enough, as insufficient food intake can lead to reduced bowel movements.
- Keep track of your diet to identify foods that may affect your bowel movements positively or negatively.

2. Alternative Laxatives:
- Consider trying Milk of Magnesium as an alternative to Miralax, as it has been effective for some individuals.

3. Colostomy and Ileostomy Considerations:
- The type of ostomy (colostomy vs. ileostomy) can affect bowel movement frequency. Understanding your specific type can help tailor your approach.
- For those with a descending or sigmoid colostomy, irrigation might be an option to explore for regular bowel movements.

4. Constipation History and Diagnosis:
- If you have a history of constipation, it may persist post-ostomy if the underlying cause is not addressed. Conditions like colonic inertia, where the colon muscles don't function properly, could be a factor.
- Reflect on your pre-ostomy bowel movement patterns and any previous diagnoses to better understand your current situation.

5. Natural Remedies and Supplements:
- A regimen involving chia seeds, mint tea, and olive or coconut oil before breakfast can aid in regular bowel movements.
- Acacia Senegal from Heather's Tummy Care products can be used as a supplement to support bowel health.

6. Monitoring and Adjustments:
- Keeping a food diary can help identify which foods are beneficial or detrimental to your bowel routine.
- Adjust your diet and supplements based on your specific needs and responses to different foods and products.
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