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Sep 02, 2018

Need urgent help for severe cramps and constipation, what should I eat?

This topic is about someone experiencing severe abdominal cramps and constipation after using Imodium to manage diarrhea caused by anti-inflammatory medication. They are having trouble with ostomy irrigation, as only a small amount of water stays in before coming back out, preventing a full flush. They are seeking advice on what to eat or drink to relieve the blockage and discomfort.

Here are some helpful suggestions and insights:

1. Quick-acting foods and drinks that might help stimulate the bowel include:
- Prune juice, prunes, sauerkraut juice, or grape juice.
- Brussels sprouts and fried onions.
- A cup of hot tea, chicken broth, or bone broth.
- Regular Coke or a glass of wine, as some find carbonated drinks or alcohol helpful.

2. Fiber supplements can help normalize stool consistency and make irrigation easier:
- Metamucil (psyllium) is noted for calming cramps and producing a soft output.
- Citrucel (methylcellulose) is recommended by doctors and has an orange flavor.
- Miralax (polyethylene glycol 3350) is mentioned as being too slow by one person, taking up to a week to work.

3. General tips for managing the situation:
- If severe pain continues or irrigation is unsuccessful, reach out to a stoma nurse or use a real-time chat service for immediate assistance.
- Discuss the anti-inflammatory medication with the prescribing doctor, as its side effects are causing a cycle of diarrhea, Imodium use, and then constipation.
- Once the output is moving again, try to return to a normal irrigation schedule as you feel comfortable. It may take some time for beginners to find the right routine and diet balance.
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