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Constipation is a problem for my 81-year-old husband with dementia and severely impaired mobility — we had to go to the ER a few months ago for de-impaction, and although I swore “never again,” I let the daily dose of Miralax slide last week when he was afflicted with chronic hiccups (that happens every year or so) and we were dealing with that. Now, he’s really stopped up and I fear impacted again, but he is resisting another trip to the ER (COVID running rampant in TX). Yesterday: 1 dose of Miralax, 3 tabs of Dulcolax stool softener, 3 tabs of Colace stimulant laxative, and today: 2 more doses of MIralax and a bottle of Magnesium Citrate. No satisfactory result yet, but he wants to get out of bed every 10 minutes only to produce a tiny amount. Tried to give him an enema and that did not go well. This will be the second night of his constantly saying he must go to the toilet immediately for no result. He has no pain, nausea or bleeding, but seriously backed up. I want to give him 3 laxative tablets, as if one were preparing for a colonoscopy, but if he is really impacted I don’t know if that is advisable.


Thank you for letting me vent - this is a wonderful group and you just can’t share this with the ladies who lunch. Any suggestions welcome.

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If you've given DH all that stimulant laxative and he STILL can't produce a BM, then he needs to see the doctor right away. Fruits and veggies are all fine and well, but it's too late to think it's gonna help him now. Please seek the advice of a qualified doctor before doing anything else.

Good luck
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Wow! I would be very concerned with his situation after all the medicine he has taken already. If he is impacted he could rupture his intestines and sepsis could set in. Patty Duke the actress, her cause of death was sepsis from a ruptured intestine. It is nothing to play with take him to the Hospital ER.
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Mare sure he is drinking a lot of liquids.

Next time he thinks he has to go to the bathroom, let him sit on the toilet fir at least 10 minutes and run water in the sink where he can hear it and also wet a hand towel with warm water and apply to his lower stomach.
Also, while he is sitting on the toilet, have his feet flat but raised up on a little step stool, that also seems to help.
And buy a container of fiber that can be mixed in his drinks and or food every day so he won't be constipated.

Prayers
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Glove up. Lubricate and dig out. Then Miralax fluids and try to control it getting so bad. You have to get the dry hard feces out first.
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Cover99 Sep 2021
Lysol spray as well
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When my Husband was on Hospice they gave me a "recipe" they called "the bomb" (it does sound gross though, but it works)
1/4 Cup Prune juice
1/4 Cup Milk of Magnesia
1/4 Cup Orange Juice
Warm this up a bit until it is body temperature. (generally works in about 30 min.)

I would also puree Papaya and Pineapple and portion it in 1/4 to 1/2 Cup amounts. I chose these because most of the OTC "cleanse" products contained them and I figured if they worked, great but if not he liked the flavor.

A Herbal tea called Smooth Move often will work, it is made of Senna so not much different than the Senna I gave him daily anyway. (he did not much like tea)

Once in a great while I did resort to opening a bottle of Magnesium Citrate and he would drink some of that. Depending on how much he drank would depend on how well it worked.

I finally did get a prescription for Lactulose and that was given every morning.

Have you seen the product called "Squatty Potty"? As odd as it sounds that particular position of the knees a bit higher seems to work. I noticed often when I was transferring my Husband using the Hoyer Lift and he was angled just right he seemed to have a BM. I would kid with the CNA that it was the "squatty potty" position.

Last but not least sometimes is takes a gloved hand and to get things going!
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Jingle1 Sep 2021
Yes, I used to give my Mum the mix of Prune Juice and Milk of Magnesia - 1/4 cup each, warmed and drunk on an empty stomach so first thing in the morning after she had her morning pills about 30-45 min prior.
After she drank the warm mix, I would give her an 8 oz glass of warm water to drink. After that she would eat her breakfast. Within an hour she would need to go to the bathroom. She would have about 3 BMs and then she was done.

I would keep her seated close to the bathroom so I could transfer her quickly to prevent any accidents.
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Get him a Squatty Potty or a small stack of books to put his feet up on when he's on the toilet. It might help things move along a bit better.
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Cover99 Sep 2021
LOL
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I have this problem and take Magnesium Glycinate. It helps move the bowels. I have to take at least 400 mg/day.
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Isthisrealyreal Sep 2021
Yep magnesium is a wonder for many, many things and helping clear the bowels is a bonus.
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Lots of water, apple juice, prune juice, bananas, no dairy products and no fatty foods until he starts going. A diet high in fiber will help, in the long run. Juice celery, 16-32 ounces first thing in am or on empty stomach this is a natural liver detox and makes you go. Good luck to ya
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Do you have home nursing care or is he on hospice? My mil had to have the nurse that came to our home clean out her impactions. It is not for the faint of heart.

Contact his doctor and see if he can arrange for a visiting nurse, home health care, or something similar.
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My mom is 98 years young and now lives with me. She is in the bath room for extended periods of time but won't let me know whens he's constipated until I'm working or with a client.....It's okay. I moved her into a bedroom right next to the bathroom. I give her about 4 ounces of prune juice every other morning and I make fruit smoothies for her with fruit, flax seed, kale, ginger root, lemon, bananas, blueberries and strawberries. A hot cup of black coffee sometimes help...I encourage her to drink warm tea with her breakfast but I usually find the even tea serving sitting on the night stand the next morning. It's helped with the constipation but at 98 years young she's in the bathroom 4 - 6 times a day with a book. The elimination is small but it is an elimination. I be very careful with the excessive laxatives. If'f he is really impacted seek medical advise before proceeding since he will have to be clear for the colonoscopy.
Praying for the best health - In the best possible way. Be well.

I also got her the "Squatty Potty", only remembered after I read the next post suggesting it. That has also helped her to not sit so long on the toilet.
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Frances73 Sep 2021
My mother used to spend long visits to the bathroom with a book. Looking back I wonder if it was a habit developed decades ago as a refugee from a house full of kinds and chores!
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