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Topic: CONSTIPATION--problem with so many of our drugs

Forum: Managing Side Effects of Breast Cancer and Its Treatment —

This is a place to discuss concerns, tips and strategies for all types of side effects from all types of medications and treatments, (chemo/rads/hormonal/targeted/pain meds/etc.

Posted on: Jan 30, 2012 07:49PM - edited Sep 17, 2016 12:09AM by sas-schatzi

sas-schatzi wrote:

This thread will talk about constipation. The nemesis of cancer patients. If you post helpful information make sure to identify that all recommendations should be cleared with your doctor. Preferably, your Gastroenterologist (GI doc) or Primary Care Physcisin PCP). Cancer docs, I would say that this isn't there strong suit.

Page 44 . Description of Squatty Potty https://www.squattypotty.com/unicorn-c/

Description of normal defecation

https://www.youtube.com/watch?v=p7pf0uFRfTQ

Page 10 description of Laxatives, emollients, stool softners, and usage dangers: https://community.breastcancer.org/forum/6/topics/781867?page=10

Page 12 has a Question list & treatment plan to discuss with doc. Used several times as reference, I decided page 12 had so much info on it, I'd link it here.

https://community.breastcancer.org/forum/6/topics/781867?page=12

NIH National Cancer Institute : Gastrointestinal Complications–for health professionals (PDQ®)

http://www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-hp-pdq

Link to rectal Issues thread: http://community.breastcancer.org/topic_post?foru...

Link to main BCO board thread: www.breastcancer.org/treatment...... http://www.breastcancer.org/tips/nutrition/during_...

Amusing :) Five Constipated Men

Puns are welcome, not often we get such a situation that is more worthy.

Life's journey is not to arrive at the grave safely in a well preserved body, but rather to skid in sideways, totally worn out shouting "holy crap....what a ride".
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Posts 1561 - 1573 (1,573 total)

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Jan 25, 2021 09:43PM MinusTwo wrote:

AK - thanks for sharing your story. Glad that you found something that works - large dose of Mag. I didn't have such serious 'back ups', but that worked for me too.

Interesting - I'm mostly vegetarian too. If I eat two slices of bread (any kind), I gain two pound - but it's also enough bulk that I have happy poops.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 6, 2021 09:38PM MinusTwo wrote:

bumping again.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 7, 2021 07:17AM cm2020 wrote:

I am just now joining this thread. This is a problem I have never in my life had and it is quite frustrating. Many years ago I had my gallbladder removed. So my issue has been the exact opposite of constipation. This is....well.....ugh....I am at a loss. A daily prune has worked for months but doesn't seem to be enough. I added a prune. Still not enough. Time to try other things.

Treatment for breast cancer is the gift that keeps on giving isn't it?

Dx 3/20/2020, IDC, Right, 1cm, Stage IA, Grade 1, ER+/PR+, HER2- (IHC) Dx 4/2/2020, IDC, Right, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Surgery 4/5/2020 Lumpectomy: Right; Lymph node removal: Sentinel Hormonal Therapy 4/24/2020 Femara (letrozole) Radiation Therapy 6/10/2020 Whole-breast: Breast, Lymph nodes
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Feb 7, 2021 05:25PM MinusTwo wrote:

cm - great to see you. Hope you find something that works in the previous pages. Lots of "home remedies" - and some funny jokes.

I take 250 mg of magnesium a day, mostly for leg cramps but it seems to help keep me 'regular'. I recently switched from Magnesium Oxide to Magnesium Citrate since it's supposed to be absorbed more easily. I usually do OK if I eat a salad at least every other day. But I expect I'll always have to watch it.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 10, 2021 05:08PM cm2020 wrote:

MinusTwo... Thank you. I may try the magnesium (i think it helps with sleep too) once I get closer to finishing the bottle of miralax. I haven't been able to eat salad since I had radiation. I was eating a giant salad every day when I was undergoing radiation. Well radiation did a number on what tasted good and what didn't (even though it was only to my breast and lymph nodes). Even the thought of a salad turns my stomach now. I struggle to eat even most raw veggies. In order to get veggies now I make veggie soup and eat it every day. Hopefully one day I will be able to eat at least raw veggies, if not salad.

The miralax and smooth move tea worked initially but I am not convinced I am in the clear. I didn't take miralax today, but did drink the smooth move tea. I should have taken miralax too (i will tomorrow). I am also going to increase the number of prunes I eat.

Dx 3/20/2020, IDC, Right, 1cm, Stage IA, Grade 1, ER+/PR+, HER2- (IHC) Dx 4/2/2020, IDC, Right, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Surgery 4/5/2020 Lumpectomy: Right; Lymph node removal: Sentinel Hormonal Therapy 4/24/2020 Femara (letrozole) Radiation Therapy 6/10/2020 Whole-breast: Breast, Lymph nodes
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Feb 10, 2021 05:11PM MinusTwo wrote:

Good luck. Let us know if it works.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 10, 2021 08:48PM - edited Feb 10, 2021 08:51PM by AKColleen

MinusTwo..thanks. This journey isn't over yet. You'd think being on 1500mg magnesium citrate daily and i'd be regular. I've not had to use a fleets enema in a week, YEAH! But still not yet having normal poo...moose pellets and hard or lightly loose. Can't find normal yet. I've been told I need to eat daily salads...That seems to help when I have salad material....just normal veggies don't do it. I'm still taking 250mg colase daily and 50mg Sennekot daily!! Sheeez.This aromasin is rough stuff but better than Femara for me. No more N/V. so that is good. I'm going to add the Smooth Move tea...I've been downing a cup of prunes every couple days.

Dx 5/31/2017, ILC, Right, 2cm, Stage IIA, Grade 2, ER+/PR+, HER2- (FISH) Surgery 5/31/2017 Lumpectomy: Right Radiation Therapy 7/15/2017 3DCRT: Breast Hormonal Therapy Aromasin (exemestane), Femara (letrozole)
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Feb 10, 2021 10:13PM MinusTwo wrote:

AK - let us know. I think I read the preferred method is stewed prunes, but that was too many memories of my canned vegetables from my childhood. So I just popped a couple dried prunes every day.

Glad to see this thread active again. There are some great tips.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 14, 2021 12:33PM YesIamaDragon wrote:

I am now 6 weeks out from my last Kadcyla, started with the HORRIBLE constipation (which lead to a fissure and terrible hemorrhoids as well) during TCHP. Of course most folks getting perjata get horrible diarrhea, but I had to be different. The constipation has continued. I use loads of colace and mag citrate and dulcolax daily, and miralax mostly only on weekends, but sometimes multiple times a day. I eat a generally high-fiber vegetarian diet, lots of homemade yoghurt (no sugar) and kefir. Drinking prune juice and eating dried prunes and apricots.... and still need glycerin suppositories. Even those sometimes don't work! This week had two days doubled up in pain with bloating. At what point do we say this is not just a side-effect, and sign up for a colonoscopy? I am not even sure if I could get myself cleaned out enough for one!

Dx 6/2019, IDC, Right, 2cm, Grade 2, ER+/PR+, HER2+ Hormonal Therapy Arimidex (anastrozole) Radiation Therapy Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab) Surgery Chemotherapy Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy Perjeta (pertuzumab) Targeted Therapy Herceptin (trastuzumab)
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Feb 22, 2021 02:04PM Zillsnot4me wrote:

I tend toward the constipation side of any meds. It’s miserable. I had to switch from zofran to compezine that I take every week as premeds before my infusion. Ive used most of the OTC meds and agree that enemas and suppositories are not a long term solution

I didn’t know I could take two of the senna every night. That’s made a difference plus the magnesium. I also eat a couple of prunes and a handful of almonds as my nighttime routine. This seems to keep me regularish.

Otherwise I’ll add baked beans, broccoli, bran cereal or more prunes. They make a difference. My intestines after chemo don't seem to move. There is a senna with a stimulant.

I have a gf that takes 4 colace and 10 prunes a day.

As a side note. You can swap a cup of soaked bran flakes for a cup of flour when baking. I make this swap when making banana muffins.

And as always drink, drink, drink. I find it harder to drink a lot in the winter.

1/7/2021 Axabrane 10/29/2020 Taxol 7/22/2020 A/A combo, 11 cm liver spots! piqray, zometa, faslodex 6/11/2020 rads to liver 12/2020 3 cm liver 10/2019, Liver spots 1/ 2016, Xgeva 9/2015, Bones 4/2015, Lungs 4/2013 Dx 4/2013, 4cm, mets, ER+/PR+, HER2- Surgery 4/29/2013 Lymph node removal: Right; Mastectomy: Right; Prophylactic mastectomy: Left Chemotherapy 5/23/2013 AC Hormonal Therapy 10/2/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy 11/6/2013 Breast, Lymph nodes Surgery 9/25/2015 Prophylactic ovary removal Hormonal Therapy 1/7/2016 Femara (letrozole) Targeted Therapy 1/7/2016 Ibrance (palbociclib) Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Hormonal Therapy 4/24/2017 Faslodex (fulvestrant) Chemotherapy 11/16/2017 Xeloda (capecitabine) Dx 10/2019, metastasized to liver, ER+/PR+, HER2- Radiation Therapy Liver
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Feb 22, 2021 02:27PM MinusTwo wrote:

Zills & Yeslama: Thanks for your thoughtful posts. I too find it hard to drink water - but for me it doesn't depend on the season. I just don't like water. Sigh.

As I said earlier this month "I recently switched from Magnesium Oxide to Magnesium Citrate". My immediate reaction was that I had less constipation with the Oxide - but now 2 weeks in, I can't make that definitive statement. Jury still out.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Feb 22, 2021 08:14PM Zillsnot4me wrote:

Well poop. Lost my post twice. My MO recommended a probiotic. I read about one and found it on Amazon. It swung me the other direction. Back door trots for a few days before my infusion.

https://www.amazon.com/Day-Supply-Probiotic-Prebiotic-Effective/dp/B00N1G17GG

1/7/2021 Axabrane 10/29/2020 Taxol 7/22/2020 A/A combo, 11 cm liver spots! piqray, zometa, faslodex 6/11/2020 rads to liver 12/2020 3 cm liver 10/2019, Liver spots 1/ 2016, Xgeva 9/2015, Bones 4/2015, Lungs 4/2013 Dx 4/2013, 4cm, mets, ER+/PR+, HER2- Surgery 4/29/2013 Lymph node removal: Right; Mastectomy: Right; Prophylactic mastectomy: Left Chemotherapy 5/23/2013 AC Hormonal Therapy 10/2/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy 11/6/2013 Breast, Lymph nodes Surgery 9/25/2015 Prophylactic ovary removal Hormonal Therapy 1/7/2016 Femara (letrozole) Targeted Therapy 1/7/2016 Ibrance (palbociclib) Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Hormonal Therapy 4/24/2017 Faslodex (fulvestrant) Chemotherapy 11/16/2017 Xeloda (capecitabine) Dx 10/2019, metastasized to liver, ER+/PR+, HER2- Radiation Therapy Liver
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Feb 23, 2021 12:22PM cm2020 wrote:

Zillsnot4me...Did you dr give you any guidelines on which probiotic was better/what to look for in one? Did the one you linked keep giving you "too good results" or did things stabilize?

Dx 3/20/2020, IDC, Right, 1cm, Stage IA, Grade 1, ER+/PR+, HER2- (IHC) Dx 4/2/2020, IDC, Right, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Surgery 4/5/2020 Lumpectomy: Right; Lymph node removal: Sentinel Hormonal Therapy 4/24/2020 Femara (letrozole) Radiation Therapy 6/10/2020 Whole-breast: Breast, Lymph nodes

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