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    Number 2 accidents always on bowel days.....WHY???

    Can somebody please help me figure this out. I do my bowel program every other day, last year I only had four accidents, but this year so far I have been having one or two every week. Nothing has really changed for me, diet and exercise have all been the same.

    Here is my issue, I only seem to have accidents on the day I do my bowel program. For example, yesterday I had a really good program, a little soft at the end but a really good result. However, just like every other time, like clockwork two hours after my program and shower, I get dressed and everything is fine, and then out of the blue my stomach gets upset and I have an accident that is usually very wet. I have cut down on my stool softeners and avoid any gassy food, dairy products, greasy food, and anything I can think of that would upset my stomach, but nothing seems to help.

    I have pretty much come to the conclusion after reading so many posts about bowel accidents that my best solution for my issues is to get a colostomy, but in the meantime does anyone have any idea why I keep having diarrhea-like accidents only on bowel days?

    Here's a little background info.

    • I am a C4-C5 quad 18 years post
    • I used to take 600 mg of stool softener every day, but in the last few months have dropped that down to 300 mg (my stool usually starts off hard and ends soft)
    • I take 2 senna on nights before my bowel program(recently tried taking only one but same problems)
    • I insert 2 magic bullets (I have been doing this for years, one bullet never seems to do the trick, and I have never had an issue with mucus)
    • wait 20 min. in bed and then transfer to shower chair
    • digital stimulation
    • no antibiotics in a very long time


    Any suggestions would be greatly appreciated and thank you in advance!

    #2
    Originally posted by pukkap View Post
    Can somebody please help me figure this out. I do my bowel program every other day, last year I only had four accidents, but this year so far I have been having one or two every week. Nothing has really changed for me, diet and exercise have all been the same.

    Here is my issue, I only seem to have accidents on the day I do my bowel program. For example, yesterday I had a really good program, a little soft at the end but a really good result. However, just like every other time, like clockwork two hours after my program and shower, I get dressed and everything is fine, and then out of the blue my stomach gets upset and I have an accident that is usually very wet. I have cut down on my stool softeners and avoid any gassy food, dairy products, greasy food, and anything I can think of that would upset my stomach, but nothing seems to help.

    I have pretty much come to the conclusion after reading so many posts about bowel accidents that my best solution for my issues is to get a colostomy, but in the meantime does anyone have any idea why I keep having diarrhea-like accidents only on bowel days?

    Here's a little background info.

    • I am a C4-C5 quad 18 years post
    • I used to take 600 mg of stool softener every day, but in the last few months have dropped that down to 300 mg (my stool usually starts off hard and ends soft)
    • I take 2 senna on nights before my bowel program(recently tried taking only one but same problems)
    • I insert 2 magic bullets (I have been doing this for years, one bullet never seems to do the trick, and I have never had an issue with mucus)
    • wait 20 min. in bed and then transfer to shower chair
    • digital stimulation
    • no antibiotics in a very long time


    Any suggestions would be greatly appreciated and thank you in advance!
    Your program just has too many variables in it. You need to get back to the basics of a bowel program.

    Suggest stopping stool softeners.
    Suggest stopping taking senna
    Suggest stopping two magic bullets, one is probably enough.
    Suggest taking Metamucil once per day, and maybe later twice per day.
    Suggest eating three to four prunes per day.
    Suggest taking a good probiotic daily

    My program seems to be working pretty well (C6/7 complete, 36 years post injury)
    1 generous teaspoon Metamucil twice a day in 6 ounces of water (Breakfast and Dinner)
    3 large dried plums/prunes about 2:00 PM
    Program every other night.
    Digital stim to remove all stool from rectal vault
    Insert 1 Magic Bullet
    Get up in commode chair.
    Allow time for bowel movement.
    Digital stim to produce more peristalsis and bowel movement
    Allow time for more bowel movement.
    Digital stim to clear out remaining stool and remains of Magic Bullet.
    Transfer back into bed, and place a disposable under pad to catch any remaining stool or butt snot/after burn.
    Done.
    Last digital stimulation to remove all of the Magic Bullet is essential
    Just go back to the basics and see how things go.

    Doing you bowel program in the morning, doesn't give enough time for something (accident and/or butt snot/after burn) to happen before you get dressed and go about your day.
    Last edited by gjnl; 29 Mar 2019, 1:12 AM.

    Comment


      #3
      Are you really having a bowel accident (formed stool), or is it actually mucous ("butt snot", or "afterburn")? The "wet" accident you describe sounds very much like mucous. This mucous is usually not clear, but it has no actual stool in it. It looks like opaque brown jelly, and usually smells really bad, and is very caustic to your skin.

      i suspect it is because of the two Magic Bullet suppositories. It is rarely wise to make more than one change in your bowel care regimen/program in a 7 day period. i would not change your senna or stool softer yet. Cut back to one bisacodyl suppository and see if this does not resolve the problem. If it still occurs, then at the end of your bowel care, rinse the rectal vault out with a small amount of water. You can use a bulb syringe, or an irrigation syringe attached to a straight catheter for this; 30-60ml. of water is usually sufficient.

      Another option would be to stop use of the Magic Bullet entirely, and try Enemeez or Enemeez Plus instead. There are many who report less or no "butt snot" or "afterburn" using this "liquid suppository".

      (KLD)
      Last edited by SCI-Nurse; 29 Mar 2019, 2:55 AM.
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        I agree with KLD. Probably from the Magic Bullets. My son went thru this and it was driving us crazy. Call theEnemeez people and they will send you samples for free. Enemeez is expensive, but very much worth it.

        Comment


          #5
          That's why it's known as shit I guess.
          I was doing two ducolax tabs per day for 10yrs ....also c4-5....daily BM. Use Enemeeze though. Better than hard suppositories.
          It was ripping my GI tract apart. ,,literally sickened me each night ,reduced to one tab but added softener .
          Still get accidents

          Comment


            #6
            Thank you ginl for your response, I've heard many others suggest probiotics and prunes, so I will certainly add those to my diet.

            Originally posted by SCI-Nurse View Post
            Are you really having a bowel accident (formed stool), or is it actually mucous ("butt snot", or "afterburn")? The "wet" accident you describe sounds very much like mucous. This mucous is usually not clear, but it has no actual stool in it. It looks like opaque brown jelly, and usually smells really bad, and is very caustic to your skin.

            i suspect it is because of the two Magic Bullet suppositories. It is rarely wise to make more than one change in your bowel care regimen/program in a 7 day period. i would not change your senna or stool softer yet. Cut back to one bisacodyl suppository and see if this does not resolve the problem. If it still occurs, then at the end of your bowel care, rinse the rectal vault out with a small amount of water. You can use a bulb syringe, or an irrigation syringe attached to a straight catheter for this; 30-60ml. of water is usually sufficient.

            Another option would be to stop use of the Magic Bullet entirely, and try Enemeez or Enemeez Plus instead. There are many who report less or no "butt snot" or "afterburn" using this "liquid suppository".

            (KLD)
            KLD, I think you might be right...when everyone talked about mucus and "but snot" I always assumed it was clear. However, the accident that I have are opaque brown jelly like and smell really bad. So I took your advice to change only one thing at a time and first tried to use only one suppository.

            Well, my last accident was last Tuesday...so on Thursday morning I used two magic bullets and had a decent result. I read your post on Thursday night so on my next BP day Saturday, I only used one suppository and had a small result, but I figured it was just because I really didn't eat too much for the past three days.

            However today, I used only one magic bullet again, but this time had a tiny result, tried to digitally stim anything to come out with no luck, but figured again I really hadn't been eating very much so I figured it was probably from the lack of food. Took a shower and then got into bed to get dressed, thankfully this time I noticed my stomach was starting to become upset, so I turned on my side and my caregiver checked me and sure enough, I had a lot of stool come out and sure enough it jellylike and opaque brown. I'm starting to have a sneaky suspicion it might be the magic bullets.

            Thank you Mombo and KLD for the suggestion on switching to Enemeez, I have a bottle coming tomorrow and cross my fingers these damn accidents will stop.
            Last edited by pukkap; 1 Apr 2019, 11:18 PM.

            Comment


              #7
              Originally posted by Tim C. View Post
              That's why it's known as shit I guess.
              I was doing two ducolax tabs per day for 10yrs ....also c4-5....daily BM. Use Enemeeze though. Better than hard suppositories.
              It was ripping my GI tract apart. ,,literally sickened me each night ,reduced to one tab but added softener .
              Still get accidents
              the magic bullets ripping were ripping your G.I. tract? Do you mind if I ask how and why?

              And I know we all had accidents once in a while, but did you notice ANY difference between Enemeeze and magic bullets? Are you having the same amount of accidents using Enemeeze?

              Comment


                #8
                Originally posted by pukkap View Post
                the magic bullets ripping were ripping your G.I. tract? Do you mind if I ask how and why?

                And I know we all had accidents once in a while, but did you notice ANY difference between Enemeeze and magic bullets? Are you having the same amount of accidents using Enemeeze?
                Just another perspective for you to evaluate. My level of injury is C6/7 complete, post 36+ years. I have used Ducolax suppositories, then Magic Bullets, and I have tried Enemeez a few times. I have never gotten results or felt that Enemeez did any thing for me at all, even after giving them a couple tries at 6 weeks each. That said, I know all of us are different and we need to find our own paths. I don't want to dissuade you from trying Enemeez. You will have to try them out for yourself and evaluate the results. Don't be disappointed if Enemeez doesn't work for you.

                The is a good thread to read: http:///forum/showthread.php?149917-...=Mombo+enemeez

                Good luck with your experimentation.

                Comment


                  #9
                  Originally posted by gjnl View Post
                  Just another perspective for you to evaluate. My level of injury is C6/7 complete, post 36+ years. I have used Ducolax suppositories, then Magic Bullets, and I have tried Enemeez a few times. I have never gotten results or felt that Enemeez did any thing for me at all, even after giving them a couple tries at 6 weeks each. That said, I know all of us are different and we need to find our own paths. I don't want to dissuade you from trying Enemeez. You will have to try them out for yourself and evaluate the results. Don't be disappointed if Enemeez doesn't work for you.

                  The is a good thread to read: https://www.carecure.net/forum/showt...=Mombo+enemeez

                  Good luck with your experimentation.
                  Thank you for your input, I certainly will take any advice from anyone 36 years post! I also tried using Enemeez way back in the days, but it got a little too expensive, and to be honest I can't remember the results, but I do remember having issues with them. Thank you so much for Mombo's thread, I will definitely read through as it seems super informative. Many thanks again!

                  Comment


                    #10
                    I suggest to go to Enemeez website, request for samples. Get your bowels used to Enemeez while your bowel is healing from the Biscoydl irritant. Also, Enemeez has a patient assistance program, an online application. All this info can be found on their website.

                    Comment


                      #11
                      I just wanted to thanks those for the suggestions to switch to Enemeez, through some trial and error I cut down on my stool softener to 100 mg twice a day and started doing my program in bed again which sucks but I haven't had an accident in one month! I hope I just didn't jinx myself, but so far the switch to Enemeez is working, so far.

                      Thank you very much for the suggestions!

                      Comment


                        #12
                        I had similar problems few months ago..I was taking too many laxatives..
                        i do my bm every other day around 7 pm.
                        in am I take 2 colace &senekot,,noon 8 take one to two 5 mg bisocoydal tabs..then bout 2 pm...
                        i kept taking more thinking it will speed up the routine,which I feel is rushed cause help wants out by 9pm. And stress doesn?t help matters. Before routine,1 magic bullet,,if I don?t go in 20 min they can manage to get some fleets in while I?m sitting on my active aide shower/ Commode w/chair.
                        so in last month or so,no accidents..I lowered amountlaxatives I take, still 2 colace & senekot at 8 am,, one 5 mg biscoydal tabs at noon then nothing else...
                        in am I make a shake, 1/2 banana,1 chobani plain yogurt with a teaspoon unprocessed wheat bran in it, 1/2 cup blueberries( fresh or frozen) 1/2 cup mango juice/ pulp.and a handful of baby spinach, then I blend it up and sip on for next hour. I?m eating more fiber,oatmeal,fruits,veggies,raisins,only wheat or grain bread.etc..I needed more fiber & roughage..on off days I try n get some Raisin Bran in me..I have a good bran muffin or bread recipe if you want.
                        i think if you tweak things a lil,you?ll be fine...I know your feeling though, I been doin these routines for 37 yrs.,and in last year I been thinking bout colostomys myself..but with limited finger movement I worry if seal pops off at night or at work( I still work part time). I?d have a mess...and I won?t be able to wear my binder and will need bigger shirts,etc,,I hate change..haha.
                        good luck bud.

                        Comment


                          #13
                          You can wear an abdominal binder with a colostomy appliance; you need to cut out a hole in the binder over the appliance, and pull the bag through to the outside when dressing.

                          Do you have a tenodesis? If so, you can most likely pop a two piece appliance back in place in the unlikely occurrence that it pops off. You could also use a one-piece appliance.

                          (KLD)
                          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                          Comment


                            #14
                            Originally posted by SCI-Nurse View Post
                            You can wear an abdominal binder with a colostomy appliance; you need to cut out a hole in the binder over the appliance, and pull the bag through to the outside when dressing.

                            Do you have a tenodesis? If so, you can most likely pop a two piece appliance back in place in the unlikely occurrence that it pops off. You could also use a one-piece appliance.

                            (KLD)

                            sorry for the late response, but I have I decent amount of teno in my left wrist and I had tendon transfer surgery on that same hand which gives me a decent amount of pinch tension with my thumb and pointer finger, but I barely have any teno in my right, but I do have a slight ability to pinch. That is one of my biggest fears is the appliance popping off, which I hear a lot. Quick question though, are you able to place the appliance back in if you are wearing a jacket, or do you have to pull the jacket up to actually position the appliance back?

                            Also, I have a friend who irrigates and I read somewhere that you guys, SCI nurses, do not recommend irrigating anymore, how come? My friend seems to be really happy with his daily irritations.

                            Comment

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