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Citrucel in lieu of Movantik?

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    Citrucel in lieu of Movantik?

    I currently take Movantik to counteract the hard stool I get from my pain meds. It does the job (mostly... sometimes there will be a couple days between bowel movements rather than every other day when things are A-OK), but the the side effects are really starting to get to me. Also, you have to wait an hour before eating and that is not working great with some recent schedule changes. From doing some research, it sounds like an insoluble fiber is what I need, and Citrucel seems to be a good source. I drink around a gallon of water every day so I think I'm good in that respect. I get anywhere between 20 and 30 grams of fiber/day from diet.

    i've taken Colace in the past, which I am aware is not the same as Citrucel (or any fiber supplements or laxatives), but I think my older age/injury (47 - 19 yeas post) is seeing some general slowing, so Colace on its own might not be enough. Also, I had far less predictability with Colace, but maybe that was due to the *new*ness of my injury.

    Anyway, does anyone have an experience with Citrucel or any thoughts on using fiber supplements for my situation?

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    *** c4/c5 incomplete *** Injured in Summer 2003 ***
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    #2
    have you tried changing your diet? i had the opposite problems as you (i could digest nails). i changed my diet by keeping a log of what i ate and exactly when. got rid of the stuff that bothered me. i do fine without meds.

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      #3
      Originally posted by baldfatdad View Post
      have you tried changing your diet? i had the opposite problems as you (i could digest nails). i changed my diet by keeping a log of what i ate and exactly when. got rid of the stuff that bothered me. i do fine without meds.
      Yeah, my diet is pretty dialed in. I measure and track everything. There's noting "bothering me" per se. I think it's safe to say that the pain meds are the main culprit... along with a slowing metabolism... and a SCI.

      *************************************************************
      *** c4/c5 incomplete *** Injured in Summer 2003 ***
      *************************************************************

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        #4
        I've never been able to figure out any pattern predicting softness. I have not found Colace makes any difference at all. I used to think drinking a lot of olive oil and/or having melons helped, but I am not sure. If olive oil and melons do help, they do not always help. I also take Citrucel, for regularity. I think it is helpful for bulk.
        Last edited by xsfxsf; 26 Oct 2022, 12:54 PM.

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          #5
          When I left rehab, 12 years ago, I left with a procedure that included Colace and Miralax. Over the next few years my stool was consistently pretty soft and occasionally very soft. Bowel accidents were infrequent but still several times per year. (Frankly, once per lifetime is too often.) My physiatrist mentioned that maybe I was taking too many stool softeners. I eliminated them completely. Since then my stool has been hard little balls, typically 20 to 50 every other day. Bowel incontinence was completely eliminated once I stopped using any stool softeners. There may be some problem with the hard little balls but for me that's a great solution. Deer and rabbits seem to do pretty well with it. For reference, I use an Enemeez type solution.

          Comment


            #6
            Originally posted by endo_aftermath View Post
            When I left rehab, 12 years ago, I left with a procedure that included Colace and Miralax. Over the next few years my stool was consistently pretty soft and occasionally very soft. Bowel accidents were infrequent but still several times per year. (Frankly, once per lifetime is too often.) My physiatrist mentioned that maybe I was taking too many stool softeners. I eliminated them completely. Since then my stool has been hard little balls, typically 20 to 50 every other day. Bowel incontinence was completely eliminated once I stopped using anystool softeners. There may be some problem with the hard little balls but for me that's a great solution. Deer and rabbits seem to do pretty well with it. For reference, I use an Enemeez type solution.
            Change 12 years to to 19 and remove the Enemez and you just prdtty much told my exact story. My SCI doc/nurse don't like the hard stool so i'm trying to make some changes just in case they know a little something about this. But yeah, i can't complain for a second about the lack of accidents.

            *************************************************************
            *** c4/c5 incomplete *** Injured in Summer 2003 ***
            *************************************************************

            Comment


              #7
              Is your issue with regularity? Or consistency?
              if you stool is soft enough by taking Movantik then you you need a product that moves the stool. I would recommend Enemeez or water based bisacodyl suppositories that you can administer via rectum daily or every other day.
              if you take a fiber based product like citrocel or Metamucil (psyllium) it will bulk up your stool which is ideal for those with very loose or soft stool that can result in bowel incontinence. If your stool is soft enough then I would not recommend a fiber based product. It can become like cement in your intestines which is why you are taking the Movantik (to soften your stool).
              ​​​​​
              SCI-Nursepbr
              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


                #8
                If you stool is soft enough by taking Movantik then you you need a product that moves the stool
                It is mostly with Movntik, but the side effects are getting to be a little much. I thought i read that insoluble fiber like Citrucel (as opposed to a soluble fiber like Metamucil) would help with both, without the need for meds or a suppository. Was my research off?

                *************************************************************
                *** c4/c5 incomplete *** Injured in Summer 2003 ***
                *************************************************************

                Comment


                  #9
                  You know you can try fiber and see what happens.
                  I’m not an expert on movantik
                  you could ask a GI provider or pain specialist for more information

                  SCI-Nursepbr
                  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


                    #10
                    Just an update for anyone curious...

                    After discontinuing the Movantik and doing 1 serving of Citrucel every morning, things were going great - bowel movement every other day that was a A LOT less hard than it had been before starting Movantik. This went on for a week or so and then out of nowhere came a bout of diarrhea... started randomly at some point early-afternoon (**luckily I was home and not out and about**) and lasted the rest of the day. I obviously stopped the Citrucel immediately - my next bowel movement 2 days later was a little on the soft side but did not come out of nowhere like the previous ones (I have enough sensation to tell when I have to go).

                    I suppose it could have been the meaI had the night before (*a little* on the spicy side compared to my typical diet but nothing crazy)... or maybe the glass of wine I had with dinner played a part (having wine with dinner is a once in a while kind of thing but not anything unheard of)... I don't know. What I *do* know is that these are the kind of unpredictable results I had while using Colace and as @endo_aftermath​ stated perfectly:
                    Frankly, once per lifetime is too often.
                    And that things like this DO NOT ever happen (like EVER... regardless of what I eat/drink) when I'm not taking anything to control regularity or consistency.

                    So now I'm kind of back to Square 1.5-ish. Maybe just more dietary fiber... or perhaps a fiber supplement NOT intended to act as a laxative (maybe Metamucil Fiber Gummies??). Not entirely sure where to go next....
                    Last edited by daveh0; 18 Nov 2022, 5:35 PM.

                    *************************************************************
                    *** c4/c5 incomplete *** Injured in Summer 2003 ***
                    *************************************************************

                    Comment


                      #11
                      I, too am not an expert on movantik. I do know that I tend to go with keep on the program and don’t change anything for a week. Then you change one thing. I would encourage you to speak with a GI doc or nurse.

                      I have Crohn’s disease, so I do have some experience with the problems you are having. and the frustrations you are experiencing.

                      ckf
                      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

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