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  • Need help with constipation while a dialysis patient

    Need recommendations for constipation while on dialysis. Are stool softeners safe? Also, need help for hemorrhoids - is Preparation H safe?

  • #2
    Originally posted by MisterWilliams View Post
    Need recommendations for constipation while on dialysis. Are stool softeners safe? Also, need help for hemorrhoids - is Preparation H safe?
    I recommend Miralax for constipation. It should be ok but ask your nephrologist just to verify. It is not harsh on the body and works well.
    ______________________________
    PD - 13 Years
    3 Transplants
    In-Center Hemo - 6 Months
    NxStage - Since April - 06
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    • #3
      MiraLax is great but the generic Polyethylene Glycol is much less expensive. My dr pescribed mine so I dont know if a script is necessary.

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      • #4
        I recommend Senna-S, an over the counter combination stool softener and laxative. When I was taking the phosphorous binder Renvela pre dialysis, I experienced constipation and my nephrologist recommended Senna-S, which taken once a day did the trick.

        Senna-S (Walgreens) over the counter medication is not eligible for coverage in a Flexible Spending Account unless it is prescribed by a physician. This is the same treatment that over the counter pain relievers, cough remedies and the like have experienced since the rules changed at the start of 2012. The Senna-S is reasonably priced at about $20 for 90 tablets.

        Oddly, I requested that my nephrologist prescribe a binder other than Renvela, which is a perferred brand and about $600 for a 90 day supply. He prescribed Calcium Acetate, which is the generic for Phoslo 667 and about 25% of the cost of Renvela. Once I started taking the Calcium Acetate, my constipation vanished and I now tend to a very normal to softer stool, e.g. no further need for Senna-S.

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        • #5
          Hi MisterWilliams
          Senna is an FDA approved laxative however it must be taken with caution as long term use can cause the bowels to stop functioning normally and might cause dependence on laxatives. It can also change the amount or balance of some chemicals in the blood (electrolytes) that can cause heart function disorders, muscle weakness, liver damage, and other harmful effects. Senna should not be used by people with abdominal pain (either diagnosed or undiagnosed), intestinal blockage, Crohn's disease, ulcerative colitis, appendicitis, stomach inflammation, anal prolapse, or hemorrhoids.

          Other people have found increasing their intake of fluids, exercise, and supplementing their diet with high fiber foods helpful. The result is softer stools and less need to force which can have a positive impact on reducing hemorrhoids.
          Nurse and Independent Researcher
          Desire to gather and share as much information as possible and help people
          http://www.peoplelivelonger.com/ckd

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          • #6
            BiologicsCorp : If you need recombinant protein.

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            • #7
              Mr Williams,
              Mirelax, Polypropemene Glycol, are two solutions but there is also Fleet liquid glycerine (not salne) It comes 4 to a package and is about $5.00. This should be used only once a day and usually works within 15 min or less. You can also bu yglyceral suppositories that can take as long as 3 days to work, s. The doctors used to prescripe metaclopramide but should be used for only short periods of time. Some gastro Drs. still prescribe this but if used too frequently or for too long it can cause side effects such as uncontrollable face and lip movement. Be sure to consult your nephrologist for what the or shey would recommend. Hope this helps you solve this annoying problem.
              May the good Lord be at your side. Have a Merry Christmas and a wonderful 2014!
              Hoofpkr

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              • #8
                Mr Williams.hi. I am a caregiver for a 47 y/o type 1 diabetic who has had diabetes since he was 6.as you can imagine the disease wreaks havoc on the entire body,bowels included.what ive found is miralax,like everybody else is saying.UNLESS this is narcotic related.my partner takes Percocet for nerve pain and we deal with chronic constipation a lot.the only thing that we've found that works with narcotic constipation is an injectable called RELISTOR.its a sub-Q shot like insulin.after administering.....WATCH-OUT this stuff works wonders in that it unlocks the bowels all at once.we've been doing PD bout 3 years now and have really found out the hard way about being unconstipated really helps treatment while on the cycler.the only thing with miralax is it might take up to 36 hours to work.

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                • #9
                  I take Docusate Sodium ("Colace"), stool softener, 100mg gel-caps, 2x per day;
                  also, Sennosides ("Senna"), not Senna-S, laxative only, 1 or 2 x per day AS NEEDED.
                  Nephrologist has recommended/approved both, and I have Type 1 Diabetes and High BP.
                  Don't like MiraLax, because of taste and fluid restrictions.
                  I use Preparation H (Vaso-Constrictor) if I get a bleeding hemorroid from straining,
                  and have experienced no ill effects.

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                  • #10
                    Is anyone on a low dose of an anti biotic for blood in the urine because the possibility of cysts (PKD) seeping or causing constant infections because bacteria hides in and around the cysts? I am waiting for the urologist to call the kidney doctor to decide on a medication if the kidney dr. will permit it.

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                    • #11
                      I would suggest not to take any medicine without your nephrologist's advice.
                      Quality Urgent Care San Antonio

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                      • #12
                        I have been told by my family doctor to take Miralax, but I read the package and saw the ONLY warning was Do not take if you have kidney disease. So I took the meds back to the drugstore. I asked the kidney dr. about that. She didn't seem to know the package had this warning. She said they tell patients to use it all the time. So, I wonder, why does the manufacturer have this warning on the label? I have tried to research this on the web and have found a lot of problems patients in general have had with this medication but nothing specific about kidney disease.

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                        • #13
                          You don't mention whether you have to really watch certain numbers (potassium, sodium, phos etc) but I have the same problem and find this really works for me.

                          1/2 Cup Post Bran Flakes Cereal:
                          Protein: 2 gr Sodium: 120 mg Potassium: 110 mg Phosphorous: 105 mg

                          along with

                          1/4 Cup dry sweetened cranberries
                          Protein: 0 gr Sodium: 0 mg Potassium: 12.5 mg Phosphorous 2.5

                          TOTALS FOR THE ABOVE:
                          Protein: 2 gr Sodium: 120 mg Potassium: 122.5 mg Phosphorous: 107.5

                          The combination for the 2 items will give you about 19 addition gr of fiber per day. I mix the 2 together and eat them as is for breakfast or in the evening as a snack. Again it all depends on what you have to watch but maybe it's better than taking something that has a kidney warning on it. Hope this helps.

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                          • #14
                            I am only stage 3 but have slight problem with constipation already but I take extra fiber in the form of gummy fiber chews. It gives 5gr. extra fiber and works for me. And it happens to be tasty so that is a plus.

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                            • #15
                              What cold meds can you take when on dialysis ( hubby in end stage )

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