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#184099 08-07-2014 07:54 AM
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Talim75 Offline OP
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I have been experiencing constipation from my pain medicine. I already eat a balanced diet but have increased my fiber and fluid intake even more, including prune juice. I was wondering if any of you have some favorite recipes that help with this?

Forgive me if this is a repeat question, but the only information I could find was people referencing having problems but didn't find any suggestions for solutions.


Female, Age 38, healthy non-smoker, rarely drank, regularly workout
May 2014 noticed irritation on tongue
6/18 saw doctor
6/25 saw ENT specialist got biopsy
6/30 Dx HPV P16+ ve SCC tongue cancer
7/9 CT scans, no visible spread
8/20 partial glossectomy with radial forearm flap, neck dissection 26 nodes sampled - results T2 N0 with mild dysplasia
4/2015 start to have ear pain
5/2015 recurrence
6/4/2015 surgery 29 nodes samples pN 2c
7/13/2015 7 wks of Chemo & Radiation start

Joined: Oct 2013
Posts: 559
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Try a daily generic brand stool softener. It helped me.

Tony


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

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Coconut water, aloe Vera juice have laxative properties.

If all else fails, use an E bag. If water can move battleships, it will work for a little constipation.

Last edited by PaulB; 08-07-2014 07:29 PM. Reason: Coconut water/aloe Vera juice

10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






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I had two meds during rads: a stool softener (syrup) and Laxsol tablets to speed up the gut. They were prescribed by the doc who gave me the pain meds and worked very well as long as I took them religiously. I don't know if you can get it in the US but before rads and a sore mouth I was advised to take Kiwicrush ... a lovely frozen Kiwifruit juice that works a treat.

Last edited by Alpaca; 08-07-2014 04:52 PM.

1996, ovarian cancer surgery + cisplatin and taxol.
September, 2007, SCC of left lateral tongue. Excision.
October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT.
February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
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Agree with Alpaca. Kiwi crush works well.
For more resistant constipation add Lactulose syrup and Laxsol tablets.
Should this fail try Movicol. That will work.


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
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Posts: 286
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I didn't find any of the natural things or stool softeners did the job. Movicol was the only thing that worked for me. Vile stuff, but it beats being hospitalised. For sure try the kiwijuice etc, but if you go more than a couple of days without a poo, get on top of it right away with Movicol.


Cheers, Dave (OzMojo)
19Feb2014 Diagnosed T2N2bM0 P16+ve SCC Tonsil.
31Mar2014 2 Cisplatin, 70gy over 7 weeks (completed 16May2014)
11August2014 PET/CT clear.
17July2019 5 years NED.
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Adding some levity here. Most all constipation remedies are similar to "draino". Goes in the top to unclog things. Another approach I am familiar with is to call RotoRooter and service the other end of the pipe. Not as nice but can be effective. :-)


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
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Talim75 Offline OP
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Thank you everyone for the advice. I now have multiple options to turn to. All of this is very helpful as I want to make sure I don't run into any major problems with this. And PaulB and donfoo - thanks for the humor! smile


Female, Age 38, healthy non-smoker, rarely drank, regularly workout
May 2014 noticed irritation on tongue
6/18 saw doctor
6/25 saw ENT specialist got biopsy
6/30 Dx HPV P16+ ve SCC tongue cancer
7/9 CT scans, no visible spread
8/20 partial glossectomy with radial forearm flap, neck dissection 26 nodes sampled - results T2 N0 with mild dysplasia
4/2015 start to have ear pain
5/2015 recurrence
6/4/2015 surgery 29 nodes samples pN 2c
7/13/2015 7 wks of Chemo & Radiation start

Joined: Dec 2003
Posts: 2,606
Likes: 2
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When all else fails, a teaspoon of mag citrate before bed trumps everything. smile


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
Joined: Jul 2009
Posts: 1,406
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Don's Roto Rooter is actually a good suggestion. When all else failed my oncology nurse said three magic words: "Buy rubber gloves". Not the most fun I've ever had, but the relief was fantastic.


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
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Talim75 Offline OP
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I actually posted this question because I became faced with having to opt to the Roto Rooter method. If any of you are familiar with the show "Curb Your Enthusiasm" I have a similar phobia to Larry David's character where I hate to use the restroom away from home. I was staying with a friend out of town and found myself in a terrible predicament and no other way out. I survived with a bit of humor, but it was one of those dreadful moments when you realize you are facing one of your greatest fears of a bad bowel movement not at home. Thanks for the honesty as it is nice to know that this is a common problem. You guys are great!


Female, Age 38, healthy non-smoker, rarely drank, regularly workout
May 2014 noticed irritation on tongue
6/18 saw doctor
6/25 saw ENT specialist got biopsy
6/30 Dx HPV P16+ ve SCC tongue cancer
7/9 CT scans, no visible spread
8/20 partial glossectomy with radial forearm flap, neck dissection 26 nodes sampled - results T2 N0 with mild dysplasia
4/2015 start to have ear pain
5/2015 recurrence
6/4/2015 surgery 29 nodes samples pN 2c
7/13/2015 7 wks of Chemo & Radiation start

Joined: Jul 2009
Posts: 1,406
Patient Advocate (1000+ posts)
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Posts: 1,406
We're all in this together, Talim.


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
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