Constipation Tricks

4 ounces of apple juice mixed with 4 ounces of prune juice warmed up! Gentle and effective and doesn't taste all that bad!!

I mix Lactolose with warm prune juice. It works really fast, but this after I tried water, ambulation, and stool softners.

The patients I am referring to are all on stool softeners, I always suggest prunes/juice, coffee, ect, and I am just looking for more tips - exactly like what you all have provided, Thanks!!!

The Bomb!!!

MOM 30cc

Lactulose 15cc

Cascara 15cc

Mix. Shake. Administer and then stand back.....

Methylnaltrexone bromide (relistor) injection for treatment of opioid-induced constipation,

I have given this medication to post surgical patients with constipation induced by narcotics. I found it to be extremely effective. I was skeptical at first, yet the results were..... Phenomenal. Omg I could not believe the results! Within 20 min. Of giving 12 mg sq, in the upper arm. In fact it was the highlight of the week on our unit. We could not believe the colon could hold that much... The patient did not experience any severe cramping or side effects.... Just relief. When it started it came out fast.

I have patients sit on the bedside commode and give them the shot. Also line the commode with a plastic garbage bag to make disposal easier.

Now for my old remedies from oncology days,

Psyllium powder in juice, daily to keep the bowels moving

Coffee or milk and molasses enemas, 4 parts to 1: warm to tepid temp. Instill and hold as long as you can.

It moves the rock of gibraltar.

Walk 'em, if at all possible. If not, sit them up in a chair. Most uncomplicated postops can get OOB into a chair at least...

And, try not to take away thier morning coffee :)

I work on a burn unit, lots of opioid induced constipation. One of our surgeons does a "brown bomb" which is Lactulose 20g (one carton), Miralax 17g (one pack), and Senna 17.2mg (2 tablets) crushed - all mixed into 8 oz prune juice as warm as the patient can drink. Most don't complain about the taste. Works as you can imagine...BOOM! 

I've seen great results with a "brown cow" laxative recipe: warm prune juice mixed with Milk of Magnesia. It's gentle and effective. You can find the full recipe and more details here - https://www.simplerecipebox.com/brown-cow-laxative-recipe-unleash-the-power-of-nature/.  From my experience, adding a bit of coffee also helps.

Love this thread for all of the cocktail names! Opioids require a stimulant laxative on top of a stool softener. Otherwise it's all mush and no push. We use senna-S in hospice.

Don't fleet enemas work?