How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Bob Your Own Question

Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 4011
Experience:  20 Years in Internal Medicine, Neurology and Sports Medicine
Type Your Medical Question Here...
Dr. Bob is online now
A new question is answered every 9 seconds

I have been told my colon has shut down , I have not has regular

Resolved Question:

I have been told "my colon has shut down", I have not has regular stools for 4 months, cannot have a bowel movement without laxitives, I have had a cat scan, and x-ray, no blockage shown. I have no pain but bowel does not want to work, ant suggestions.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Bob replied 2 years ago.

Doctor-Bob :

how long has this been happening? months or years?

Customer:

this has been going on for about months, I noticed thing were different after my colonoscopy last year, I did have a polup removed,

Customer:

I should have typed in 4 months.

Doctor-Bob :

how long have you needed to use laxatives to have a BM? just since the colonoscopy, or longer?

Customer:

I started to need using laxitives about June of this year.

Doctor-Bob :

before that your stools were normal?

Customer:

no, not since the colonoscopy, they were a little runny, but not constipation.

Doctor-Bob :

are you on any other medications beside bowel meds? did you add any new meds in May or June?

Customer:

I have been on prevastatin for about 3 years, and an asprin, did not ad anything this year.

Customer:

will he be back?

Doctor-Bob :

hi i'm here we got interrupted

Doctor-Bob :

did your docs offer you an explanation as to why your colon "shut down"?

Customer:

no

Doctor-Bob :

when the colon gets lazy or shuts down we call that an "ileus"..does that sound familiar?

Customer:

Have not heard from dr.

Doctor-Bob :

have all your blood test come back normal? thyroid, glucose, etc?

Customer:

yes

Doctor-Bob :

have you ever had abdominal surgery or radiation?

Customer:

Yes, both. Had bladder lift15 years ago, ovaries 25 years ago,appenix 60 years ago, and radiation on the breast 10 years ago.

Doctor-Bob :

wow, you have had your share, haven't you :-). The reason I ask about this is that paralytic ileus is often due to an abnormality in the nerves or muscles of the colon During surgery, nerves can get cut that may not repair themselves. Radiation can also damage nerves.

Doctor-Bob :

Heavy alcohol use and diabets are also common cuases of nerve damage to the bowel. A combination of factors could conspire to create enough damage to slow down or impair the bowel on a chronic basis.

Customer:

but these were all at least 10 years ago

Doctor-Bob :

It is possible that the nervous systems to the bowel (there are actually 2 systems at work) were damaged and that it has taken awhile for the damage to be "unmasked", possibly by the strain of the colonoscopy, though that would be unusual. Either way it seems to have reached a "tipping point" for you sometime in June. Does the problem wax and wane or is it always bad now?

Doctor-Bob :

are you still there? we could discuss suggestions.

Customer:

it is always bad now, non stop problem, if I don't take a laxitive I don't think I will ever go.

Doctor-Bob :

what laxative works the best for you?

Customer:

the one that works the beat is ducolox, but causes pain.

Doctor-Bob :

that makes sense as it is a stimulant of the nerves in the colon. do you use it every day?

Customer:

no just went i haven gone for a week

Doctor-Bob :

once a week is much better than every day as there is much less of a risk of becoming totally dependent on it. haveyou tried metamucil or other fiber laxatives. they provide bulk that helps to stretch the colon wall and "wake up" the nerves supplying the muscles there

Customer:

yes

Doctor-Bob :

i would use a fiber supplement every day (no worry about dependence) and then alternate other laxatives. if you can get on a regular schedule of bowel movements using laxatives (e.g. BM every morning) then sometimes you can train the bowel to empty without the laxatives. have you tried this?

Customer:

yes

Doctor-Bob :

sounds like you have tried a lot of things but to no avail. have you seen a gastroenterologist?

Customer:

yes

Doctor-Bob :

another thing you could try is a medicine called bethanecol. Have you tried this/

Customer:

no

Doctor-Bob :

It is a medicine that stimulates the receptors in the muscles of the colon wall. it stimulates contractions that propulse the food down the tube. it is sometimes used in case of colon shutdown when there is no obstruction (such as in your case). ask your doc or the specialist if they think you would be a good candidate for this approach. it could help you to put away the laxatives for good.


 

Customer:

ok, thank you for your opinion.

Doctor-Bob :

you're welcome. i hope this helps you.

Doctor-Bob :

if you have any follow up questions please let me know. if not, please "accept" my answer so I get credit for my time and expertise. I appreciate it!

Doctor-Bob :

Hello. I have not heard back from you so I wasn't sure if you had any follow up questions. Did I answer all your questions?

Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 4011
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
Dr. Bob and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions