12

votes

How important is the large intestine, really?

Answered on January 17, 2016
Created October 25, 2011 at 6:28 AM

I suffer significantly from slow transit constipation.

Today my surgeon informed me that he would like to totally remove my colon attaching the ileum to the rectum (subtotal colectomy with ileo-rectal anastomosis) and maybe (awaiting the outcome of one more test and responsiveness to physiotherapy) bypass the rectum entirely (stoma).

This is huge. I am only young and up until becoming very sick in June last year an avid sportsman. I wonder how this will change my life?

Researching the surgery I found this:

http://www.actabiomedica.it/data/2003/supp_2_2003/sarli.pdf

This particular surgery would spare the cecum. I know it is only a very small section of the colon, but it is still some right? Is it worth pushing my surgeon for this? From my readings at Evolutionary Psychiatry, Hunt Gather Love, PHD etc. it seems the colon is an enormously important organ and it would be wise to keep as much as I can. The study also links to psychiatric condtions appearing in those patients post-colectomy. Probably a gut flora thing. Worrying.

Also, I wonder how my diet may have to change post-surgery?

Kindest thanks to any response.

Martin.

EDIT:

Thank you everyone for your responses, I'm absolutely blinded by the genuine warmth and help offered and the general spirit of the paleo community. I will try and exhaust all options before agreeing to colectomy. One option that was offered was sacral nerve stimulation. Unfortunately this is not covered by Medicare or my insurer and is quite pricey. (It is covered for faecal incontinence). My surgeon said it was hit or miss anyway. I am very interested in bacteriotherapy however $12-15k is not an option:

http://www.probiotictherapy.com.au/pages/contact.html

I will phone these guys regardless as I am Australian and it may be covered in some capacity but I doubt it. I do not know where else this type of treatment is performed?

More information:

Constipation has been kept under wraps from a young age with high grain fibre. I had an episode of bad constipation at 4 or 5 which led to metamucil. A bowl of weetbix and bran was sufficient daily to move my bowels. If I skipped this breakfast I would know. However it worked fine right up until June last year - I (more or less suddenly) became sick with abdominal pains and was having roughly 8 bowel movements of loose stool a day. Stool samples came back negative for the usual suspects. Colonoscopy came back clear apart from one or two polyps. Endoscopy showed esophagitis, unsymptomatic. GI told me 'eat more fibre (impossible I couldn't be eating enough at this stage) it is just IBS' and provided me with Nexium for the esophagitis.

I ditched fibre after reading gutsense and further research exposed me to to PaNu. I adopted this diet very strictly. 5-10% carb. Continued dairy after trialling no dairy for a while.

A new GI requested Lactulose breath test which came back negative for SIBO. MRI showed only constipation as did X-ray. At this stage I did not know I was constipated. I though I was fine as I was having regular stools, however impacted. I told my GI I had given up grains, he was shocked and requested I start eating them again immediately. I and the GI figured the constipation only arose out of my change in diet. He requested I take laxatives and everything should be fine. 'You're just constipated' This didn't explain the pain I was suffering before I was constipated or when laxatives had an effect. His lack of concern led me to a new GI.

This GI investigated the possibility of hirschsprung's at my request. Biopsies came back negative. This was after a colonic transit study showed 'significant colonic inertia' with 85% retention of 'test meal' after 72 hours, normal being less than 3%.

I moved to a more Perfect Health Diet around Christmas (20% carbs approx) which I continued until very recently. I have followed the protocols of various other paleo figures re: constipation. Nothing has made a shred of difference.

Laxatives lost their punch very quicky. Now I am entirely unresponsive to microlax enemas, movicol (miralax), dulcolax. I am having very limited effect with picoprep which is painful. Home administered water enemas are useless. I have had one colonic which helped but was painful and expensive. Because I cannot defecate, I have quit eating. I am now on water, bone broth, some rice and potatoes (very little), some fruit. Probably 350 cals a day total max. This is why the surgeon probably wants to operate sooner rather than later. I have quit work. Pain is worse some days more than others.

I had thyroid blood test done, which must have come back normal as I haven't heard anything. Multiple blood tests showed only high cholesterol (statins were talked about). Last monday I had an Rectoanal inhibitory reflex which suggested hirschsprung's. This was already ruled out but another biopsy will be taken next week - full thickness looking for short segment. My mother notes that my stool as a baby was always very small hard lumps. Before June last year, boxing and surfing was my life. I think about surfing every day.

Sorry for the info dump. I am grateful and thankful for all the responses so far.

E731b506409254ffaaf26a198b4218c0

on March 22, 2015
at 02:57 AM

I really feel your pain. I'm 36years old, athlete, competitive bodybuilder, mother, and suffered from major constipation. I had the procedure your talking about done just 4 weeks ago. Best thing I ever did. My belly is now nice and flat, i haven't awaken one morning with a belly ache. Recovery has been easy. I didn't use any of the pain medication once home. Don't get me wrong, turning over in bed I was sore, but after 2 weeks it was gone. Standing for long periods I noticed discomfort in my bum, and my energy level was low. But it's major surgery, mine was 6hrs 45mins. My only issue, my butt hurts! I have fissers, which is not a big deal, but the muscles are just not used to going to the restroom. Some foods do go right through, but for the most part I can eat whatever I want. It's getting used to having to use a public restroom now. But I'll take that over the way I felt before. On a side note, for some reason my skin has never looked better! People notice a huge difference in how I look, I did loose 10lbs, which was a added bonus as well. Good luck! Don't be scared! 

77877f762c40637911396daa19b53094

(78467)

on September 07, 2013
at 01:28 AM

Olivia, thats a matter of opinion. I see that nobel prise winner Luc Montagnier doesn't have a problem with "its just a water" attitude. Now its great time to drop "nobel prise winners are just mad" meme. Its simple for me - if it doesn't work, you lose some small amount of money and gain valuable information, if it works you gain your colon. BTW, placebo doesn't explain how homeopathy works on animals. Yeah, I heard for fantasies called "proxy placebo".

D037d734f061de515a0bd49a32e11d3c

(90)

on October 29, 2011
at 04:54 AM

Thank you. Great paper.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 28, 2011
at 05:13 PM

I completely agree with what you say. I should not be expensive to do. That paper is great, it is awesome to see something like that published

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 28, 2011
at 05:12 PM

I agree with what you say. I should not be expensive to do. Great link that paper Lucas, it is awesome to see something like that published.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:23 PM

BTW, let us know if you implemented some of those suggestions and how it worked.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:23 PM

The one cavet is that MSM will start detoxing as it will recycle glutathion. You should use some detoxing regime with it, like vitamin C every 4 hours.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:20 PM

It looks like MSM works via the same principle, by inhibiting acetylcholinesterase, thus, rising AH levels.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:18 PM

It looks like MSM works via the same principle, by inhibiting acetylcholinesterase. Here is some info: http://www.messaggiamo.com/alternative/16707-how-brewers-yeast-and-msm-clear-constipation.html.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 08:05 AM

For L-Tryptophan, which gives 5-HTP, which gives serotonin. See this pic: http://goo.gl/rWkpF, its from http://escapefromdepression.blogspot.com/2010/11/chapter-31-tryptophan-5-htp-serotonin.html

D037d734f061de515a0bd49a32e11d3c

(90)

on October 28, 2011
at 05:12 AM

Also, why cashews?

1da74185531d6d4c7182fb9ee417f97f

(10904)

on October 27, 2011
at 06:17 PM

I think for someone with as extreme case as you, that would be a good idea. I didn't but maybe the results would have been even more spectacular if I had. My first few bms after doing it looked just like my son's so it obviously took.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 27, 2011
at 11:44 AM

What is the issue with eggs?

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 10:47 AM

BTW, the very large dose is why I told some time ago to some folks that they can generally buy any probiotic and take all the tablets at once - it still wouldn't deliver such amount as single VSL#3 package.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 10:44 AM

I think he should probably take prebiotics too, like oligofructose, but... I am afraid that if he has some pathogenic bacteria that it could use it for its own benefit. Antibiotics in bacteriotherapy solve that problem, but it delivers bunch of probiotics unlike other methods. VSL#3 is really something tho.. I have never seen something like it.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 27, 2011
at 10:33 AM

VSL#3 is one of the best and has soil based organisms. Chris at conditioningresearch.com just posted about apparently the benefits of probiotics are from epigenetic controls, turning switches on/off in the gut. On rare occasion, probiotics make bloating worse and this is because excessive bugs are growing in the small intestine and the extra bugs (even good ones) rom the probiotic exacerbate the situation.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 27, 2011
at 10:22 AM

There is a GI/allergist in Churchchrist, NZ near you Marty. He does a lot of what maj discusses. I heard Dr. Rodney Ford speak 2 years ago and he is QUITE FANTASTIC. He does internet/phone consults as well and is very generous with his knowledge and time. http://www.drrodneyford.com/faq/symptoms/78-constipation.html

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 09:35 AM

Kefir is very different from yogurt.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 09:35 AM

I would suggest to find all of those supplements and take them together. VSL#3 is really nice. You have piracetam in Australia, its used mostly as stroke medicine. 5-HTP is supplement, Now foods make it so you probably have that too.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 27, 2011
at 08:44 AM

Thanks for you help. I have ordered VSL3. Before discontinuing dairy (opioid like peptides) I made my own yoghurt from raw grass-fed dairy and drank quite a bit of it. I did notice a bowel movement after the first time consuming it, but never again. I tried starch/fruit free diet for significant period to no avail. Back before I got sick black coffee on empty stomach would stimulate bowels - not now. 5HTP and piracetam may not be easily available in Aust. but will look into it.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 27, 2011
at 08:40 AM

Thank you for the updates... FYI The lactulose breath test is notoriously inaccurate. Do you suffer from bloating? That is SIBO. Sometimes a GI virus can be the exacerbation that leads into full blown SIBO (like the incidence of diarrhea). A lot of celiac individuals will point out that things were OKDOKEY until some bout of giardia hit them. That is REALLY S*CKY you cannot do the things that you love -- boxing and surfing!! Don't give up.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 08:19 AM

@Matthew: yes, I wonder if using antibiotics might be a good idea for this case before starting heavy probiotics... Ashley, you used antibiotics right ?

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 08:08 AM

Post is edited with new info.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 08:08 AM

I edited my post bellow. Check it out.

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on October 27, 2011
at 01:20 AM

I mentioned colored flesh potatoes (e.g., yukon gold or purple potatoes) only to stress that dietary antioxidants may ease constipation. See the link I provided.

Medium avatar

(39821)

on October 26, 2011
at 10:48 PM

I was kind of thinking that this was a troll post at first, but with no follow-up responses, it seems increasingly likely.

E5103bd115084c001999682686069a20

(286)

on October 26, 2011
at 03:03 PM

A very dear friend of mine had this very surgery. Are you at the Mayo Clinic by chance? I'mnot a Dr obviously but my friends experience has been literal Hell for 2 years. She blogs about some of the stuff : MaryFons.com I would fight for your colon if I were you..

77877f762c40637911396daa19b53094

(78467)

on October 26, 2011
at 11:11 AM

Check out this: http://www.bmj.com/content/2/5472/1223.full.pdf

77877f762c40637911396daa19b53094

(78467)

on October 26, 2011
at 11:10 AM

BTW, have you tried ZERO carb diet ? Did you have any viral infection prior to first symptoms. There is evidence that gastroenteritis may lead to sucrose and starch intolerance.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:53 AM

Thanks for your story -- we're more fish than we know, eh?

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:52 AM

We're more fish than we know, eh?

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:51 AM

Plus 1 CaveRat! Plus 1 Quilty -- many things are activated in the GUT... vitamin A for RXR/RAR.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:49 AM

Even kids have low thyroid e.g. ADHD. One does not need to show 'classic' signs like overweight, puffy, infertile. In utero and pediatric effects by the SAD are killing our collective thyroids.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:46 AM

I second these thoughts.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:40 AM

GAPS advocates enemas as AshleyRoz's experience, but will filtered chlorine free water, kefir, probiotics or the like. I do not know the deal with saline but it may possibly kill some of the good flora. Excellent tips Edward. Consider however no dairy, even kefir or yogurt until the constipation is resolved first as it promotes for some reason constipation for a lot of folks apparently. Read Robb Wolf and Matt Lalonde as well - excellent gut resources espmthe paleo autoimmune protocols. Do do digestive enzymes? Read GAPS and other PH threads 'digest enzyme'. Wish u great recovery soon!!

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:34 AM

WILD!!! I love it AshleyRoz.

Fe29f6658ce67c1ecc4a22e960be7498

(2997)

on October 26, 2011
at 12:26 AM

Yes - so if it's a bigger issue than 'just' the colon - impacting the rest of the intestine - then it could well be a T3 problem.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on October 26, 2011
at 12:21 AM

20% of the conversion of T4 to T3 occurs in the gut......small intestine. Little known fact.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:59 PM

@Ashley - Sounds like you're doing a good job :)

1da74185531d6d4c7182fb9ee417f97f

(10904)

on October 25, 2011
at 11:35 PM

I didn't need to look for a donor since I used my own son's. Fortunately my water broke so he got some of my pre-birth flora since we waited about 24 hours to section. I would do it again in a heart beat if I started having issues again.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:15 PM

Just words and semantics I was thinking about...

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:13 PM

Sorry I did not explain that clearly. Fecal transplant = you wipe out the resident flora with antibiotics and flush them out, they are pretty darn persistent creatures. Then you replace them all in one go with that from someone else. I just suggested "Fecal Infusion" as a term for adding a few extra good strains from someone else to an existing gut flora in your gut.

8d454fc50d6d58643d6f8b0d1e7ea8ea

(2830)

on October 25, 2011
at 09:08 PM

No snideness taken... :)

0a0c8c37d3a56738dc017e4ff09f21ee

(480)

on October 25, 2011
at 07:26 PM

+1 to Jay. I had megaconstipation until I started eating more fruit and beans.

345c1755efe005edd162b770dc6fb821

(8767)

on October 25, 2011
at 07:12 PM

Please more info so we can try to provide some real solutions or options, do not remove your intestines until you have exhausted ALL and EVERY possibility and have no other choice. This seems unwarranted especially if you are young, there are so many other ways you go first!!

9d43f6873107e17ca4d1a5055aa7a2ad

on October 25, 2011
at 06:44 PM

I have a series on my blog about the importance of colons http://huntgatherlove.com/node/568

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:42 PM

Yeah I witness the proxy placebo in my cat on a day to day basis.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:41 PM

You can't argue with results no matter how screwy the mechanism.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:41 PM

LOL Edward. Anyway, reasonable people like you can see what was meant with homeopathy suggestion. About horses, its probably "proxy placebo" - the horse owner was believing that it works, so it passed on his horse.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:37 PM

Fecal transplant can maybe explain why some kids and animals go around eating poop. There was recently episode on Animal Planet where they were using some shockers to teach dogy not to eat poop. As always, animals are in touch with nature on much higher level then humans (i.e. xenohormesis and similar).

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:35 PM

As far as homeopathy I'm not convinced either way, but in a dire situation I'd probably try it... I saw a show where a guy used it on horses and he claimed it worked, excluding a Mr. Hands Jr. situation, again sounds like a reasonable thing to try.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:34 PM

Thx for sharing your experience Ashley. Did you have trouble finding donor or hospital provided one ?

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:33 PM

Fecal transplants could be considered transplants as many scientist consider human body symbiotic organism with microbiota having a role of an organ. So replacing your failed organ is transplant. BTW, babies are NOT full of bifos for few months after birth. Thats why they get vitamin K injection on delivery. That settles later.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:30 PM

Boooo majkinetor boooooo haha just kidding. I'm not a vitamin guy, but I can certainly see the value of doing something like this in addition to eating a more easily absorbed diet. You have to give the pills a fighting chance to work.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:29 PM

And lets be clear about this - I don't practice or know much about homeopathy. I just find reasons of people not believing in it stupid and I know common sense has nothing to do with anything. There are numerous examples when entire world turned out to be wrong - from Earth is center of galaxy to cold fusion. As Quilt said, considering homeopathy before removing colon is not debatable really.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:27 PM

And lets be clear about this - I don't practice or know much about homeopathy. I just find reasons for people not believing in it stupid. There are numerous examples when entire world turned out to be wrong - from Earth is center of galaxy to cold fusion.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:26 PM

That's not a snide remark Jessica, your right I should have clarified my intentions.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:25 PM

Olivia, thats a matter of opinion. I see that nobel prise winner Luc Montagnier doesn't have a problem with "its just a water" attitude. Now its great time to drop "nobel prise winners are just mad" meme. Its simple for me - if it doesn't work, you lose some small amount of money and gain valuable information, if it works you gain your colon. BTW, placebo doesn't explain how homeopathy works on animals. Yeah, I heard for fantasy called "proxy placebo". The other thing is, if it can bring PLACEBO up without poisoning you, its THE BEST MEDICINE, PERIOD.

7d0c3ea9bf8be00b93e6433d8f125ac3

(7540)

on October 25, 2011
at 05:27 PM

homeopathy is WATER. It has no therapeutic effect whatsoever beyond maybe placebo (which can occur even in people who are sceptical). Water does not have "memory". The entire concept is ludicrous and not analogous to relativity in any way.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on October 25, 2011
at 05:05 PM

When facing a conventional colon removal i dont think considering homeoopathy before getting your gut cut is that risky. I still think seeing a GI doc who is up to snuff on the latest is better. Fecal transplants have been in their literature quite frequently lately

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 03:47 PM

Fecal transplants are well cool. But then I am well weird.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:56 PM

Well - seems like she just needed the infusion. Cool that it worked. And also cool that she probably didn't tell the infant about it. Also, maybe you did and that's cool too ;-)

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:54 PM

Just to clarify - I think the OP said constipation replaced diarrhea...So, he is had diarrhea at first, but now is dealing with the other issue...

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:52 PM

I agree with this and also on exhausting all of your alternative options. I am seeing a doctor in December who has done an impressive number of successful transplants. He also happent o be an expert in colonic ischemia, UC, and other similar issues.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on October 25, 2011
at 02:37 PM

Absolutely....you were not born with an excessive amount of organs that needs to be surgically corrected.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 02:36 PM

Not technically a transplant as you will not have replaced your existing flora. Breast fed babies are full of bifidobacteria which I'm sure make a very strong probiotic to get what you've got working together again. You could call it a Fecal Infusion :) although I'm not sure it sounds any better...

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 02:30 PM

You'll have work a lot harder than that to look like a nut job around here :)

667f6c030b0245d71d8ef50c72b097dc

(15976)

on October 25, 2011
at 02:20 PM

Jay, what do you mean by colored flesh potatoes? Different from somethin glike yukon gold? Just curious as to how that difference would be relevant to the colon. thanks

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on October 25, 2011
at 02:09 PM

Let me add, that I would not consent to having one of your organs removed until you have exhausted all other options (including any dietary dogmatism; meaning experiment until you find something that works) and the pain is impossible to deal with. Organs generally should not be removed.

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on October 25, 2011
at 02:07 PM

What is "strict paleo." If you mean very low carb, please note that low carb diets are often constipating. Add safe starches, like colored flesh potatoes, wild rice, black rice, etc. Eat plenty of fruits. Avoid protein powder. Read http://perfecthealthdiet.com/?cat=121 for other ideas.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 01:22 PM

Yeah I know I have the book. GAPS was a suggestion. What followed is a separate suggestion.

8d454fc50d6d58643d6f8b0d1e7ea8ea

(2830)

on October 25, 2011
at 01:06 PM

These are great suggestions but potatoes are anti-GAPS. See http://gapsdiet.com/The_Diet.html

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:22 PM

He cured coccyxdenia btw, single use of homeopathic remedy diminished decade long suffering forever with Hypericum Perforatum if I remember right.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:21 PM

He cured coccyxdenia btw, single use of homeopathic remedy diminished decade long suffering forever.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:19 PM

I don't use homeopathy myself, but I know at least one very sceptic guy [rules out placebo] who was 100% healed only by homeopathy where ortodox medicine was helpless for decade. 'Common sense' in science doesn't exist. Homeopathy is not more weird then relativity which drives your cell phone today. Given its totally nontoxic (pure water, remember?), I don't see why not !

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:18 PM

I don't use homeopathy myself, but I know at least one guy who was 100% healed only by homeopathy where ortodox medicine was helpless for decade. 'Common sense' in science doesn't exist. Homeopathy is not more weird then relativity which drives your cell phone today.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on October 25, 2011
at 12:16 PM

Keep your colon and start embracing an outside the outside the box approach. It will be the only way for you to keep your organ. I think looking into fecal transplants is a decent start. Art over at cooling inflammation has interesting introductory articles on it

4ec0fe4b4aab327f7efa2dfb06b032ff

(5145)

on October 25, 2011
at 12:11 PM

This guy should do everything within reason to save his intestine. That kind of rules out homeopathy.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:51 AM

Also you're going to want to stop high intensity sports and take up walking till you're healed.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:47 AM

That is okay, it's a good sign.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:46 AM

You're going to want to create an environment in your intestines where most of the food you eat is absorbed. You want to increase mucus production so that your lining of your intestines has an environment to regenerate. You create this environment by eating more easily absorbed carbohydrate. As I've said if your gallbladder is not functioning 100% your also going to want to limit how much you get each day so that you don't cause extra stress. When you eat more carbohydrate the first thing you may notice when you poop is a kind of slimy coating when you wipe.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:43 AM

Vitamin deficiency info: http://www.springerlink.com/content/16t50hw46un43t16/ http://www.ajcn.org/content/41/3/639.short http://www.nature.com/ajg/journal/v96/n11/abs/ajg2001777a.html

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:41 AM

If you can find refined coconut oil that would also be something to eat maybe a tablespoon or two a day. If your gallbladder is not functioning 100% than you'll want to eat less fats and more easily digestible carbohydrates. Also for fluid if you can make lemonade that would also be useful.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:40 AM

Vitamin K: http://www.ajcn.org/content/41/3/639.short

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:39 AM

And btw advise was about vitamin B and K. Bifidobacteria and friends make those two, and they live in colon.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:38 AM

Vitamin D3 helps rats with colitis: http://endo.endojournals.org/content/151/6/2423.short

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:37 AM

A very basic broth you can put carrots and celery in there, but you may want to avoid onion. I would mostly just eat the broth part with the fats and gelatin you will also want salt in there.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:35 AM

If you like dairy, then soft cheeses and milk are good things. Milk mixed with honey is also a good option. If you like fruit those are also good things to eat, mainly very ripe fruits. I would suggest orange juice with no pulp as one example but don't eat berries with seeds in them. Also well cooked potatoes for example mashed potatoes or baked potatoes with butter and salt. In your situation I would probably favor mashed potatoes over baked potatoes. You're also going to want to prepare some type of broth soup prepared with bones. You'll want to eat meat but not everyday and not a lot.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:35 AM

And ignore freaks that spam minuses just because homeopathy was mentioned.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:34 AM

BTW, marijuana may help a lot, http://www.ncbi.nlm.nih.gov/pubmed/20117132. I am not sure if smoking or eating tho... Eating will have prolonged effects for sure.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:32 AM

BTW, marijuana may help a lot with inflamation: http://www.ncbi.nlm.nih.gov/pubmed/20117132

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:31 AM

Vitamin C has potential to clean some nasty pathogens like helicobacter. You have inflammation so its good idea to support immune system. Have you checked for stool blood ? Stool bacteriaogram ?

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:29 AM

No, since you provided more info now this is not relevant any more. You said you have constipation but now you are more like diarrhea. Vitamin C flush causes diarrhea. Now, use some normal vitamin C protocol, I would suggest sodium ascorbate so its not hard on your intestines - mix 1 tsp C and 1/2 tsp sodium bicarbonate (~7g Sodium Ascorbate). You will probably have to reduce the dose for the start (i.e. half of that 3 times per day). That may help. Other then that, you should probably go lot of Kefir and some digestive stuff prior to eating, some of those bittery plants like gentian.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:27 AM

In my opinion your going to want to eliminate all grains and most vegetables and your going to want to avoid eating meat everyday. Those foods take longer to digest and the "bulk" they have will continue to clog you up. You're going to want foods that can absorb without taking a lot of time to digest, these foods are going to be foods with little or no fiber, in my opinion the fiber is like sandpaper.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:09 AM

Hi Marty, what kinds of foods do you eat presently?

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:57 AM

Which foods would you list as easily digestible? Thanks.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:56 AM

Will try Vit C flush as this is something yet untried. Megadosing Magnesium proved useless. Thank you for advice re: vitamin d and k.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 10:56 AM

Have you tried megaprobiotics ? Fiber looks detrimental on the long run. Notorious fecal transplant may be an option - results reported seem to be striking. Perhaps reading Fiber Menace may provide additional ideas. One thing is certain - regular medicine didn't help you, it looks like medications used made it worse.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 10:55 AM

Have you tried megaprobiotics ? Fiber looks detrimental on the long run. Notorious fecal transplant may be an option - results reported seem to be striking. Perhaps reading Fiber Menace may provide additional ideas. One thing is certain - regular medicine didn't help you, it fucked you up.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:45 AM

I am now resistant to Movicol, Microlax etc. Even when they had some effect, pain remained. Also, rectum lacks sensitivity which may be restored with physio. May have hypoganglionosis, but this is my own theory.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:45 AM

I am 28. I first became constipated as a child but was able to manage rather easily with a high (grain) fibre diet (weetbix and bran every day, slightly paiful stool) until becoming sick last year with serious abdominal pain and diarrhea. I adopted a strict paleo diet. Constipation replaced diarrhea, the pain remained. I have seen many Dr.'s and GI's and had many investigations. There is some redundant transverse colon and I suffer colonic inertia. I have tried all the specific prescriptions from the major players: PHD, Kresser & Wolfe et al.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 07:42 AM

Marty, if you don't mind adding a bit more detail. How old are you? How long has the constipation been going on for? In what way did you become sick last June? How many alternative options have you tried so far? You have my sympathies for being in such a position.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 07:24 AM

BTW, I think its very important. Removing part of large intestines is probably similar in many ways to removing substantial amount of microbiota with antibiotics. There is possibility for vitamin K deficiency so if you do it make sure you supplement it.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 07:22 AM

I would try alternative medicine before - orthomolecular and homeopathy. Those are untoxic and safe, and if those do not help, at least they wont harm you.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 07:21 AM

See some comments here: http://www.medhelp.org/posts/Gastroenterology/Large-Intestine-Removal/show/316355

93f44e8673d3ea2294cce085ebc96e13

(10502)

on October 25, 2011
at 07:17 AM

Marty, this is going to be of little comfort to you --- but surgeons know one thing: how to cut. "When all you got is a hammer, all you see are nails."

47a42b6be94caf700fce9509e38bb6a4

(9647)

on October 25, 2011
at 07:03 AM

This seems reasonable to me. I think that the OP should proceed under the *assumption* that removing a colon is messing with the work of nature and not do it unless there is convincing evidence to the contrary. Isn't the constipation a problem that could be solved by other means? I would try altering the diet first.

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19 Answers

20
B3e7d1ab5aeb329fe24cca1de1a0b09c

(5242)

on October 25, 2011
at 06:52 AM

This is beyond the scope of my knowledge, however I have a couple of cousins who have had their colon's removed due to ulcerative colitis and it really hasn't improved their quality of life due to continued complications.

Anecdotally from blogs and podcasts within the paleoshpere I have heard of people facing a colectomy correct their conditions via diet.

Having your colon removed should be an absolutely last resort, save your life, measure.

I highly recommend that you not only sort a second opinion on your condition but track down a paleo friendly doc and functional medical practitioner to work with to resolve your condition without resorting to irreversible surgery.

You could perhaps try the Paleo Physicians Network as a place to start looking.

Best of luck.

47a42b6be94caf700fce9509e38bb6a4

(9647)

on October 25, 2011
at 07:03 AM

This seems reasonable to me. I think that the OP should proceed under the *assumption* that removing a colon is messing with the work of nature and not do it unless there is convincing evidence to the contrary. Isn't the constipation a problem that could be solved by other means? I would try altering the diet first.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on October 25, 2011
at 02:37 PM

Absolutely....you were not born with an excessive amount of organs that needs to be surgically corrected.

18
B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 09:04 AM

Try GAPS. You don't want to remove your intestines it's a life long sentence guaranteed to make you miserable, increase stress, and shorten your lifespan.

If you want to heal your large intestine than your going to have to commit to eating very easily digestible foods for at least several months.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:09 AM

Hi Marty, what kinds of foods do you eat presently?

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:41 AM

If you can find refined coconut oil that would also be something to eat maybe a tablespoon or two a day. If your gallbladder is not functioning 100% than you'll want to eat less fats and more easily digestible carbohydrates. Also for fluid if you can make lemonade that would also be useful.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:40 AM

GAPS advocates enemas as AshleyRoz's experience, but will filtered chlorine free water, kefir, probiotics or the like. I do not know the deal with saline but it may possibly kill some of the good flora. Excellent tips Edward. Consider however no dairy, even kefir or yogurt until the constipation is resolved first as it promotes for some reason constipation for a lot of folks apparently. Read Robb Wolf and Matt Lalonde as well - excellent gut resources espmthe paleo autoimmune protocols. Do do digestive enzymes? Read GAPS and other PH threads 'digest enzyme'. Wish u great recovery soon!!

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:57 AM

Which foods would you list as easily digestible? Thanks.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:46 AM

You're going to want to create an environment in your intestines where most of the food you eat is absorbed. You want to increase mucus production so that your lining of your intestines has an environment to regenerate. You create this environment by eating more easily absorbed carbohydrate. As I've said if your gallbladder is not functioning 100% your also going to want to limit how much you get each day so that you don't cause extra stress. When you eat more carbohydrate the first thing you may notice when you poop is a kind of slimy coating when you wipe.

8d454fc50d6d58643d6f8b0d1e7ea8ea

(2830)

on October 25, 2011
at 01:06 PM

These are great suggestions but potatoes are anti-GAPS. See http://gapsdiet.com/The_Diet.html

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 01:22 PM

Yeah I know I have the book. GAPS was a suggestion. What followed is a separate suggestion.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:27 AM

In my opinion your going to want to eliminate all grains and most vegetables and your going to want to avoid eating meat everyday. Those foods take longer to digest and the "bulk" they have will continue to clog you up. You're going to want foods that can absorb without taking a lot of time to digest, these foods are going to be foods with little or no fiber, in my opinion the fiber is like sandpaper.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:51 AM

Also you're going to want to stop high intensity sports and take up walking till you're healed.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:37 AM

A very basic broth you can put carrots and celery in there, but you may want to avoid onion. I would mostly just eat the broth part with the fats and gelatin you will also want salt in there.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:35 AM

If you like dairy, then soft cheeses and milk are good things. Milk mixed with honey is also a good option. If you like fruit those are also good things to eat, mainly very ripe fruits. I would suggest orange juice with no pulp as one example but don't eat berries with seeds in them. Also well cooked potatoes for example mashed potatoes or baked potatoes with butter and salt. In your situation I would probably favor mashed potatoes over baked potatoes. You're also going to want to prepare some type of broth soup prepared with bones. You'll want to eat meat but not everyday and not a lot.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 11:47 AM

That is okay, it's a good sign.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:26 PM

That's not a snide remark Jessica, your right I should have clarified my intentions.

8d454fc50d6d58643d6f8b0d1e7ea8ea

(2830)

on October 25, 2011
at 09:08 PM

No snideness taken... :)

11
1da74185531d6d4c7182fb9ee417f97f

on October 25, 2011
at 02:16 PM

I'm going to look like a nut job but about 3 months ago I used a fecal transplant and it cured 7 months of post-partum (heavy antibiotics from a failed induction and cesarean) constipation. Nothing else helped. I used my 100% breastfed infant's stools with the saline water from a fleet bottle and held it in for 6 hours. I just did it twice and since then any hint of constipation is easily managed with a little magnesium and/or coconut oil. It was amazing. Also I was drinking home made broth 2=3 times a day with meals and taking a good probiotic, but the real change was the transplant.

Perhaps you haven't exhausted every option you have yet.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:34 PM

Thx for sharing your experience Ashley. Did you have trouble finding donor or hospital provided one ?

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:33 PM

Fecal transplants could be considered transplants as many scientist consider human body symbiotic organism with microbiota having a role of an organ. So replacing your failed organ is transplant. BTW, babies are NOT full of bifos for few months after birth. Thats why they get vitamin K injection on delivery. That settles later.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:56 PM

Well - seems like she just needed the infusion. Cool that it worked. And also cool that she probably didn't tell the infant about it. Also, maybe you did and that's cool too ;-)

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 03:47 PM

Fecal transplants are well cool. But then I am well weird.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:13 PM

Sorry I did not explain that clearly. Fecal transplant = you wipe out the resident flora with antibiotics and flush them out, they are pretty darn persistent creatures. Then you replace them all in one go with that from someone else. I just suggested "Fecal Infusion" as a term for adding a few extra good strains from someone else to an existing gut flora in your gut.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:59 PM

@Ashley - Sounds like you're doing a good job :)

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 02:36 PM

Not technically a transplant as you will not have replaced your existing flora. Breast fed babies are full of bifidobacteria which I'm sure make a very strong probiotic to get what you've got working together again. You could call it a Fecal Infusion :) although I'm not sure it sounds any better...

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:15 PM

Just words and semantics I was thinking about...

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:34 AM

WILD!!! I love it AshleyRoz.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:37 PM

Fecal transplant can maybe explain why some kids and animals go around eating poop. There was recently episode on Animal Planet where they were using some shockers to teach dogy not to eat poop. As always, animals are in touch with nature on much higher level then humans (i.e. xenohormesis and similar).

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 02:30 PM

You'll have work a lot harder than that to look like a nut job around here :)

1da74185531d6d4c7182fb9ee417f97f

(10904)

on October 25, 2011
at 11:35 PM

I didn't need to look for a donor since I used my own son's. Fortunately my water broke so he got some of my pre-birth flora since we waited about 24 hours to section. I would do it again in a heart beat if I started having issues again.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 08:19 AM

@Matthew: yes, I wonder if using antibiotics might be a good idea for this case before starting heavy probiotics... Ashley, you used antibiotics right ?

1da74185531d6d4c7182fb9ee417f97f

(10904)

on October 27, 2011
at 06:17 PM

I think for someone with as extreme case as you, that would be a good idea. I didn't but maybe the results would have been even more spectacular if I had. My first few bms after doing it looked just like my son's so it obviously took.

7
0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 25, 2011
at 11:45 AM

I feel for you, especially so young - I am the same age. I think this is really a question of the least worst option. I guessed from you question that there would be a history behind this, surgery is usually a last ditch option.

Your colon is important for a range of normal functions.

However colonic inertia and really chronic constipation can be very serious. If it turns out in the end that surgery is the only option that can solve the problem then it may be better than doing nothing. I would treat it as the very last option, major abdominal surgery is big undertaking. I don't know how a post surgery diet would need to change.

If the muscles in your colon are not working, if you suspect hypoganglionosis, then most of the normal cures will probably have little effect as they still rely on your colonic muscles pushing the stuff out.

One idea though:

Fecal Transplant (also called Bacteriotherapy) is something I would think about trying before surgery if you can stomach the idea. It's not like you have anything to lose.

Bacteriotherapy using fecal flora: toying with human motions. Also on pubmed.

There is one mention in that paper of a case report of resolving chronic constipation. It usually involves cleaning out everything in you colon and replacing all the gut bacteria with new ones from a healthy donor. Usually under the supervision of a gastroenterologist, if you can find a helpful one. It is growing in interest for serious colonic infections and I noticed that you said that it began when you became sick with serious abdominal pain and diarrhea.

This blog Cooling Inflammation has a number of posts on the subject.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:52 PM

I agree with this and also on exhausting all of your alternative options. I am seeing a doctor in December who has done an impressive number of successful transplants. He also happent o be an expert in colonic ischemia, UC, and other similar issues.

7
77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 07:42 AM

See some comments here: http://www.medhelp.org/posts/Gastroenterology/Large-Intestine-Removal/show/316355

I would try alternative medicine before - orthomolecular and homeopathy. Those are untoxic and safe, and if those do not help, at least they wont harm you. If you didn't try it yet, go full paleo diet, withoug grains, gluten and other notorious intestinal chemicals.

I think its very important. Removing part of large intestines is probably similar in many ways to removing substantial amount of microbiota with antibiotics with obvious difference that fungal proliferation will not happen. There is big possibility for vitamin K and B deficiency so if you do it make sure you supplement it.

THere is possible post operative complication you should be aware of: Anastomotic Leak. This means that choice of surgeon is very important. Poor wound healing and infection are other cause and if you do it, make sure you start vitamin C megadose ASAP [talking about it, you may find vitamin C flush helpful].

== EDIT ==

Since no laxatives work for you, I think you should try vitamin C flush. After few tries you will learn about correct amount of C so that you don't finish with severe bathroom runs. Not eating is not going to help you. So lets see, finally, what do we have after everybody answered and you extended the info:

  1. Probiotics. Since transplant is expensive and fiber didn't help I would go for some ultra quality ones and pop them like crazy. Watch for number of strains and number of bacteria in capsule. The more the better. I would suggest you to use huge number of them per day. Kefir, yogurt or other fermented stuff should help. If you could make your own kefir that is probably the best as kefir contains massive amount of fungal and bacterial probiotic cultures.

  2. Supplementation:

    • Vitamin C - Flush to try to solve constipation issue. The only adverse effect will be flatulence. I think this is the safest laxative out there but determing dose is dynamic process - it could take from 10 to 100g of powder per day to get it depending on stress level.
    • Multivitamin - you should supplement your diet since you avoid eating. See supplementation threads on the forum. You need strong one, for body builders for instance, not regular low dose ment for young healthy people. See my other post.
    • Vitamin B5 - Improves peristalsis. It has role in the production of intestinal acetylcholine. 100 - 2,000 mg per day.
    • Vitamin B1 - It is involved in improvement of the muscle tone of the intestines. Constipation is one of the symptoms of vitamin B1 deficiency - 100 - 500mg per day.
    • Magnesium - Impaired contraction of smooth muscles can create constipation. Lack of magnesium may create constipation because it regulates and keeps the bowels alkaline and prevents gas from forming in the alimentary tract. Milk of magnesia or epsom salt could also be used to cause diarrhea.
    • MSM - It is known to improve chronic constipation. Take 1000mg twice per day.
    • Piracetam - peristalsis by smooth muscle in the gut is controlled by the parasympathetic nervous system, which uses muscarinic acetylcholine receptors to activate it. Piracetam is muscarnic agonist so you should start taking it, from 4-10g per day with lots of Choline [Soy lechitin, shiitake, egg yolks]. There is no actual research about it, some people even get constipation on it, but it makes sense and you should probably try it. In the clinical setting, constipation following muscarinic antagonist therapy is often reported as one of the classic muscarinic adverse events. Also, choline alone is known to improve constipation so if you decide not to use Piracetam, at least use choline.
    • 5-HTP - Serotonin deficiency causes constipation. 5-HTP is better then tryptophan, whose conversion to serotonin in the gut is limited by feedback control mechanisms. The most common side effect from 5-HTP is gastrointestinal motility. This effect exists with Prozac also. Eat cashews. 15-50 mg should be a good dose.
  3. Drinks: Caffeine, green/black/white tea, water and rakia all help constipation. Drink lots of water, especially if you do vitamin C megadose.

  4. You may be suffering from carbohydrate malabsorption (starch, sucrose etc..). If you didn't try it yet, test this possibility by removing fruits and starches and eating hi fat, moderate protein diet with vegetables and nuts as only source of carbs.

All those interventions shouldn't be expensive and supplements are non toxic and safe. Just be aware that you will be using therapeutical doses of some of them, information regarding healthy human supplementation is of no relevance to you. You cold get all of it for around $100 - $200 for several months.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:43 AM

Vitamin deficiency info: http://www.springerlink.com/content/16t50hw46un43t16/ http://www.ajcn.org/content/41/3/639.short http://www.nature.com/ajg/journal/v96/n11/abs/ajg2001777a.html

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:29 AM

No, since you provided more info now this is not relevant any more. You said you have constipation but now you are more like diarrhea. Vitamin C flush causes diarrhea. Now, use some normal vitamin C protocol, I would suggest sodium ascorbate so its not hard on your intestines - mix 1 tsp C and 1/2 tsp sodium bicarbonate (~7g Sodium Ascorbate). You will probably have to reduce the dose for the start (i.e. half of that 3 times per day). That may help. Other then that, you should probably go lot of Kefir and some digestive stuff prior to eating, some of those bittery plants like gentian.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:32 AM

BTW, marijuana may help a lot with inflamation: http://www.ncbi.nlm.nih.gov/pubmed/20117132

4ec0fe4b4aab327f7efa2dfb06b032ff

(5145)

on October 25, 2011
at 12:11 PM

This guy should do everything within reason to save his intestine. That kind of rules out homeopathy.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:41 PM

LOL Edward. Anyway, reasonable people like you can see what was meant with homeopathy suggestion. About horses, its probably "proxy placebo" - the horse owner was believing that it works, so it passed on his horse.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:31 AM

Vitamin C has potential to clean some nasty pathogens like helicobacter. You have inflammation so its good idea to support immune system. Have you checked for stool blood ? Stool bacteriaogram ?

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:18 PM

I don't use homeopathy myself, but I know at least one guy who was 100% healed only by homeopathy where ortodox medicine was helpless for decade. 'Common sense' in science doesn't exist. Homeopathy is not more weird then relativity which drives your cell phone today.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 25, 2011
at 10:56 AM

Will try Vit C flush as this is something yet untried. Megadosing Magnesium proved useless. Thank you for advice re: vitamin d and k.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:38 AM

Vitamin D3 helps rats with colitis: http://endo.endojournals.org/content/151/6/2423.short

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:22 PM

He cured coccyxdenia btw, single use of homeopathic remedy diminished decade long suffering forever with Hypericum Perforatum if I remember right.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:35 AM

And ignore freaks that spam minuses just because homeopathy was mentioned.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:42 PM

Yeah I witness the proxy placebo in my cat on a day to day basis.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:34 AM

BTW, marijuana may help a lot, http://www.ncbi.nlm.nih.gov/pubmed/20117132. I am not sure if smoking or eating tho... Eating will have prolonged effects for sure.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:19 PM

I don't use homeopathy myself, but I know at least one very sceptic guy [rules out placebo] who was 100% healed only by homeopathy where ortodox medicine was helpless for decade. 'Common sense' in science doesn't exist. Homeopathy is not more weird then relativity which drives your cell phone today. Given its totally nontoxic (pure water, remember?), I don't see why not !

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 12:21 PM

He cured coccyxdenia btw, single use of homeopathic remedy diminished decade long suffering forever.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on October 25, 2011
at 02:54 PM

Just to clarify - I think the OP said constipation replaced diarrhea...So, he is had diarrhea at first, but now is dealing with the other issue...

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on October 25, 2011
at 05:05 PM

When facing a conventional colon removal i dont think considering homeoopathy before getting your gut cut is that risky. I still think seeing a GI doc who is up to snuff on the latest is better. Fecal transplants have been in their literature quite frequently lately

7d0c3ea9bf8be00b93e6433d8f125ac3

(7540)

on October 25, 2011
at 05:27 PM

homeopathy is WATER. It has no therapeutic effect whatsoever beyond maybe placebo (which can occur even in people who are sceptical). Water does not have "memory". The entire concept is ludicrous and not analogous to relativity in any way.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:29 PM

And lets be clear about this - I don't practice or know much about homeopathy. I just find reasons of people not believing in it stupid and I know common sense has nothing to do with anything. There are numerous examples when entire world turned out to be wrong - from Earth is center of galaxy to cold fusion. As Quilt said, considering homeopathy before removing colon is not debatable really.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:40 AM

Vitamin K: http://www.ajcn.org/content/41/3/639.short

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 11:39 AM

And btw advise was about vitamin B and K. Bifidobacteria and friends make those two, and they live in colon.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:30 PM

Boooo majkinetor boooooo haha just kidding. I'm not a vitamin guy, but I can certainly see the value of doing something like this in addition to eating a more easily absorbed diet. You have to give the pills a fighting chance to work.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:27 PM

And lets be clear about this - I don't practice or know much about homeopathy. I just find reasons for people not believing in it stupid. There are numerous examples when entire world turned out to be wrong - from Earth is center of galaxy to cold fusion.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:35 PM

As far as homeopathy I'm not convinced either way, but in a dire situation I'd probably try it... I saw a show where a guy used it on horses and he claimed it worked, excluding a Mr. Hands Jr. situation, again sounds like a reasonable thing to try.

77877f762c40637911396daa19b53094

(78467)

on October 25, 2011
at 06:25 PM

Olivia, thats a matter of opinion. I see that nobel prise winner Luc Montagnier doesn't have a problem with "its just a water" attitude. Now its great time to drop "nobel prise winners are just mad" meme. Its simple for me - if it doesn't work, you lose some small amount of money and gain valuable information, if it works you gain your colon. BTW, placebo doesn't explain how homeopathy works on animals. Yeah, I heard for fantasy called "proxy placebo". The other thing is, if it can bring PLACEBO up without poisoning you, its THE BEST MEDICINE, PERIOD.

B9cc28905ec54389c47cde031d709703

on October 25, 2011
at 06:41 PM

You can't argue with results no matter how screwy the mechanism.

77877f762c40637911396daa19b53094

(78467)

on September 07, 2013
at 01:28 AM

Olivia, thats a matter of opinion. I see that nobel prise winner Luc Montagnier doesn't have a problem with "its just a water" attitude. Now its great time to drop "nobel prise winners are just mad" meme. Its simple for me - if it doesn't work, you lose some small amount of money and gain valuable information, if it works you gain your colon. BTW, placebo doesn't explain how homeopathy works on animals. Yeah, I heard for fantasies called "proxy placebo".

3864f9a2af09b1b447c7963058650a34

(3703)

on October 27, 2011
at 10:33 AM

VSL#3 is one of the best and has soil based organisms. Chris at conditioningresearch.com just posted about apparently the benefits of probiotics are from epigenetic controls, turning switches on/off in the gut. On rare occasion, probiotics make bloating worse and this is because excessive bugs are growing in the small intestine and the extra bugs (even good ones) rom the probiotic exacerbate the situation.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 08:08 AM

Post is edited with new info.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 10:44 AM

I think he should probably take prebiotics too, like oligofructose, but... I am afraid that if he has some pathogenic bacteria that it could use it for its own benefit. Antibiotics in bacteriotherapy solve that problem, but it delivers bunch of probiotics unlike other methods. VSL#3 is really something tho.. I have never seen something like it.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 09:35 AM

Kefir is very different from yogurt.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:20 PM

It looks like MSM works via the same principle, by inhibiting acetylcholinesterase, thus, rising AH levels.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 09:35 AM

I would suggest to find all of those supplements and take them together. VSL#3 is really nice. You have piracetam in Australia, its used mostly as stroke medicine. 5-HTP is supplement, Now foods make it so you probably have that too.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 28, 2011
at 05:12 AM

Also, why cashews?

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:23 PM

The one cavet is that MSM will start detoxing as it will recycle glutathion. You should use some detoxing regime with it, like vitamin C every 4 hours.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 08:05 AM

For L-Tryptophan, which gives 5-HTP, which gives serotonin. See this pic: http://goo.gl/rWkpF, its from http://escapefromdepression.blogspot.com/2010/11/chapter-31-tryptophan-5-htp-serotonin.html

D037d734f061de515a0bd49a32e11d3c

(90)

on October 27, 2011
at 08:44 AM

Thanks for you help. I have ordered VSL3. Before discontinuing dairy (opioid like peptides) I made my own yoghurt from raw grass-fed dairy and drank quite a bit of it. I did notice a bowel movement after the first time consuming it, but never again. I tried starch/fruit free diet for significant period to no avail. Back before I got sick black coffee on empty stomach would stimulate bowels - not now. 5HTP and piracetam may not be easily available in Aust. but will look into it.

77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 10:47 AM

BTW, the very large dose is why I told some time ago to some folks that they can generally buy any probiotic and take all the tablets at once - it still wouldn't deliver such amount as single VSL#3 package.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 27, 2011
at 10:22 AM

There is a GI/allergist in Churchchrist, NZ near you Marty. He does a lot of what maj discusses. I heard Dr. Rodney Ford speak 2 years ago and he is QUITE FANTASTIC. He does internet/phone consults as well and is very generous with his knowledge and time. http://www.drrodneyford.com/faq/symptoms/78-constipation.html

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:23 PM

BTW, let us know if you implemented some of those suggestions and how it worked.

77877f762c40637911396daa19b53094

(78467)

on October 28, 2011
at 12:18 PM

It looks like MSM works via the same principle, by inhibiting acetylcholinesterase. Here is some info: http://www.messaggiamo.com/alternative/16707-how-brewers-yeast-and-msm-clear-constipation.html.

5
Medium avatar

on October 25, 2011
at 06:06 PM

Sounds like an insane way to approach constipation. What do you actually eat in a day? What have you tried to remove? You avoid eggs, right? There is plenty of potential for constipation under the vast umbrella of "paleo." Have you tried a high fruit, high starch diet? I can't imagine a diet that consists of plenty of berries, sweet potato, white potato and rice resulting in constipation. Throw in a bit of meat and organs here and there and it's a perfectly healthy diet.

There simply has to be another option.

D037d734f061de515a0bd49a32e11d3c

(90)

on October 27, 2011
at 11:44 AM

What is the issue with eggs?

4
Fe29f6658ce67c1ecc4a22e960be7498

(2997)

on October 25, 2011
at 11:42 PM

That's huge! I sure hope it works out for you!

In my family a condition pops up from time to time called Hirschsprung's Disease. It's a developmental issue where the very last bit of the fetus (when at the early fish state) doesn't quite weave the neural matrix all the way to the end. Later on this part becomes the colon. My father had it, and had part of his lower colon removed when he was 25. It skipped me but daughter had it and she had similar surgery when she was just two days old. I'm still astoundingly grateful that we - by luck of the draw - had a world-famous surgeon work on our daughter (we saw this guy on TV later, doing open-heart fetal surgery...)

Anyway, the primary symptom is extreme sluggishness - because of no nerves there is no peristalsis and stuff just backs up. My dad had to have almost daily enemas and eat a special diet for years until the operation. The surgery itself is very benign. My daughter was SO much better immediately. My dad went on a 20 mile bike ride the next day.

The lingering effect though is that it's difficult to control when stuff comes out, since there's a structure at the end that holds 'stuff' until it's potty time, and also lets us know we need to 'go'. And it's always a little messy. WAY better than a colostomy bag (one of our options) but it's something to live with and deal with forever.

I honestly can't say there are nutritional issues. My dad seems relatively healthy still in his 80's now, and my daughter is fine that way (if ONLY I could get her to eat liver!) In her case they took out about 2/3 of the descending colon - not the whole thing - I'd think that the more one took out the greater risk of problems later.

Not sure if any of this is relevant, but perhaps somewhat useful.

Oh - the way the surgery works is that they detach the colon at the anus, then pull it through taking biopsies every inch or two. They keep pulling until they find nerves then reattach. Maybe more info than y'all wanted, but we're all grown-ups here :-)

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:52 AM

We're more fish than we know, eh?

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:53 AM

Thanks for your story -- we're more fish than we know, eh?

3
68f2734a5078a7106f560a7079df45fd

on October 28, 2011
at 04:49 PM

Hi Marty,

I dont know where are you from, but I recommend considering with your doctor the use of a home-made fecal transplant. It is relatively easy to do, you just need healthy stools, a couple of commercial enema materials and a blender. You can adapt the protocol used here for treating Clostridium difficile:

Success of Self-Administered Home Fecal Transplantation for Chronic Clostridium difficile Infection

From the symptoms you write, any dietary measure to modify gut flora seems to be useless.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 28, 2011
at 05:12 PM

I agree with what you say. I should not be expensive to do. Great link that paper Lucas, it is awesome to see something like that published.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 28, 2011
at 05:13 PM

I completely agree with what you say. I should not be expensive to do. That paper is great, it is awesome to see something like that published

D037d734f061de515a0bd49a32e11d3c

(90)

on October 29, 2011
at 04:54 AM

Thank you. Great paper.

3
Cc7381bd787721575ea9198048132adb

on October 25, 2011
at 06:31 PM

Robb Wolf talks frequently about how close he was to a bowel resection and how paleo reversed all the symptoms that were plaguing him. I don't know about you but I'm going to do my damnest to hold on to each every part that I evolved to have. I just don't see how living without a large intestine could be a good alternative to anything. Are you paleo now?

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:46 AM

I second these thoughts.

2
Medium avatar

on October 27, 2011
at 01:32 PM

I have a cousin who had the ileo-anal pull through after colon removal and she's done great. It's been decades since she had it.

2
Fe29f6658ce67c1ecc4a22e960be7498

(2997)

on October 26, 2011
at 12:08 AM

BTW, I've been reading a lot of material about Thyroid lately, and sluggish gut is a classic symptom of hypothyroidism. Whether or not your numbers are bad or good (and get the full panel, not just TSH) it sure wouldn't hurt to try a thyroid supplement for a little while. If you can convince your doctor, try something that contains T4 AND T3 (probably Armour) since you don't want to depend yet on your colon for its role in T4 -> T3 conversion.

It's worth a try and it's not permanent like surgery. Low risk high reward as they say.

Ed71ab1c75c6a9bd217a599db0a3e117

(25472)

on October 26, 2011
at 12:21 AM

20% of the conversion of T4 to T3 occurs in the gut......small intestine. Little known fact.

Fe29f6658ce67c1ecc4a22e960be7498

(2997)

on October 26, 2011
at 12:26 AM

Yes - so if it's a bigger issue than 'just' the colon - impacting the rest of the intestine - then it could well be a T3 problem.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:49 AM

Even kids have low thyroid e.g. ADHD. One does not need to show 'classic' signs like overweight, puffy, infertile. In utero and pediatric effects by the SAD are killing our collective thyroids.

3864f9a2af09b1b447c7963058650a34

(3703)

on October 26, 2011
at 03:51 AM

Plus 1 CaveRat! Plus 1 Quilty -- many things are activated in the GUT... vitamin A for RXR/RAR.

2
De267f213b375efca5da07890e5efc25

(3747)

on October 25, 2011
at 01:56 PM

It's important but that doesn't mean you should ignore your doctors. Respect them and they'll respect you. My advice is to mention that you are very averse to the surgery and ask whether it is absolutely necessary. If the answer is yes, then seek a second opinion. If it is still yes, then go for it.

0
Fc0443699ed70778f6a0e720c81c94cb

(-2)

on January 17, 2016
at 10:59 PM

i was wondering how you are now? going through very similar issues. drs want to remove my colon. i am out of my mind.soooo scared. greetings, nuffa

0
26b7615ef542394102785a67a2786867

on October 26, 2011
at 10:36 PM

Removing organs because of constipation sounds like madness to me.

However, you could probably live well without it. My fiance's father had a large part of his colon removed around age 60 due to advanced colon cancer. He lived to age 85 in excellent health, looked much younger than his age and was lean (had a fatal heart attack while in the middle of a long walk going uphill). His favorite food was polenta with tons of butter.

0
5e36f73c3f95eb4ea13a009f4936449f

(8280)

on October 26, 2011
at 10:20 PM

Personally, I like to use sex as a comparison in these types of decisions. Can you live without it? Yes. Would you want to live without it? Noooooooooo!

My grandma had to have some of her large intestine removed and lived with a colostomy bag for the rest of her short rapidly deteriorating life afterwards. Not something I would recommend if you can at all avoid it.

0
9dd4d453f7ebd7fd2a82814d08fc8f17

on October 26, 2011
at 09:16 PM

this might be VERY outside the box, but if u haven't been already, go to gutsense.org. the author is a little too colorful at times but his logic is impeccable. i read everything on the site (which was alot) and bought his book, which made even more sense. going zero-low fibre and carb is probably what u should look into. initial constipation with going cold turkey on fibre is usually normal (with less fibre or no fibre the size of stools passing in u reduce in size by a lot so triggering less "sensation" on colonic nerve endings but when stools do come they will be smaller). try the site (just don't buy his supplements lol)

and be careful of surgeons. the sad truth is that they really don't know what else to do other than to butcher people. i know someone who had some of her intestine removed, not a pretty picture in her daily life.

and yes u NEED every organ u were born with

0
A0cc1bfd57d2a52a7468f8a06e930bbc

on October 26, 2011
at 10:15 AM

Read the book "Wheat Belly" by Dr. William Davis. Sounds like a problem one of his patients had. Cured by cutting out all wheat.

0
3f3236d1f951d4b4c25eff387699a905

(554)

on October 25, 2011
at 08:54 AM

I hope that all other causes have been eliminates if you are considering something so drastic. Causes for constipation can be numerous, everything from too much fiber to magnesium deficiency to gluten or lactose intolerance can cause it. I hope you get well!

-3
77877f762c40637911396daa19b53094

(78467)

on October 27, 2011
at 01:58 AM

Blood type diet.

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