DIOS [distal intestinal obstruction syndrome]

so basically my dr.s say i have DIOS after a long bout with constipation and all that fun stuff.
im going to cry my eyes out.
honestly i just want it to go away and never come back.
ive never hated this disease so much in my life.
and now this??
any other cfers out there with this?
how do you deal and what does your daily regimine consist of?
what enzymes are you on?
how often do you need clean outs?
 
so basically my dr.s say i have DIOS after a long bout with constipation and all that fun stuff.
im going to cry my eyes out.
honestly i just want it to go away and never come back.
ive never hated this disease so much in my life.
and now this??
any other cfers out there with this?
how do you deal and what does your daily regimine consist of?
what enzymes are you on?
how often do you need clean outs?
 
so basically my dr.s say i have DIOS after a long bout with constipation and all that fun stuff.
<br />im going to cry my eyes out.
<br />honestly i just want it to go away and never come back.
<br />ive never hated this disease so much in my life.
<br />and now this??
<br />any other cfers out there with this?
<br />how do you deal and what does your daily regimine consist of?
<br />what enzymes are you on?
<br />how often do you need clean outs?
 

Ratatosk

Administrator
Staff member
DS had issues with this as a baby. He'd get stopped up and we'd give him a laxative -- milk of magnesia worked for him, though a friend of mine's daughter takes miralax. He'd get cleaned out and would be fine. He was on Pancrease MTs at the time and is doctor indicated that some people have a tendency to want to reduce their enzymes, but that can cause more problems in the long wrong. Currently he's on Creon and doesn't seem to have any issues with stomach upset or constipation.

I think some people do maintenance doses of miralax to keep things moving. Some get that feeling and take miralax with gatorade or use golytely to get cleaned out.
 

Ratatosk

Administrator
Staff member
DS had issues with this as a baby. He'd get stopped up and we'd give him a laxative -- milk of magnesia worked for him, though a friend of mine's daughter takes miralax. He'd get cleaned out and would be fine. He was on Pancrease MTs at the time and is doctor indicated that some people have a tendency to want to reduce their enzymes, but that can cause more problems in the long wrong. Currently he's on Creon and doesn't seem to have any issues with stomach upset or constipation.

I think some people do maintenance doses of miralax to keep things moving. Some get that feeling and take miralax with gatorade or use golytely to get cleaned out.
 

Ratatosk

Administrator
Staff member
DS had issues with this as a baby. He'd get stopped up and we'd give him a laxative -- milk of magnesia worked for him, though a friend of mine's daughter takes miralax. He'd get cleaned out and would be fine. He was on Pancrease MTs at the time and is doctor indicated that some people have a tendency to want to reduce their enzymes, but that can cause more problems in the long wrong. Currently he's on Creon and doesn't seem to have any issues with stomach upset or constipation.
<br />
<br />I think some people do maintenance doses of miralax to keep things moving. Some get that feeling and take miralax with gatorade or use golytely to get cleaned out.
 

falbie13

New member
Hey,
Sorry to hear you are dealing with a DIOS. I have had them on and off since middle school and they have sadly become more frequent the older I have gotten. I have had 3 in the last year.
I am on Zenpep 20,000 6 with meals and 3 with snacks. I have noticed that since I switched from Ultrase to Zenpep, the DIOS have become more frequent. I am on miralax 1-2 times a day, and Golytelye every 1-2 months, or if I am going to be getting sedation for a procedure ( bronchs, etc). My doctors and I have also noticed that I seem to get the bouts of DIOS when I am stressed out, so I am trying to work on that.

Good luck and I hope that you get your DIOS taken caare of as quickly as possible.
 

falbie13

New member
Hey,
Sorry to hear you are dealing with a DIOS. I have had them on and off since middle school and they have sadly become more frequent the older I have gotten. I have had 3 in the last year.
I am on Zenpep 20,000 6 with meals and 3 with snacks. I have noticed that since I switched from Ultrase to Zenpep, the DIOS have become more frequent. I am on miralax 1-2 times a day, and Golytelye every 1-2 months, or if I am going to be getting sedation for a procedure ( bronchs, etc). My doctors and I have also noticed that I seem to get the bouts of DIOS when I am stressed out, so I am trying to work on that.

Good luck and I hope that you get your DIOS taken caare of as quickly as possible.
 

falbie13

New member
Hey,
<br />Sorry to hear you are dealing with a DIOS. I have had them on and off since middle school and they have sadly become more frequent the older I have gotten. I have had 3 in the last year.
<br />I am on Zenpep 20,000 6 with meals and 3 with snacks. I have noticed that since I switched from Ultrase to Zenpep, the DIOS have become more frequent. I am on miralax 1-2 times a day, and Golytelye every 1-2 months, or if I am going to be getting sedation for a procedure ( bronchs, etc). My doctors and I have also noticed that I seem to get the bouts of DIOS when I am stressed out, so I am trying to work on that.
<br />
<br />Good luck and I hope that you get your DIOS taken caare of as quickly as possible.
 

hmw

New member
Emily(9) has had several bouts with DIOS over the last year and one in particular was awful and dragged on for a few weeks; we tried several things to get her cleaned out (Miralax in increasingly huge doses- 8 caps in 32oz of gatorade, milk of magnesia, mag citrate, etc), repeated xrays showed it getting worse instead of better and eventually she needed Golytely to get it resolved. Even then it took 9 hours and 2.4 liters for results! Yes, it's miserable and frustrating and I can't even tell you how much I hated CF at that moment for my daughter, watching all she had to go through. I am so sorry you are going through this.

She is on Creon and takes a maintainance dose of Miralax daily now. We have to keep close tabs on poop daily now and at the very first signs of obstruction (the scant loose stool) the Miralax goes up. During illness, the Miralax goes up, since she's especially prone to obstruction when she's sick- this is documented if you read about it, and it's certainly true in her case.

She DOES now get 'that feeling' sometimes and has started telling me 'I can't poop right' and asks for an extra 'Miralax feed', in which case I give her an extra cap in a full bag of gatorade via gtube (I love the gtube for times like this!) I have no idea what in particular that feeling is, she can't explain it- I am just glad she can recognize it and knows to ask for extra. Sometimes she'll still have what looks like normal poop in the toilet when she tells me that- but other times she does not, so if she has 'that feeling', I am certainly going to act on it.

So far, being extremely vigilant about the daily stool pattern has helped and we've escaped a major bout for a few months now. If/when she has another, the dr wants to try Lactulose as well as mucomyst (taken orally- or in her case, she'd be fortunate enough to be able to escape the taste and get it via gtube.)

I hope this doesn't become a repeated issue for you.
 

hmw

New member
Emily(9) has had several bouts with DIOS over the last year and one in particular was awful and dragged on for a few weeks; we tried several things to get her cleaned out (Miralax in increasingly huge doses- 8 caps in 32oz of gatorade, milk of magnesia, mag citrate, etc), repeated xrays showed it getting worse instead of better and eventually she needed Golytely to get it resolved. Even then it took 9 hours and 2.4 liters for results! Yes, it's miserable and frustrating and I can't even tell you how much I hated CF at that moment for my daughter, watching all she had to go through. I am so sorry you are going through this.

She is on Creon and takes a maintainance dose of Miralax daily now. We have to keep close tabs on poop daily now and at the very first signs of obstruction (the scant loose stool) the Miralax goes up. During illness, the Miralax goes up, since she's especially prone to obstruction when she's sick- this is documented if you read about it, and it's certainly true in her case.

She DOES now get 'that feeling' sometimes and has started telling me 'I can't poop right' and asks for an extra 'Miralax feed', in which case I give her an extra cap in a full bag of gatorade via gtube (I love the gtube for times like this!) I have no idea what in particular that feeling is, she can't explain it- I am just glad she can recognize it and knows to ask for extra. Sometimes she'll still have what looks like normal poop in the toilet when she tells me that- but other times she does not, so if she has 'that feeling', I am certainly going to act on it.

So far, being extremely vigilant about the daily stool pattern has helped and we've escaped a major bout for a few months now. If/when she has another, the dr wants to try Lactulose as well as mucomyst (taken orally- or in her case, she'd be fortunate enough to be able to escape the taste and get it via gtube.)

I hope this doesn't become a repeated issue for you.
 

hmw

New member
Emily(9) has had several bouts with DIOS over the last year and one in particular was awful and dragged on for a few weeks; we tried several things to get her cleaned out (Miralax in increasingly huge doses- 8 caps in 32oz of gatorade, milk of magnesia, mag citrate, etc), repeated xrays showed it getting worse instead of better and eventually she needed Golytely to get it resolved. Even then it took 9 hours and 2.4 liters for results! Yes, it's miserable and frustrating and I can't even tell you how much I hated CF at that moment for my daughter, watching all she had to go through. I am so sorry you are going through this.
<br />
<br />She is on Creon and takes a maintainance dose of Miralax daily now. We have to keep close tabs on poop daily now and at the very first signs of obstruction (the scant loose stool) the Miralax goes up. During illness, the Miralax goes up, since she's especially prone to obstruction when she's sick- this is documented if you read about it, and it's certainly true in her case.
<br />
<br />She DOES now get 'that feeling' sometimes and has started telling me 'I can't poop right' and asks for an extra 'Miralax feed', in which case I give her an extra cap in a full bag of gatorade via gtube (I love the gtube for times like this!) I have no idea what in particular that feeling is, she can't explain it- I am just glad she can recognize it and knows to ask for extra. Sometimes she'll still have what looks like normal poop in the toilet when she tells me that- but other times she does not, so if she has 'that feeling', I am certainly going to act on it.
<br />
<br />So far, being extremely vigilant about the daily stool pattern has helped and we've escaped a major bout for a few months now. If/when she has another, the dr wants to try Lactulose as well as mucomyst (taken orally- or in her case, she'd be fortunate enough to be able to escape the taste and get it via gtube.)
<br />
<br />I hope this doesn't become a repeated issue for you.
 

kitomd21

New member
We have DD on a Miralax daily...no constipation issues since starting a few months ago. I occasionally gave her enemas prior to starting Miralax. There's no harm in taking Miralax every day - unless diarrhea develops! <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

kitomd21

New member
We have DD on a Miralax daily...no constipation issues since starting a few months ago. I occasionally gave her enemas prior to starting Miralax. There's no harm in taking Miralax every day - unless diarrhea develops! <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

kitomd21

New member
We have DD on a Miralax daily...no constipation issues since starting a few months ago. I occasionally gave her enemas prior to starting Miralax. There's no harm in taking Miralax every day - unless diarrhea develops! <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
well mine is quite aweful.
i downed a 4L golytely last nite and went to cf clinic today and it STILL shows im backed up after all that...ugh.
so im getting admitted for this.
colonoscopy and whatever else needs to happen.
i havent been so miserable ever.
:[
 
well mine is quite aweful.
i downed a 4L golytely last nite and went to cf clinic today and it STILL shows im backed up after all that...ugh.
so im getting admitted for this.
colonoscopy and whatever else needs to happen.
i havent been so miserable ever.
:[
 
well mine is quite aweful.
<br />i downed a 4L golytely last nite and went to cf clinic today and it STILL shows im backed up after all that...ugh.
<br />so im getting admitted for this.
<br />colonoscopy and whatever else needs to happen.
<br />i havent been so miserable ever.
<br />:[
 

Ratatosk

Administrator
Staff member
So sorry! I know DS with his last bout of it a couple years ago had to have gastrographin enemas, an ng tube with golytely, then they tried mucomyst. Not sure what eventually ended up working -- probably the mucomyst because things started rumbling all night long and in the morning things finally broke loose.
 

Ratatosk

Administrator
Staff member
So sorry! I know DS with his last bout of it a couple years ago had to have gastrographin enemas, an ng tube with golytely, then they tried mucomyst. Not sure what eventually ended up working -- probably the mucomyst because things started rumbling all night long and in the morning things finally broke loose.
 
Top