View unanswered posts | View active topics It is currently Fri Nov 21, 2014 2:07 pm



Reply to topic  [ 28 posts ]  Go to page 1, 2  Next
 Frequent stools 
Author Message

Joined: Wed Dec 30, 2009 1:46 pm
Posts: 3213
Location: WA
Post Frequent stools
My husband has frequent, usually incontinent, stools. When I'm at the SNF I help change him and can see that his stools are of normal consistency. So..is this just a weakness in the sphincter muscles due to nerve degeneration that causes this? Anyone else seeing this problem? He used to just have one large stool every other day. Now he has probably six or seven smaller ones a day.

_________________
Pat [68] married to Derek [84] for 38 years; husband dx PDD/LBD 2005, probably began 2002 or earlier; late stage and in a SNF as of January 2011. Hospitalized 11/2/2013 and discharged to home Hospice. Passed away at home on 11/9/2013.


Tue Mar 15, 2011 3:58 pm
Profile

Joined: Sat Jul 31, 2010 5:28 pm
Posts: 317
Post Re: Frequent stools
We have the same issue here. Because Del has had impacted stool that needed an er visit, I am pretty watchful. I sometimes wonder if his bowel 'leakage' is an indication that he is developing another impaction. I gave him a suppository and an enema a week ago and he had a good showing, and normal stools for a couple of days...now we are back to the stools that happen mostly in the night and they are not very big. And this guy can produce stool let me tell you. I am wondering a lot about this same issue. Nan


Tue Mar 15, 2011 4:47 pm
Profile

Joined: Wed Oct 28, 2009 11:53 am
Posts: 969
Location: Ocala, FL
Post Re: Frequent stools
I never did think that we got it right... and I still don't. We did go to a stool softener 200 mg (rather than the normal 100 mg) every day and Miralax every couple of days.

Some claimed to give Miralax every day but I thought that was extreme. Even then, I kept the suppositories handy and if there was nothing in three days, I got aggressive. However, just last week, I had to resort to an enema and this morning, we used the suppositories that came with the hospice kit.

I think the Lewy bowels are just complicated - like everything else controlled by the Lewy mind!

_________________
Leone Carroll (75); wife of Dale (75) who passed away March 23, 2011


Tue Mar 15, 2011 5:45 pm
Profile

Joined: Sat Jul 31, 2010 5:28 pm
Posts: 317
Post Re: Frequent stools
Leone, you will NOT believe the stuff Del takes to 'go.' He takes 4 stool softeners a day, a fruit paste made from senna tea and prunes, dates, figs, and raisins. In addition, he takes a half to a full dose of Mirilax every day. If he hasn't gone by the 3rd day we add Milk of Mag. The next day it is a suppository and an enema. Never thought I would be doing this.
What a life. Nan


Tue Mar 15, 2011 6:00 pm
Profile

Joined: Fri Aug 11, 2006 1:46 pm
Posts: 4811
Location: SF Bay Area (Northern CA)
Post Re: Frequent stools
mockturtle,
Has there been any diet change or medication change that might account for this? Do you view it as a problem to be fixed or just a nuisance?
Robin


Tue Mar 15, 2011 6:04 pm
Profile

Joined: Wed Oct 28, 2009 11:53 am
Posts: 969
Location: Ocala, FL
Post Re: Frequent stools
Hospice has Dale on Senna Plus Tablets twice a day... but I don't think they are effective either. They may work fine for ordinary people. :x

_________________
Leone Carroll (75); wife of Dale (75) who passed away March 23, 2011


Tue Mar 15, 2011 6:14 pm
Profile

Joined: Wed Dec 30, 2009 1:46 pm
Posts: 3213
Location: WA
Post Re: Frequent stools
No, no diet change or medication change and he is not on any stool softeners. Not a problem unless they don't change him often enough. He is usually not aware of it and therefore wouldn't let them know he needed changing. If it causes his skin to break down, that would be a problem.

_________________
Pat [68] married to Derek [84] for 38 years; husband dx PDD/LBD 2005, probably began 2002 or earlier; late stage and in a SNF as of January 2011. Hospitalized 11/2/2013 and discharged to home Hospice. Passed away at home on 11/9/2013.


Tue Mar 15, 2011 6:34 pm
Profile

Joined: Wed Mar 09, 2011 12:22 am
Posts: 75
Post Re: Frequent stools
It has been my experience that when you have constant impactions/slow bowels you need to find the right combination of meds/fibers that work and then stick to it. Too many people will stop something because they say its not working, try something else, when in fact it may take a combo of these things in the right dose. Of all the stool softeners on the market, Senakot S seems to be one of the best combined with MOM "Caplets" not the laxative. Stimulant laxatives will get you past a problem, but the softeners will prevent the problem to begin with...which is the best course of action...and WATER..plain, pure water will help. I know it adds other problems...but your body needs it to function.

I know everyone has a solution for impactions, but fleets mineral oil enemas will go a long way with a ton of KY jelly in the rectum/around the anus. Pardon the bluntness.

_________________
~~Debra, 52, wife to Chris, 64 DX Vascular Dementia 9/10; Alz 10 or 11/2010; Pseudo Dementia 01/11; LBD in 03/11..Was at home until 4/29, 2011, now in a Alz fac./dementia unit.
Image


Tue Mar 15, 2011 6:53 pm
Profile

Joined: Sat Jan 03, 2009 2:59 pm
Posts: 1978
Post Re: Frequent stools
Hi Pat,
I have to agree with someone who mentioned Diet, could be more Fiber in the diet where he is, we did not have this problem we had no BM's for days on end and I would try everything under the sun the help and the only thing that really did work in the end (No pun intended) was the suppositories, I would give it 3 days and if nothing I would have to use them , do you think the many times he is going would it be more in amounts that the one large one he used to have because then I would have to agree could be a muscle's .

_________________
Irene Selak


Wed Mar 16, 2011 3:44 pm
Profile WWW

Joined: Wed Sep 30, 2009 8:25 am
Posts: 227
Post Re: Frequent stools
My MIL also has several bowel movements each day. Occasionally she'll skip a day, then back to several BM's for a while. Been this way for about a year.

_________________
Donna (age 56) caregiver for mother-in-law Margaret (age 88).


Wed Mar 16, 2011 5:12 pm
Profile

Joined: Wed Dec 30, 2009 1:46 pm
Posts: 3213
Location: WA
Post Re: Frequent stools
Irene, this stool thing just seemed to have started maybe a month ago and he is less and less able to know he is having a BM. It's almost as though it just falls out of him now--like his sphincter muscle isn't working, if that makes sense. Today, though, he seems to have only had one BM so far. They tell me he always has some at night, though.

_________________
Pat [68] married to Derek [84] for 38 years; husband dx PDD/LBD 2005, probably began 2002 or earlier; late stage and in a SNF as of January 2011. Hospitalized 11/2/2013 and discharged to home Hospice. Passed away at home on 11/9/2013.


Wed Mar 16, 2011 6:32 pm
Profile

Joined: Wed Oct 28, 2009 11:53 am
Posts: 969
Location: Ocala, FL
Post Re: Frequent stools
To my ears, that pattern is better than constipation. Of course, constantly cleaning him is probably not good. :|

_________________
Leone Carroll (75); wife of Dale (75) who passed away March 23, 2011


Wed Mar 16, 2011 6:46 pm
Profile

Joined: Sat Jan 03, 2009 2:59 pm
Posts: 1978
Post Re: Frequent stools
Pat,
Sounds like a control issue more than anything else if you don't think it is diet or any med changes, sadly not much can be done I would think ! Is it still going on this week?

_________________
Irene Selak


Mon Mar 21, 2011 9:27 am
Profile WWW

Joined: Fri Jan 15, 2010 9:33 pm
Posts: 3423
Location: Vermont
Post Re: Frequent stools
Pat - my dad was the same way for many months. It just sort of "fell out" as you said. And this went on all day and night, every day and night. Lynn

_________________
Lynn, daughter of 89 year old dad dx with possiblity of LBD, CBD, PSP, FTD, ALS, Vascular Dementia, AD, etc., died Nov. 30, 2010 after living in ALF for 18 months.


Mon Mar 21, 2011 9:40 am
Profile

Joined: Sat Jul 31, 2010 5:28 pm
Posts: 317
Post Re: Frequent stools
I don't know what's up with the bm's in the night. Del has them, too. almost every night. Then he wakes up..tries to get the diaper off, does, rolls around in the bed and WHAT A MESS.

I have taken to putting paper incontinence pads on top of the mattress protector, then the sheet, then the cloth HUGE incontinence pad on top of that. In the morning I get him to the bathroom, strip the bed. Replace the paper pads if they have gotten wet, put a new sheet and pad on and take the garbage out.

But, is this some kind of end stage thing? Anyone know?

Thanks, Nan


Mon Mar 21, 2011 10:57 am
Profile
Display posts from previous:  Sort by  
Reply to topic   [ 28 posts ]  Go to page 1, 2  Next

You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Powered by phpBB © 2000, 2002, 2005, 2007 phpBB Group.
Designed by STSoftware for PTF.
Localized by Maël Soucaze © 2010 phpBB.fr