pmoore

Since I have been every size over the years, I've kept the nice clothes in variety of sizes. Everyone tells me to go shopping & I say "I'm shopping in my own closet for now". I can't shake the "tricks" to hiding your weight when buying clothes . . You all know what I'm talking about . . The big linen shirts over a tank & yoga pants to camouflage the rolls . . Ha, ha. It's been hard to actually look at shorts & other clothes. BUT boy is it great when you realize . . Life is going to be different now

Since I have been every size over the years, I've kept the nice clothes in variety of sizes. Everyone tells me to go shopping & I say "I'm shopping in my own closet for now". I can't shake the "tricks" to hiding your weight when buying clothes . . You all know what I'm talking about . . The big linen shirts over a tank & yoga pants to camouflage the rolls . . Ha, ha. It's been hard to actually look at shorts & other clothes. BUT boy is it great when you realize . . Life is going to be different now

Laxative info
Laxative -Saline - Magnesium citrate , Magnesium hydroxide (Phillips'® Milk of Magnesia) - onset of action- 30 min to 3 h - site of action- Small and large intestine - mechanism of action - Attract/retain Water in intestinal lumen increasing intraluminal pressure; cholecystokinin release ;Sodium phosphates (Fleet® Enema) 2-15 min Colon
Irritant/Stimulant - Senna (Senokot®) 6-10 h Colon Direct action on intestinal mucosa; stimulate myenteric plexus; alter Water and electrolyte secretion ; Bisacodyl (Dulcolax®) tablets, suppositories 15 min to 1 h Colon ;Castor oil 2-6 h Small intestine
Bulk-Producing - Methylcellulose (Citrucel®) , Psyllium (Metamucil®) , Wheat dextrin (Benefiber®) 12-24 h (up to 72 h) 24-48 h Small and large intestine Holds water in stool; mechanical distention
Lubricant - Mineral oil 6-8 h Colon Lubricates intestine; retards colonic absorption of fecal water; softens stool
Surfactants/Stool Softener - Docusate/senna (Peri-Colace®) 8-12 h Small and large intestine Senna – mild irritant; docusate – stool softener ; Docusate sodium (Colace®) Docusate Calcium (Surfak®) 24-72 h Small and large intestine Detergent activity; facilitates admixture of fat and water to soften stool
Osmotic laxatives - Glycerin suppository 15-30 min Colon Local irritation; hyperosmotic action ;Lactulose 24-48 h Colon Delivers osmotically active molecules to colon ;Polyethylene glycol 3350 (GlycoLax™, MiraLax™) 48 h Small and large intestine Nonabsorbable solution which acts as an osmotic agent ;Sodium sulfate, potassium sulfate, and magnesium sulfate (Suprep®) 24 h Small and large intestine Hyperosmotic action ;Sorbitol 70% 24-48 h Colon Delivers osmotically active molecules to colon
Combination Laxatives Sodium picosulfate, magnesium oxide, and citric acid (Prepopik™) 3-6 h Colon Sodium picosulfate: Direct action on intestinal mucosa; stimulate myenteric plexus ;Magnesium oxide and citric acid: Combine to form magnesium citrate, which exhibits hyper osmotic action
Miscellaneous Laxatives Lubiprostone (Amitiza®) 24-48 h Apical membrane of the GI epithelium Activates intestinal chloride channels increasing intestinal Fluid

Ok . . Beware TMI before you read BUT having been close to an ED visit . . I feel your pain . . Literally. So I'm going to pass on what my sister advised . . She's been a nurse for 30 years. Buy 2 Fleets MINERAL OIL enemas & 2 Fleets saline enemas. Get on all fours & drop your elbows down onto towel on floor so your butt is higher than
your head. Use the oil enema & lay on your left side. Keep the oil inside for at least 30 minutes but longer if you can. I held it for about an hour. NOW here is where it gets . . Ummm . . Interesting. Double glove & SLOWLY use your finger to hook & remove small fecal pieces. The stool is hopefully soft so you can remove some stool & maneuver the rest into a shape you can pass. PLEASE be very careful & SLOW. My sister said your heart rate can drop & cause you to pass out. If you can't deal with this . . & luckily I didn't have to go this far . . Go to the ED. They are going to give you an oil enema or soap suds enema & then manually remove impaction. Some people use the mineral enema & hold it overnight. The enema will NOT stimulate a bowl movement . . Just soften the stool. Please plan to be at home the next day if you can. The oil will continue to leak over the next 12 hours. I had to go to work the next day & placed a pad in my panties. Was still a mess & I only made it to 2 pm before I just had to come home to clean up. You can use the saline enema to clean the mineral oil out but I wanted the continued lubrication. Sorry so graphic but let's face it . . This situation can be so bad that we have to talk about it. Remember, you have to be very careful if you try to manually remove some stool. This can be dangerous so if the stool is still hard, go to the emergency room or urgent care or your doctor. Not sure a physician's office will remove impaction. I wish you all luck.

I am planning to use Southwest Bariatric Surgeons' Dr. Mark Sherrod in Austin, TX. Any information on this group or others in Austin, TX?

I am planning to use Southwest Bariatric Surgeons' Dr. Mark Sherrod in Austin, TX. Any information on this group or others in Austin, TX?