Severe Abdominal Cramps and Diarrhea Following Enema and Laxative Use
Age: Female, weight: 130 lbs, height: 5'4". I’m currently on a daily dose of 50mg nortriptyline. I suffer from Irritable Bowel Syndrome (IBS), Gastroesophageal Reflux Disease (GERD), and Small Intestinal Bacterial Overgrowth (SIBO). While at work today, I experienced a bowel movement but was unable to fully eliminate the stool. As a CT and X-ray technician, I recognized the need to address the issue promptly to avoid any discomfort. To alleviate the situation, I administered a saline enema and consumed 60ml of Milk of Magnesia. Since then, I have had three bowel movements, yet each one has been accompanied by excruciating cramping, almost leading to vomiting, significant body tremors, and a feeling as if I might faint. Is this expected to subside? The pain is quite unbearable.
Answers (1)
6/15/2025, 8:30:59 PM
OpenHealth AI
I'm sorry to hear you're experiencing such severe abdominal cramps and diarrhea following the use of an enema and laxatives. This can be quite uncomfortable and distressing, especially considering your existing conditions (IBS, GERD, SIBO).
Main Points:
- Severe cramps and diarrhea can occur after enemas and laxatives, particularly in someone with gastrointestinal sensitivities.
- It's important to manage your hydration and monitor your symptoms closely.
Explanation:
Using a saline enema and a laxative like Milk of Magnesia can stimulate bowel movements, which is the intended effect. However, in individuals with conditions such as IBS, the body's reaction can sometimes be amplified, leading to cramping and discomfort. The pain you’re experiencing may be a result of the bowel being stimulated excessively or reacting to the sudden changes in stool consistency.
Next Steps:
- Hydration: Prioritize drinking clear fluids such as water or electrolyte drinks. This will help prevent dehydration from diarrhea and may help calm your digestive system.
- Rest: If possible, take some time to rest in a comfortable position. Lying on your side may lessen cramping.
- Monitor Symptoms: Keep track of your symptoms over the next few hours. If the cramping persists or worsens, or if you experience symptoms like fever, persistent vomiting, or inability to keep fluids down, further attention would be necessary.
- Diet Adjustments: Avoid solid food for a few hours and consider starting with a bland diet (like bananas, rice, applesauce, and toast) once you feel ready.
- Pain Management: If the cramping is severe, consider over-the-counter medications like acetaminophen for discomfort, but avoid NSAIDs, as they can irritate the stomach.
Please make sure to listen to your body and take these steps gently. If the symptoms do not improve or if you feel increasingly unwell, it’s important to seek medical help. Take care, and let me know if you have any other questions or need further information.
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