Hemorrhoids and PSP

[cayabrewer]

Hello. It’s been a while since my last post.

With constipation comes hemorrhoids… what to do about them? Nela (my mother in law) has had them for a few weeks now, but they don’t seem to disappear. Any thoughts?

Thanks 😌

Caya

[LuisRodicioRodicio]

Hi cayabrewer!

In our case we have attacked the problem by acting on the constipation based on diet and when, in spite of everything, constipation appeared, we tried to make sure that it did not exceed two or 3 days by applying enemas.

If in the end the hemorrhoids appeared, we applied a rectal ointment containing hydrocortisone.

These are our experiences:

MarkJ9 point out: The brain is unable to control the sphincter muscles. Food won't move through the system smoothly as the brain loses ability to push the food through the alimentary canal (peristalsis). That might result in constipation and also often fluid build up.

On our case, constipation have been corrected by applying an intensive Mediterranean diet based on fruits and vegetables, abundant liquids (In particular, around 100 c.c. liquid before breakfast- always with thickeners) and helped when difficulties by the drug Duphalac (lactulose, an oral osmotic laxative), but on some patients it produces annoying internal gases. As an alternative to Duphalac we are testing "Movicol" (polietilenglicol and various salts) which is notably more active and does not produce gases. The problem is to find the right dose per day to achieve a regularity. At this time we are trying around 4g Movicol in the morning at breakfast alternating with a doce (1 gram) of “Plantaben” (seed shells of Plantago ovata- Ispaghula husk) with success (although there are some days that do nothing that lead to days to do much). (Higher doses of Movicol (6g / day, etc.) could produced too intense effects but, over time it will be necessary to increase the dose. Yogurts with pieces of plum (at lunch) have been of special help and maintenance.

Avoiding lemon juice, chocolate, bananas and rice, helps.

Keep in mind that some opioid analgesics as well as antitussives that contain codeine favor constipation.

Staying quiet favors constipation. A program of gymnastic exercises, especially walking, favor regularity. If it is not possible to walk, a walk, even in a wheelchair, always helps.

In case of not “open bowels” in 2 or 3 days, it is interesting to consider the apply a Micralax cannula (citrate / lauryl sulfoacetate) rectally or in persistent cases a lavative. Ask physician.

It is normal that when the PSP disease advances the problems with "open bowls" are more complicated.

About three months ago and after living with PSP for 8 years, we have perceived that the remedies that I have outlined in the previous paragraphs to achieve a regular "open bowles" have begun to fail. Now, two or three times a month and despite regularly providing "Movicol" or "Plantaben" periods of two days are given without evacuation. On the third day we apply "Micralax" which generally works. If in spite of everything in three days have NOT evacuated, we apply a 250 ml "Enema Casen" (rectal solution) containing 139 mg / mL and 32 mg / mL of anhydrous sodium dihydrogen phosphate / anhydrous disodium hydrogen phosphate which, so far It has resolved the situation.

In our case when there are cases of delays in "open bowles" that result in greater anxiety and nervousness than some alleviate with infusions of relaxants.

Hoping to be useful.

Hug and luck.

Luis

[ncgardener799]

My husband also suffered from hemorrhoids and PSP. His physician gave us a prescription for cortisone suppositories which helps reduce the inflammation and provide some relief of the swollen hemorrhoids.

[sammy90210]

For hemorrhoids in general, sitting in a tub of lukewarm water helps to reduce the inflammation - best wishes