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A MyAmyloidosisTeam Member asked a question 💭
Bay City, MI

My hubby takes 4 senna everyday, plus a glass of miralax and lactulose as needed. He hasn’t gone in 3 days so we tried magnesium nitrate & 2 ducolax. So far nothing has worked. Does anyone have any suggestions. He has a colonoscopy scheduled for early January.
The other half of the time he wears depends because of
diahhrea. It is a battle for him to regulate it.
Thank you for any help!

November 17, 2025
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MyAmyloidosisTeam

How can someone with amyloidosis manage severe constipation and diarrhea that alternates?

It sounds like your husband is dealing with challenging gastrointestinal symptoms that can occur with amyloidosis. The alternating constipation and diarrhea may be related to autonomic neuropathy, where nerve damage affects digestive Show Full Answer

How can someone with amyloidosis manage severe constipation and diarrhea that alternates?

It sounds like your husband is dealing with challenging gastrointestinal symptoms that can occur with amyloidosis. The alternating constipation and diarrhea may be related to autonomic neuropathy, where nerve damage affects digestive function.

For severe constipation not responding to current medications, it's important to contact his doctor right away, especially since he hasn't had a bowel movement in 3 days. They may need to adjust his treatment plan or consider other interventions.

Common GI symptoms with amyloidosis include:
* Severe constipation
* Diarrhea
* Gastroparesis (slowed stomach emptying)
* Nausea and vomiting
* Feeling full early during meals

Some general tips that may help:

* Stay well hydrated with plenty of fluids
* Eat smaller, more frequent meals rather than large ones
* Keep in close contact with his medical team about symptom changes

Since he has a colonoscopy scheduled, make sure to discuss these ongoing issues with his gastroenterologist. They can rule out other causes and help create a better management plan for his specific situation.

The unpredictability can be frustrating, but his doctors may be able to find a better balance with medication adjustments or additional treatments.

November 17, 2025
A MyAmyloidosisTeam Member

Hi Mary, when I had the revolving diarrhea and constipation I was sent to a gastrointestinal doc and she is awesome. It stopped before she finished testing but she ordered several test to pinpoint something but concluded that the PN involvement in Amyloidosis (hATTR-CM and PN - cardiomyopathy and peripheral neuropathy) was likely the cause. She did prescribe Colestipol (sp?). I won't venture a definition because I forgot. I do believe the combination of meds I'm on now had something to do with it but I'm not sure. I am on Vyndamax, Amvuttra, and Diflunisal specifically for the Amyloidosis. But, I take a couple of diuretics, vitamins, and bunch of other stuff. My best advise -- see a gastrointestinal doc. God bless you and your husband -- richly. ♥️

November 19, 2025
A MyAmyloidosisTeam Member

After my treatments the next two days I sometimes get severe diarrhea. I found taking Imodium as soon as it starts stops the diarrhea. For constipation a glass of the orange medamusol (spelled wrong) unplugs within 1/2 hour. Works well every single time.

November 18, 2025
A MyAmyloidosisTeam Member

GS I’m going to try the Metamucil and see if that works. My whole problem is diarrhea. Mary I’m so upset for your hubby. These kind of symptoms rule your life. I hope something works for him.

November 18, 2025
A MyAmyloidosisTeam Member

Mary, the AI generated response above is good guidance. Magnesium Hydroxide (milk of magnesia) works quite well, something I used when I was battling this same problem. Also with loose bowels I always found Metamucil to work, ( it actually works both ways) I actually use it daily. Hopefully your husband works through these symptoms but again as mentioned above it could be autonomic neuropathy. A gastro visit might help because it could be pancreatic enzyme issues etc.
good luck to your husband.

November 17, 2025

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