Boxcar's Constipation Cure--for Lifers Only!!!

[Duckfeet]

Alright: I hate talking about this. Don't even bother reading this if yer not on methadone maintenance, wish you weren't, but accept the fact it's the deal, and find that constipation is yer worse curse of all. And only if you've already tried all the other stuff everybody tells you about, from Docusate daily, to Miralax, to all the different fibre additives, to Golightly and that miserable green slime with the sour lemon taste that makes me contemplate suicide I have to drink it one more time....if you've come close--or actually have been--to Emergency Room visits for impaction, and don't need to hear any more about the wonderful cures everybody else thinks work, but don't for you....this works.

Background: Me and Boxcar got other names for each other, but we are pals from back in the seventies in south Louisiana: he's a big old biker, and we met one night riding our Harleys to the Dream Lounge, a long forgotten bar that lunatics and bad girls used to frequent all night long in the good old days. Me and him met and hit it off good, and have been friends ever since. I always rode bikes: I've had five Harleys, and that was my thing: I was a commercial diver down there, after paroling from California's prison dive program, back in 1977 or around then. Boxcar did a bunch of things, but this was a boom town, and we both lived with topless dancers, and liked partying and all the rest of that life.

I did a lot of drugs too, and was going with a dancer, who knew a *cop* who was hitting drugstores, and he wanted to unload a bunch of dope, and I was his boy...Boxcar had gotten shot with a shotgun in a barfight around this time, and was recuperating, but needing pain pills bad, and that's how our initial dope hookup began. Boxcar wasn't a natural junky like me, and unfortunately--he tricked me into it--I gave him his first shot of dope, dilaudids, which he was selling by then....

Many many years later, just last month, I got back hold of him, and we were catching up on old friends, most of whom came to bad ends, two who are dying of cancer...me and Boxcar both are on methadone...

The talk eventually got round to methadone: he still takes it mostly for pain, but it doesn't matter anymore, why, we both suffer from the serious constipation that comes about, and he told me of this method, I tried it, and it works bette than anything I've ever tried...Here it is:

1) Go to the drugstore, go to the women's section, where they keep the douche bags. That is where you'll also find the oldtime rubber enema bag. I had to ask a lady pharmacist where they were; hopefully this will save you--if yer a boy--some of the permanent shame and misery I had to go thru looking for the bastard...anyway, it'll be hanging up there somewhere: it's the dark red, rubber douche bag yer grandma used to use, says "also for enema use..." It's got the white hose in the bag. The pharmacists knows what they are...

2) Buy some mineral oil. If necessary, get a jar of instant coffee....u'll see....

3) At home, rig yer bag up, tie a little rope thru the hole in the top of bag, so u can sling it up in the bathroom, attach, and learn how to use, the little clip that turns off the flow...

4) Cook up some coffee: it don't matter what kind....Starbucks is fine haha...

5) Pour the coffee in the bag, careful not to burn yerself...Important!: Make sure yer little clip is on the hose, so u can stop flow!!!. Throw in a shot or two of mineral oil. Fill up with cold water. Make sure mixture is not hot, before using: I put bag in sink until it is cooled off...

6) Get an old pillow, and a good book, lock the door if you have curious friends, and thro pillow on the floor...

7) Hook bag up, get on yer knees, with yer head on the pillow, and insert the hose into rectum, (I got a lot of jokes I could say right now, but I'm not in the mood: insert yer own....) It takes around ten minutes to empty bag, sometimes less. Keep the on/off clip in yer hand, so you can control flow. When you start to feel like u have "to go..." turn off flow, it'll pass. Learn what works for you with this; the mixture has to get sort of "behind" her stools, or you'll just be crapping water, like we do with the little enema shitbirds we've bought by the case...slow and steady is the ticket....

When yer done, if you managed to avoid those "I gotta go moments", now go lay down on yer bed or somewhere for ten to fifteen minutes....you'll get those "moments" but they pass, but finally you won't be able to stand it, and will use toilet....*This* is not the crucial point: this point it still seems mostly fluids, and you might feel--as I did--disappointed...I hop in the shower at this point....

When I get out of the shower, I have the urge again, and always have a good, satisfying, dump...and feel like a million bucks....this is the moment those of us on methadone maintenance yearn for, and it affects every waking moment, for many of us....

Google around, plug in coffee and enema, *before* you do this. I did: I don't buy into most of the stuff, but boxcar thinks it's good for you, and it works, and that's good enough for me...

What a *long* fucking post...fucker should be *stickyed!!!*

I don't want to have to write this again...but if nothing else is working, and you have those constant constipation methadone blues, try Boxcar's Killer Krapper Koffee enema, and all will be well again, I promise....

Duckfeet

[nick]

I think you've just won the award for most frightening thread title ever.


Pleased you found some relief,at last bro.

[HMMM...]

wow....I can just imagine someone taping themselves doing this and putting it on YouTube....:)

Is methadone constipation a lot worse then subutex? cuz it just started getting pretty bad for me( being on subs for almost 4 months).

[SeVeN]

Very scary and yet very necesary. Thanks DF.

[Suboxstitute]

Thanks, DF - I hope I don't get quite that desperate again but I've been NEARLY there... I've heard of coffee enemas before - cant recall where or in what context. Probably in the context of CONSTIPATION huh????

I am not a weirdo or anything, just interested because it is SUCH a problem for so many people, and they don't want to talk about it (well, OK, some do) and they ESPECIALLY are totally freaked out about putting something "up in THERE". It is NOT SUCH a big deal! (Like it's really going to make you gay - that's silly).

If doing this makes you gay then you WERE ALREADY gay.

It is NOT about sex (unless you have a fetish) - -- - it's just another part of your body. I think women get this better than men since we suffer indignities when pregnant, etc.

Also ( and this is for pluggers too) for something to lube the area with, (its even better than K-Y gel), there is ONE type of hemmoroid cream that can be used both internally and externally - it's preparation H brand stuff but it has the BLUE label that says ointment, not gel. And it is the only one (I think) that says for both internal and external use (in that area, of course). It's even got 3% shark oil in it; that's a manly thing! It doesn't drip, etc.

OK I suppose DF and I have grossed enough people out tonite, but when I read about folks going 2-3 weeks without, well, GOING, thats a BIG deal and you ALWAYS want to TRY TO take care of it yourself if at all possible.... you don't want to have to be at the mercy of a nurses aide in the ER. Do go there if you must but try the home remedies first.

[Duckfeet]

Well, by day three I always get desperate, really frightened, and that's usually when I trot down to the drugstore, and by some kind of pre-surgery slime that tastes horrible and usually works...this is the dangerous day, because if I go past day three, it starts getting too hard, and then I'm on dangerous ground...

The hardest part of any kind of enema is the "waiting". What also works, when desperate, and became almost a routine, is to take a suppository and then go jogging, somewhere in that period I need to go, and by the time I get home--barely--I'm often alright....

None of these things are recommended, particulary enemas, because u just get used to them, and normal bowel movements become about impossible, unless one has minor food poisoning, or is in detox...these methods are strictly for longterm methadone maintenance people, who have no other recourse, and know they can't "go" otherwise...it doesn't *happen* to everybody, and I know that. Actually has a lot to do with age, diet, and general physical health...but some of us can't get off methadone, even if we want to, and this can be in the cards....

Some of the longterm coffee enema people, who swear by it, and claim it cleanses the colon, makes you feel better, all that, claim that after doing this a while, they start having to do it less and less. I'm a definite "we'll see" kind of guy, and have no faith in anything like that....

And yes, I to get if from subs...I think once yer bowels get desensitized from longterm opiate use, then it doesn't take methadone for this to happen....

Anyway, best wishes to all, not a pleasant side of opiate addiction, and nothing Hunter Thompson ever wrote about...tho Burroughs did...but when I was young, and just getting rolling in this game, I never paid much attention to the bad stuff....

[Opiyum]

People on subs may find this useful too. I know what it feels like to both dread taking a shit and to be ecstatic once it's over. Feeling like a million bucks immediately.
I am baffled as to where all the food I eat goes. I don't put on any weight and shit tiny amounts every other day sometimes two or three days. I'm sure I'm carrying around a lot of waste at any given time and that's a very unhealthy thing to do. I've tried increasing prunes, fruit and fiber in my diet but that doesnt seem to help.
I have never tried an enema but have thought about it a lot.
Someday...maybe I'll try this out.

[Duckfeet]

what happens to me is that my mood gets very low, after a day or two. I was always fairly healthy, and I get irritable if I don't have a BM. My friend thinks I don't look at methadone fairly, since I'm so aggravated about it. He is fairly at peace about being on methadone for the rest of his days...while I'm not, so consequently I fight it. I'm at 50mg, and now, more and more, I take it for pain, and to me, that is troubling, since it makes it even more unlikely I'll get off it...since I'm real aware of how much better I feel, about 40min to an hr after dosing...subs never gave me that: they got rid of withdrawal symptoms, that was it...and in some ways, I respect people who stay on subs, since I think eventually they'll get off, while longterm mdone maint...rarely do...in my opinion of course...

[lolleedee]

what happens to me is that my mood gets very low, after a day or two. I was always fairly healthy, and I get irritable if I don't have a BM. My friend thinks I don't look at methadone fairly, since I'm so aggravated about it. He is fairly at peace about being on methadone for the rest of his days...while I'm not, so consequently I fight it. I'm at 50mg, and now, more and more, I take it for pain, and to me, that is troubling, since it makes it even more unlikely I'll get off it...since I'm real aware of how much better I feel, about 40min to an hr after dosing...subs never gave me that: they got rid of withdrawal symptoms, that was it...and in some ways, I respect people who stay on subs, since I think eventually they'll get off, while longterm mdone maint...rarely do...in my opinion of course...

I was on methadone maintenance for 2 1/2 years at a 95mg. dose and I have been off it for almost 15 months( and I have never felt better....I can finally poop!!!!:D).

Prescription Amitiza (lubiprostone) just got FDA approval for treatment of constipation due to irritable bowel syndrome and they are now in the process of getting approval to label it for use in treating "opioid-induced bowel dysfunction". Of course, your doctor can easily prescribe it for "off-label" use for opioid-induced bowel dysfunction..though it is on the FDA approval fast track for use in opiod patients so by the time you get to your doctor, it might already be approved for this use! A friend of mine who is still on MMT just started using this for her extreme constipation and has NEVER felt better!!!! Maybe that would be worth a shot!!!

I had extremely bad constipation while I was on MMT and I tried all the miralax and fiber and suppositories etc. but nothing worked permanently. The one thing that my Dr. did tell me, which I thought was interesting, was that once I was already heavily constipated NOT to load myself up with fiber suppliments (I usually gulped down loads of FiberCon) because once you are constipated like that, the fiber will actually be unable to soak up any water, due to the fact that when you are already constipated, you have little water in your stool. That is the action in which fiber works...it soaks up fluids and makes it availale in your intestines to hydrate bowel movements, which in turn, keep them soft and flowing!!!

The Dr. also told me to try the "Activia Challenge". (That yogurt from TV...guarenteed to regulate your digestive system in two weeks or your money back! Believe it or not, it did help. He also told me to stay away from binding foods such as nuts, peaut butter, cheese, bread. apples, bananas and to eat one bowl of Fiber One cereal a day and to take one table spoon of mineral oil every night. The few suggestions that he gave me totally worked and I was poopin' like a champ in no time!!!!!! Good Luck!:)

[roxi*stardust]

<snip>
What a *long* fucking post...fucker should be *stickyed!!!*

I don't want to have to write this again...but if nothing else is working, and you have those constant constipation methadone blues, try Boxcar's Killer Krapper Koffee enema, and all will be well again, I promise....

Duckfeet

Stickied just for you DF.

[Duckfeet]

Love y'all...thankyou! I hope people realize this is only for last gasp long term methadone patiens...but oh well, thanks roxi!


Stickied just for you DF.

[i8op8s]

Im on 120mg a day.for the past year and 1/12..actually just went down to 110 the other week..
A high fiber diet works just fine for me...Psylium husk fiber..1 tablespoon a day..& a bowl of oatmeal in the morning...

[Synack]

I wanted to add this to this thread: What I've been doing lately is just filling up a softer plastic water bottle with warm water, then while lying down ass in the air, head on the floor (odd position) attempt to match the opening up with my ass then slowly squeeze until I know it's not loose and leaking as I squeeze and fill 'er up with atleast half the amount of water from the bottle (8 ounces) - give it about 3 minutes and the water pads everything large and significantly helps with the pain - plus the crap doesn't take 20 minutes anymore.. takes about 5 total - 4 minutes with the water and waiting, 1 minute with the evacuation.

Also, if it's so large that water can't get around, try to push the shit that's slightly hanging out over and the water will handle it. Also, you may want to wear a glove in case of that because once you push it over the water sprays.

If you could seal a small rubber hose into a lid for a bottle then it would be much simpler.

[EleusisII]

It is NOT about sex (unless you have a fetish)
And if you ARE that kinky, or if you for homophobic reasons just prefer someone else to do it, I believe I've seen escort adds offering this kind of service.

Just one question.

It's a stupid one...

Why does it have to be coffee?

[Duckfeet]

Since this thread got "bumped" anyway, and since we were talking about constipation on another thread, I just wanted to clarify *two* things...

1) The above "boxcar" is an old pal of mine, kind of new to computer world, w/another nickname, who I had created this account for when I was admin, and who never used the account, so it was passed on to another guy, who I don't know personally, who is now Opionomo, and never really was nicknamed "boxcar." Actually, that was *my* biker 'handle' in Texas, (I've always been kind of raggedy) but that was a long time ago...

2) The above coffee enema constipation cure, which I was so excited about at first, also quit working for me after a few weeks, and worked no better than the drugstore bought Fleet enemas. I now believe it's not so much what *type* of enema one uses, so much as it is being willing to wait thru the first few almost overpowering urges to dump...if one can wait thru several of those 'urges' the liquid seems to work it's way up high enough to do the deed...but it can be impossible sometimes, to avoid 'going' if u know what I mean....

P.S.: I'm not sure "why" coffee was so effective (at first)...but I presume it was a mild stimulant, as sometimes just *drinking* coffee helps...as would a good stiff shot of oldtime crystal meth...

[at&t]

Okay......... Since someone brought this old thread back to life onto the "Todays Posts" list, I thought I would just go ahead and add my quick question:

Has anyone here ever tried 'methylnaltrexone' ("Relistor") for constipation? Does anyone have any experience/opinions/thoughts about it?

Personally, I've been on various opiates for years and years, but have never encountered any Particularly serious (medically relevant) you know... loss-of-motility/hardening/etc...

Of course, some periods have always been worse than others (and in my experience, which seems to be a bit different from most of you folks', it has always been Junk that has somehow usually seemed to be a little worse than Done), but, even so, for most of us-- and even for myself, this thing (constipation) is a significant side effect for a couple of reasons:

One main reason is just that Even If it hasn't necessarily quite progressed to the point of being especially painful, troublesome, or even inconvenient, just the very fact that your intestines are slowing down and 'backing up' your whole digestive system will usually cause ongoing issues with nutrition and nutrient absorption...

As in-- first off, and most obviously, if one hasn't used the bathroom in a such and such an amount of time-- say, a week or whatever, its somewhat intuitive to say that they will not tend to eat very much....

Anyway... For those of you that haven't heard of it, Methylnaltrexone could be described as being "The Opposite of Immodium/Loperamide." It is an Opiate-Antagonist that doesn't cross the blood brain barrier.

So... put simply, Loperamide is to Fentanyl as Methylnaltrexone is to Narcan. They (Loperamide and Methylnaltrexone) only work in the "peripheral/(enteric) nervous system" (intestines) and not in the brain.

Evidently, it has been FDA approved and put on the market as a prescription drug Specifically for reducing/ameliorating opiate induced constipation.

Anyway, it has always seemed to me that, just in terms of its potential to help improve the quality of life of being an "opiophile/addict/patient/etc," this particular drug/therapy/idea (peripheral-antagonist/mntx) could probably be put on the same list as some of the several other various recent developments so often discussed around here... (ultralow-naltrexone, misc-ORL-1-antagonists, etc...)

Anyway, to conclude this already overlong (sorry) post, I'd just like to quickly add that although I only became a member of this forum a little while ago, I had first started reading some of the posts here a good long time ago... (I waited this long to sign on because, well.. I don't really have too much to say-- I find that I don't really have too much to add to most discussions...)

During the time when I was "lurking," and checking in every now and again, I would sort of sometimes kept a look out on the "todays posts" page for any new threads by Duckfeet (and a few other people), because they were always-- to say the least, well worth reading, (etc, etc,) But...... I quickly noticed that whenever he would talk about "this god damn methadone" that he hated/hates so much, he would always mention the Constipation that comes along with it as being one of the main reasons for hating it, for wanting to get the hell off of it as soon as possible, and so on...

Of course, I guess that he was only referring to the Physical constipation as being a minor part of it-- The other side effects-- 'can't be bothered to do anything,' lethargy, etc-- which he referred to as "mental constipation," probably being the rest of it....

Anyway, I'm just saying that it Seems like it might maybe possibly be worthwhile for some of us to look into getting prescribed some of this stuff, trying it out (while carefully measuring dosage! it doesn't seem like something one would want to take too much of, you know..) and posting back to the board on results obtained...

At the same time, I don't presume to be "giving advice" or even "making suggestions..." Like I said, I myself don't have Too Much opiate induced constipation, but, even so, am presently considering trying out some of that stuff myself just to see if it might potentially have an effect on... Nutrition/energy/bowel motility/appetite, etc... It seems like there might well be good reason to be optimistic, thats all...

Anyway, at this point, more than anything, I'm just sort of asking for you guys' opinions... Whether or not anyone here has had it prescribed to them, and so on...

Cheers everyone, and sorry for such a long post... :( at&t