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Exalgo Er 16mg, your experience....

Jan 02, 2016 2:31 AM

I must apologize in advance this is a personal subject and very embarrassing to me. My exalgo er 16mg tablets are hydromorphone, an opiate based medication it should dissolve completely over the course of 24 hours. So this is embarrassing for me im not very upended about this subject but I have no choice. I'm not very good with bowel movements but I have constant constipation this last month is been a little better but all the sudden for a week it stopped again. Anyways im freaking out a little because I had a bowel movement tonight that was a ball and it looked like it had something round in it in multiple areas. It scared me so I got a pair of gloves out of a box of hair dye and there were 3 FULL exalgo pills in there stuck and at least one broken. I have never ever misused it, I always take one pill every day in the morning. If they aren't being dissolved like they should be for whatever reason maybe my digestive system or something but that means I'm not being dosed properly but more importantly if they are stuck in my bowel out not dissolving then one day my bowel moves and they dissolve I'm could get 2 or 3 dosage of pills in one shot. Im thinking that will be very bad. The only med it could be is the Exalgo because it is the ONLY pill I take shaped that way. So now I'm scared to take it, I know it is not the type of medication you can just stop but I do not want to take it anymore. I am scared to death there is more stuck in my body that could just dissolve and make me sick or worse. Please if anyone has information that is calming to me until I see my pain specialist in a few weeks please advise me. Again I'm sorry for the graphicness of the subject.

Jan 02, 2016 6:00 AM

I looked it up and it said that it was normal for part pills to be found in your stool. It does not say anything about full pills. I strongly suggest you call your doctor as you should never just stop a medication like this. I hope everything is well! Gentle hugs

Jan 02, 2016 6:11 AM

Read further on the subject and other articles and literature say that the tablet shell may commonly be found in the stool. I'm guessing this means it looks like full tablets. But ALL of the literature states do NOT stop taking this at once. Call your doctor, please please don't stop without his help!! Good luck, God bless and gentle hugs. (And I'm sure we've had more graphic topics in here before lol... Ask about the poop fairy lol)

Jan 02, 2016 11:18 AM

LOL @ Phoenix and the poop fairy!!! I love it. I'm calling on her myself today.. It's getting very uncomfortable.
Daniel, I have to ask, are the pills tablets or capsules? I assume since you said they're round, they're solid pills. If they were whole, there was nothing absorbed into your system and you may very wel have something else going on. Call your doctor right away, don't wait and don't stop your meds without the doctors saying so. Sending gentle {{{Hugs}}} and prayers that you will have a more peaceful day, a visit from the poop fairy and less pain. ๐Ÿ™๐Ÿป๐ŸŒป

Jan 02, 2016 3:57 PM

Alwayz , they used to call me the poop Queen in my unit when I was working!!! Lolol I could get you to poop believe me,,,, giggling...anyhooo on to the other topic...please call your doctor. As ever be else has stated don't stop taking it... PS just a question when you examined these capsules they were fully intact? I know this sounds gross but save them for your doctor to examine, it may not be the worst .. Did you feel a relapse in pain , did your pain seem worse? It may be just that they look full but did release the meds to your system or you would be suffering full blown withdrawals... Just a thought..love and Blessings , Terri

Jan 02, 2016 11:05 PM

I'm sorry I'm mortified :( I can't ask anyone I wouldn't even tell my husband about this. We've been together for over 17 years and If you ask him I don't go #2!!! I go when he's at work. I am very private. So trust me it took a lot writing this. The pills are tablets they are hard I can't crush them before taking them and I could not crush them when I found them. It did not feel like a shell or casing of a pill. But I honestly didn't play with them I checked them and started freaking.

Jan 02, 2016 11:07 PM

They appeared fully enacted to me. I couldn't crush them at all I did try.

Jan 02, 2016 11:08 PM

I've had bad pain for 3 or 4 days I chalked it up to the cold weather it finally hit us in NJ a few days ago.

Jan 02, 2016 11:34 PM

Daniell, please call your doctor! Maybe you call him or her asap so you can get some reassurance. I hope that you are doing okay... Keep us close. Terri

Jan 02, 2016 11:52 PM

I have an appt this week I skipped the last pill so I've been without it for 24 hours but after I seen everyone say don't stop taking it I just took it. I am going to try and take the pill separate from my other pills and with a large cup of water and see if I feel different. If anything I will callmy Dr Monday morning. I can call this weekend but I won't get my doctor and there's no way I'm going to the ER for this I would die. I'd rather just suffer in pain not taking it til I can see my Dr. I don't know I'm a mess I didn't sleep last night it freaked me out so bad I've been taking this medication appx 2 almost 3 years and never had an issue.

Jan 03, 2016 12:09 AM

Okay,good I am glad you dosed yourself. I understand that it is scary but it is nothing to ashamed of. I see that you are a retired law enforcement, I understand that this is totally bewildering you and you feel so alone with this. I just hope that you will continue to get to know us, we are here going through some of the same things, we donot judge, we love each other through the days.... Please keep coming back. Much Love and Blessings, Terri

Jan 03, 2016 12:14 AM

You can text me anytime ...9037141644, I will answer.. You are not alone..remember hydromorphone slows your belly down, makes it very sleepy hence the constipation problem.. Your doctor can prescribe a medication to help with this...love Terri

Jan 03, 2016 1:21 PM

Terri, that's too funny that they called you the poop queen at work.. Now I have to know.. How did you get them to poop... Giggling!! (I'm assuming an enema?) ๐Ÿ˜ณ

Jan 03, 2016 8:28 PM

Thank you Terri I joined a couple months ago but was apprehensive I'm not a good talker but I'm a good listener!

Jan 03, 2016 9:17 PM

Alwayz, enemร s aren't the only tool we poop Queens use...lol

Jan 03, 2016 9:21 PM

Daniell, I am glad you are here, I can share hope ,love, encouraging things very easily. However when it comes to my "problems" or issues I am normally quiet with it. Hard to be patient, I was in nursing for so long. I understand. How are you doing today? Love and Blessings, Terri

Jan 04, 2016 10:58 AM

Daniell77, I'm sorry you're going through this. Calling your doctor who prescribed the med is as important as calling your GI doc, if they are different. There is no shame or embarrassment or judgement given out in this community. This is our safe haven for sharing and encouraging one another through our chronic illnesses. I oppose you will be able to feel more comfortable as you coexist among us. (((Hugs)))

I too, was very embarrassed about sharing detailed info here at first. But then I realized I wasn't alone in suffering many things i had. And I realized that my experiences help others as much as theirs can & often have helped me. I will share something with you. I too have always been very private and embarrassed about BM's, until the past 5 years. Even to this day I will not go in public places, simply because I can be on a toilet over an hour some days, or constantly running for one every hour around the clock, or sooner. I've had fluctuating IBS for most of my life. Over the last 6 years my GI system has become overly sluggish, likely from damage to nerves during a 5-in1 major abdominal surgery. I had already been diagnosed with pelvic floor dysfunction & pelvic congestion syndrome (engorged pelvic veins). Both affect my ability to control my urine and stool, and sex is out of the question.

I had an absolutely mortifying test I had to have done about 1-2 year after the surgery, called a defocography/aka: defogram. I went to the radiology dept and was given the barium through an enema, being told to hold it in until I climbed up on a plastic opaque toilet, which allowed the radiologist to watch as I retained or pushed the liquid out, as he told me too. Absolutely mortified I'm saying!!! ๐Ÿ˜ฑ๐Ÿ˜ต๐Ÿ˜ฌ๐Ÿ™‡. The results showed that not only is my system sluggish (could see the whole GI tract on xrays), but I have a rectal prolapse & rectocele. Thankfully I do not need surgery as both are mild. But I did have to start pelvic floor therapy, which again was very embarrassing! It was very necessary for me to regain control of my urine & stool functions. Sadly, I've had to repeat the treatments three more times in a 2-3 year period, because my nerves &/or muscles don't seem to be able to keep with the training; they're just that damaged. They're saying I may need a Neurostimulator implanted to control the Sacral nerves which control those muscles & body functions.

I'm praying I won't have to, and I've made several changes to my diet. I have fibro, sjogrens, & hypothyroidism, all also autoimmune, which goes along with IBS symptoms. I'm sensitive to wheat but not necessary to alleviate it totally. I just have to watch how much I take in. Because of it I had to come off metamucil. I take citrucel & a product I found on Amazon, called "Organic Whole Husk Psyllium" from India . I use both daily to bulk up my stool, as well as assist the transit, and I take Senokot-S (my mixed cocktail...Lol). The Psyllium helps absorb water from my body into the stool, which is one major problem from the IBS-C (chronic constipation type), and a problem from having sjogrens. This has been a blessing of help to prevent diarrhea from the cocktails I have to drink just to go. I was given Konsyl, another Psyllium product, available at pharmacies, but expensive, doesn't last as long, and it cramps & gases me up which isn't pleasant. To assist the slow transit I was given Linzess rx. It worked great for about 6 months then I hit the diarrhea phase severely to where I could rarely leave home. I've had to increase the Psyllium to 1 1/2 dose as well as spread the Linzess 2-3 days apart (when I get real constipated). I've also changed a lot of how I eat. Fresh fruits & vegetables can exacerbate the diarrhea so I must limit certain ones (melons, oranges, tomatoes, etc) while increase bilking types (carrots, celery, bananas, etc). My diet must remain low fat (little to beno fried, no chest casseroles, etc), and through trial and error we have found a Mediterranean diet, or California stir fry/fresh foods is best for me.

I hope my information is helpful, giving you suggestions to discuss with your GI doctor. It's embarrassing to share, but holy cow, did my sisters and I have a huge laugh when I told them about the defogram test! I've lost my inhibitions where medical issues are concerned. There's not a nook or cranny on my entire body that hasn't been under intense scrutiny at some time or another in the past 25 years! Lol. Have a blessed day, everyone! (((Hugs))) & prayers, Daniell77! ๐Ÿ˜ท๐Ÿ™๐ŸŒผ

Jan 04, 2016 10:59 AM

oppose = hope... Darn autocorrect!

Jan 04, 2016 11:15 AM

beno = no
chest casseroles = cheesy

Jan 04, 2016 8:36 PM

Flappys, I think I would have DIED with the defogram!! Omg I was mortified just from the colonoscopy I had to have last year. Also I got the giggles at chest casserole because (please pardon my inappropriate humor) my brain immediately served me up a commercial for "Tippy's Titty Tater Tots! Casserole in a bra!! Just add potatoes and milk (ha!)!!" I'm so sorry for that. Hanging my head in shame, but giggling anyway

Jan 05, 2016 5:01 PM

Omg... ROFL (mentally)! My dog is looking for me strangely. Phoenixrising, I figure if I got through that, I am pretty much get through anything! My sister said she'd have died right there. Lol ๐Ÿ˜ท๐Ÿ™๐ŸŒผ

Jan 06, 2016 5:21 PM

My brain is always shoving inappropriate humor or commercials or occasionally random facts that it spots out if my mouth that have nothing to do with any conversation I'm in... It's usually quite embarrassing, but I hope y'all got a smile!

Jan 07, 2016 11:03 AM

Don't worry about inappropriate humor, Phienix... I'm just full of it!! I have told some really off color stuff here at times when I'm really in a bad way. Sometimes I have to sensor my typing because I curse like a sailor.. LOL!! ๐Ÿ˜œ๐Ÿ˜‰๐Ÿ˜ณ๐Ÿ’•๐Ÿ˜Š

Jun 06, 2018 7:34 PM

I have experienced the same thing! I called the doctors and they said nothing! In the meantime my appointment isnโ€™t till two days and Iโ€™m experiencing extreme pain! My body isnโ€™t digesting the meds. So Iโ€™m going to try something else!

Jun 06, 2018 8:03 PM

Iโ€™d bet that while theyโ€™re intact, theyโ€™re actually not perhaps theyโ€™re low abuse potential n made with gel? Iโ€™m not a dr. Your body processed most of it ...you said itโ€™s 24 hrs.
I deal w/ the constipation thing with smoothies that have kale n banana with probiotics in powder packet n I use senna with colace if necessary cuz softener is helpful

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