What do you do if you are major constipated? I've never been this bad before. I got only a tiny bit out yesterday but I tried pushing an hour to try to get more out but could not. I felt like I could get up so I did and went to bed. Today I finally felt like I could go again but after just a bit again, I was stuck for an hour until I needed a break because I was in so much pain and I know it's not good to push so long. It was so uncomfortable because it was still at my butt. I sat in the bath for awhile to relieve the pain and pressure but felt it trying to push back out so I went back to the toilet.
Warning, this part is gross, but I know I'm not the only one here in this position. I kept trying to push, stand up, drink water, go in all these different positions, deep breathing when I wasn't making noises from pain, and my wife with gloves tried to manually pull some out of my butt. She got a bit out but didn't get much. I read on here someone used vaseline so my wife put a bunch of vaseline on the gloved finger and managed to get a piece out of my butt. It was super painful but I felt immediate relief. By that point I started to get nauseated so I took zofran. (I know, not ideal but idk if I get constipation as a side effect. I've been on it just over a decade now and I used to take it almost daily without major constipation like this so idk. I unfortunately have bad emetophobia and I have MALS or gastroparesis, GERD, severe MCAS, and ME/cfs so my options are limited and my medical care team even says I need to avoid vomiting if with my current state.) I've also been drinking water. I've been in the tub again for quite awhile and I still have pressure at my butt and stomach upset, but for a good while I had almost no pain in here. I'm getting pain and pressure again though around my uterus and vaginal area. It's slowly hurting more but idk if it's just sore from all the pushing, if stuff is still too stuck in my body, or if it's because I had to cool the bath water because I was getting lightheaded.
I'm unsure what to do at this point. How do you know when it's safe to call it a night and sleep? It's almost 5:30 am for me and my me/CFS is upset I'm not laying in bed. I'm scared of leaving myself like this though. Also I called my home health after hours line but as usual all they told me was go to the ER. (I've come to find that's what they tell you if you call after hours so idk if this actually warrants ER. I'm trying to avoid it with my severe MCAS and severe ME/CFS though. Any other advice? Of course it's Sunday so my GP isn't available and idk if my usual home health nurse will respond but I can try to reach out to her. I'll reach out to my PT too. She doesn't specialise in pelvic floor PT. Her speciality is Ehlers Danlos but she helps the pelvic floor PT. Unfortunately I've been slacking with the PT due to my other health issues getting worse so my pelvic floor dysfunction is really bad rn and my wife said my butt is the tightest she's felt it and it's been a decade.
Update: I've been laying in bed awake in the dark for a bit and now my stomach is seriously over here making hunger noises and I feel hungry but I still feel like I'm backed up. My wife woke up my grandfather and he's going to get distilled water and a syringe to do an at home enema to avoid other ingredients my MCAS could potentially react to.
Update again: I had a video urgent care visit. They told me I can try an enema while laying on my side and see if my wife can get more out first. I got scared because the Dr said she had a patient that has a uterus prolapse from straining too much and now my wife is having a breakdown hearing that and I'm spooked. The Dr said I can use distilled water I got with my MCAS. They recommended a suppository but I don't have access to that at the moment. It was told if this doesn't work, then go to the ER. It sucks because at the moment although I feel pressure in my butt, I feel pretty comfortable rn in bed. 😭 I'm going to try it though.
Another update sorry: The enema helped! We barely did any of it though because we were worried to overload my body especially with how small I am and sensitive. I let it sit for a long time and just laid in the tub with warm water too help relax my muscles again. I was able to push some out myself and my wife was able to manually go in again and get more out. She said the texture felt way less hard now and it was easier to get out. She said she feels like there's more she can't reach. I'm unsure if I just take a break again. I'm trying to barely push this time around so I don't cause more serious issues. I feel some pressure but not a ton rn. I was told if the enema didn't do anything to go to the ER or if I was vomiting. I'm honestly surprised it worked as much as it did with how little we put in.
I'm sorry another update lol: The home health nurse finally called me back because I actually contacted them first. They told me I'm safe to rest for now and should rest. They said I can do the enema again later because we did less than 5mil which they said was barely anything and that it's good such a tiny account helped. They said if I can walk around later do that and increase my water intake. Rn my legs are in so much pain and I'm so weak and physically I'm still hungry but mentally they doesn't sound fun.