Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

135 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Severe constipation, shooting abdominal pains. Taking Cymbalta, Wellbutrin. No improvement with laxatives. Cause?

I ve been having extremely bad constipation for over a month. I started a new medication (Cymbalta 90 mg at present). I also take 450 mg of Wellbutrin XL , as well as pain killers for a back injury/surgery that I m recovering from. I haven t had a normal bowel movement in close to a month. I ve tried enemas, stool softeners, laxatives, and nothing really works. I ve also been having stomach cramps and shooting pains in my abdomen. When I feel like I need to empty my bowels, I m unable to do so. There is pressure, but I can t evacuate. I m very concerned and not sure what the problem may be. I drink water constantly, eat fruits and veggies every day, and try to take care of myself. I ve *never* had any kind of a problem like this, except for an incident in March 2011 in which I went to the ER for an intestinal infection, which cause was never explained to me, but after four courses of antibiotics (two oral and two IV), it went away after about a week. I m 38 years old, 5 7 , and 129 lbs. I haven t had much appetite , which may be due to the increase in Cymbalta.
Wed, 17 Apr 2019
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,   ,  
Medical Topics
General Surgeon 's  Response
Hi,

Noted the history of taking Cymbalta and Wellbutrin and development of constipation.
Both these medicines are well known to cause constipation and GI disturbance.
The Psychological or Psychiatric problems in itself can affect the bowel habits in form of IBS-C that is constipation due to irritable bowel syndrome.
Hence the softeners and other medications may not be working well.
I would advise you the following:
Consult your Psychiatrist requesting to change over to another medications that cause less or no constipation.
Also to discuss IBS-C so that he may add on some medications.
But it is important to rule out other causes of constipation such as cancer, polyp, mass or so on.
Send stool for lab for three days.
Tests of blood for thyroid and any such diseases that cause constipation.
Change over to the foods and beverages that help pass out stool and to stop those that cause constipation.
Colonoscopy and CT scan of abdomen.
Consult a Neurologist to see if the back injury is the cause of constipation due to neurological problems.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I am38 and was admitted to the er and released with diagnosis of herd. I noe have severe constipation now. Always having to take laxatives twice a month because I never have the urge to go. I am on pepsis AC and malicious for the pain. . Very concerned that the medication is causing this. I also have had a family history of kidney disease. The er tested an ekg and did an abdominal scan. Not sure what I can try. Fiber foods not working.

doctor1 MD

I ve been completely constipated for 2 weeks now and it feels like something is blocking everything from coming out. During these weeks I have changed my diet to more fruits, fiber and have been taking Meralax on a regular basis to help improve my digestion and bowel flow. In the beginning I started with a couple laxatives followed up with prune juice, castrol oil, and have even been taking take home enemas on two separate occasions with absolutely no results. So far nothing has moved at all and now I have developed multiple internal hemorrhoids from straining. Also my gas, abdominal and testicular pain are all increasing by the day. Please help! What could this be and what should I do?

doctor1 MD

Hi! My name is Diana and i am 26! i ve always had problems going to the bathroom since i was little, now i can go 2 weeks without going, is not that i can t go i just don t feel like going, and I try, i take laxatives and everything and they only make my stomach hurt, lately i ve been having severe upper back pain, lower abdominal pain and lower back pain like almost inside my butt. I went to see 2 different doctors and they only gave me laxatives and send me to physical therapy, im super desperate because i ve been in pain for the last almost 6 months and is a constant pain, since i woke up until i go to sleep. what can be????

Recent questions on  Ibs w/ constipation

doctor1 MD

Hi doctor, I m a 28 year old, usually healthy female. I have a gynefix in situ, my period was due on Monday, i have only experienced spotting since then and am having some very strange (for me) experiences. I am so tired that I didn t get out of bed until 14:45 today. I did get up in the night projectile vomiting . I have been getting mild cramps , nausea and have been feeling light headed occassionally over the last few weeks. My bowel movements flip between diarrhoea and constipation . I keep getting achy and in work feeling like I m going to pass out. It feels as though there is something there when I lie on my side at night and for almost 2-3 months I have felt like something is stuck or caught when I bend down and stand up too quickly. I went to a walk in centre last month and was advised to go to the hospital incase it was an ectopic pregnancy . They kept me for 5 hours in A&E, did a blood test and said I should be refered by my GP to a gynaecologist , however, I haven t heard anything! My periods are usually heavy, last months was but this month it is just spotting so far. What would you recommend I do?

doctor1 MD

I have been constipated for a few days. My friends and I decided to go on a hiking trip. During the hike, I was okay, but after my stomach really was upset. My boyfriend gave me laxatives, and even though they worked for the constipation , my body started to ache and my head started hurting. I m taking a lot of fluids, but I m not eating much, since my stomach is still bubbly. What could I have and how can I get better?

doctor1 MD

i am very bloated and my stomach is very distended.cannot do a poo, extremly constipated. Only done two small poos in a week. stomach bloated and distended for about 10 days straight without going down. stomach same size as when i was 5 months pregnuant. am cramping a little, getting bigger every day as i am eating but cannot poo. is this serious?

doctor1 MD

hi i gave birth 3 weeks ago and have had loose stools ever since today it was more like water so has gotten worse, during pregnancy i was badly constipated and during the birth i was badly constipated but did manage to pass some before baby was born with a lot of difficulty should i be worried that my stools are so loose and will it ever get back to normal

doctor1 MD

How do I cure chronic constipation? I hv tried taking laxopeg at night and also naturolax at night on different nights. What works better for chronic constipation?

doctor1 MD

My dad had colonography and yest consultabt said they found 2 huge polyps 35 mm each and further come cancer. We are very worried. He has had anemia since 1 year but no othet symptoms. All blood tests inc crp and liver function were clear. Would a...

doctor1 MD

What is the best over the counter hemorroid cream for instant relief. I live near a Walmart, and I will gomas soon as I hear from you. This just showed up last night out of the blue, there is a buldge and it feels like its burning. Then I searched...