Solving Problems With Both Constipation and Diarrhea

Irritable bowel syndrome is a common digestive disorder, affecting between 25 million and 45 million individuals in the US. For many decades, gastroenterologists labeled this a “functional GI disorder,” meaning they couldn’t find a pathological cause for the constipation and diarrhea people with the condition suffer. However, doctors are paying more attention now that there are several drugs they can prescribe for the diarrhea associated with it (Advances in Therapy, Nov. 9, 2019). People with this problem, however, often prefer to look for non-pharmaceutical ways to manage it.

Managing Constipation and Diarrhea:

Q. Since battling irritable bowel syndrome (IBS) for years, I’ve had to deal with both constipation and diarrhea. For diarrhea, I make tea from raspberry leaves. You can get the leaves at health food stores or online. Don’t mistake this for raspberry-flavored tea, which doesn’t work.

As for constipation, I use the pumpkin bran muffins from your Guide to Digestive Disorders. It takes a few days to get results. I call them “muffins to GO.”

Poop-Pops for Constipation:

Nurse’s pudding works well, too. After mixing applesauce, AllBran and prune juice, I put it in ice cube trays and freeze it. I pop out one or two when I need them. Of course, I call these “Poop-pops.”

Believe me, I’m not making light of the situation. When I have a normal BM, I feel like I’ve won a gold medal. It’s a heck of a way to live, but I hope it helps someone else.

Strategies for Coping With Constipation and Diarrhea:

A. Thank you for sharing your strategies for coping with IBS. Struggling to control both constipation and diarrhea can be very trying. Anyone who uses the Power Pudding recipe (nurse’s pudding) should be sure to drink plenty of water at the same time to prevent intestinal blockage. The usual dose is one to two tablespoons a day.

Raspberry leaves have traditionally been used to treat diarrhea (Current Medicinal Chemistry, June 2004). We don’t think this remedy has been tested scientifically, but we are glad it works for you. 

Eating With IBS:

As we mentioned above, IBS used to be considered a disorder without any apparent pathology. However, that has now changed, as researchers have discovered small intestine bacterial overgrowth (SIBO), dysbiosis (an imbalance of gut bacteria) or disruption of the gut-brain connection are associated with the condition (Annals of Gastroenterology, Nov-Dec. 2019). Most people with IBS have either diarrhea or constipation as the predominant symptom, but many others, like you, must cope with both constipation and diarrhea. Sometimes people find it helpful to avoid certain foods, such as those containing fructose or gluten. Sufferers may find a low-FODMAP diet is helpful. 

CJ reported:

“I started a low FODMAP diet at my gastroenterologist’s recommendation almost a year ago. Not only did my tummy problems clear up (well, 80% or so), but also my joint pain went away! After a decade of joint pain, this was AMAZING. So, it is worth the inconvenience for me. When I slip, my joints react first–and I go right back on the diet.”

Unfortunately, not everyone gets such excellent results. 

Lucy found that the diet was distressing:

“I have had IBS-D for ten years… daily up to seven times if I don’t take Imodium. I am 72 and hardly go out. I tried the FODMAP diet over a year ago for two weeks and the problem was worse than ever…explosive diarrhea. I was so disappointed.”

Lisa offered a few words of caution:

“Speaking from experience (I successfully tried the diet with the book and a nutritionist, but it didn’t relive my IBS)
Please be aware that the FODMAP diet is intense and not a fad. If you’re suffering, it’s worth a try. However, because it is extremely restrictive and complex, it absolutely must be done under the supervision of a nutritionist, no exceptions. Also, it requires such care that one should really work with the actual book or a nutritionist who has it because following online guidelines will not be comprehensive enough. It must be followed with utmost attention to detail.”