Bowel Movement Irregularity/Changes
Users on Reddit report a variety of experiences with bowel movement irregularity and changes while on GLP-1 medications, with constipation being the most frequently mentioned issue. Some users also experience diarrhea or a mix of both. Several remedies and preventative measures are recommended by the community.
Experiences with Bowel Movement Irregularity/Changes:
Diarrhea: While less common than constipation, some users report diarrhea. One user mentioned their bowel movement "turns to diarrhea. "[1] Another experienced "Stomach cramps preceding diarrhea. "[38] Some users with pre-existing conditions like IBS-D found GLP-1s helpful: "It has put my IBS-D into almost total remission. "[24] and "Constipation is often a side effect of GLP-1 so it can help with IBS-D by resolving diarrhea and leading to more regular bowel movements. "[22]
Alternating Bowel Habits: Some users experience a mix of constipation and diarrhea. One user reported, "Either constatation or extremely loose stools. "[27]
Reduced Frequency: Due to eating less, some users naturally have fewer bowel movements: "Since I’ve been eating way less I only go every other day. "[7]
Improvement for Some: A few users reported an improvement in their bowel regularity: "I have an abnormal side effect it seems, because since I started the medication, I’ve been regular for the first time in my life. "[12] Another said, "Everyday now 🥳 Went from maybe twice a week to daily"[11]
Severe Cases: In rare instances, severe complications like bowel perforation have been mentioned. [34]
Remedies and Preventions Recommended:
Fiber Intake: Increasing dietary fiber or taking fiber supplements is a common recommendation.
"I take Metamucil powder every morning"[2]
"aim for about 20-25g of fiber per day. "[20]
"fibre drink every morning and a fibre rich muesli breakfast. "[4]
"When I start having trouble I take psyllium husk. "[5]
"take fiber gummies"[8, 40]
"I’d strongly recommend fibre supplements on top of high fibre foods! "[26]
However, one user cautioned, "DO NOT take fiber! "[28] (This seems to be an outlier opinion or specific to their situation).
Dietary Adjustments:
"Eating fruits and vegetables. "[5]
"I have a two fruits & two Cruciferous vegetable per week rule. "[20]
"Eat a fiber and protein rich diet high enough in calories for your body’s needs"[15]
"My friend had this issue and also was going to quit taking it. Her doctor told her to stop eating so much so she did, and the constipation went away. "[31]
Magnesium Supplements: Magnesium is often recommended for constipation.
"take a magnesium supplement. Helps me go almost everyday! "[8]
"Try Mag 07 , it has kept my wife and I regular for a year! "[17]
"I take Magnesium Citrate supplements to keep things moving"[21]
"I managed that by taking calm in the evening. (Magnesium from Costco)"[41]
Stool Softeners and Laxatives:
"I started taking mirafiber gummies... I also keep a bottle of colace on hand to soft in the stool when need be"[10]
"Stool softener and prunes. "[16]
"My doc added in a daily Colace tablet (not the stimulant kind) and I'm all good. "[23]
"Miralax, sennakot"[29] (though this user said they didn't work for them).
"mild constipation but I just take a dose of miralax when I need it. "[25]
Probiotics:
"Take a probiotic every day. "[3]
"Also, you need a pre-probiotic combo. "[43] One user recommended Seed. [44]
"Daily probiotic supplements have helped tremendously with my sulfur-gas and bowel issues. "[28]
"I’m going on my 3rd month, I started eating clean and taking probiotics a week before I started and I’ve never had any side effects. "[47]
Other Remedies:
"Yogurt helps"[19]
"Pepto-Bismol cherry chewables. Like a godsend stg. Chewed 4 I have had no sulpher burps since and my bathroom problems have been remedied. "[30] (This was for a combination of issues including constipation).
Users emphasize that if constipation is severe or persistent, medical advice should be sought: "going 3-4 days without a bowel movement is concerning.
Experiences with Bowel Movement Irregularity/Changes:
- Constipation: This is a very common side effect.
Remedies and Preventions Recommended:
- Hydration: Drinking plenty of water is frequently advised.
Users emphasize that if constipation is severe or persistent, medical advice should be sought: "going 3-4 days without a bowel movement is concerning.