Symptoms Spotlight: Constipation with Abigail Johnston and Melanie Sisk

In this episode of our Symptoms Spotlight series, hosts Melanie Sisk and Abigail Johnston tackle a topic many cancer patients experience but few feel comfortable discussing—constipation. From understanding what constipation really looks like (hint: it's not always what you think) to practical remedies you can try at home, this episode breaks down the stigma around bowel health.

Melanie, a nurse and cancer patient on CDK4/6 inhibitors, shares her go-to over-the-counter solutions like MiraLax and Colace, plus an often-overlooked remedy: movement. Abigail introduces the "prune juice slider"—a surprisingly effective trick shared by her chemo nurse—and opens up about the challenge of swinging between constipation and diarrhea.

Whether you're dealing with medication side effects, reduced mobility, or just trying to understand your symptoms better, this episode offers honest, practical advice. Learn when to troubleshoot on your own, when to reach out to your care team, and why talking to a GI specialist might be the missing piece of your symptom management puzzle.

Key Topics:

• Recognizing the signs of constipation beyond straining
• Over-the-counter remedies and natural solutions
• The role of movement in digestive health
• Avoiding the pendulum swing between constipation and diarrhea
• When to seek help from your medical team

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Until next time, take care and keep pushing for progress.