I don’t think fiber is your friend. While reading your question, I felt l could relate with every problem. I have had chronic constipation for over 5 years now. Try one tablespoon of mineral oil a day. Too much? Then every other day. Space out the days.. find out what works best for you. Don’t take the mineral oil within 3 hours of meds or food, it will effect how much gets absorbed.

A sibling’s friend had chronic constipation & their doctor told them to take “greens” everyday. They bite the bullet & just take green vegetables every morning to get it over with. They found this works. I am sorry I don’t know what green vegetables they use, just experiment.

Based on what I have read over the last couple of years about chronic constipation, I’ve come to believe that there are many causes and multiple remedies. The effectiveness of the remedy, depends on the cause. For a long while, I suspected that my sudden constipation was not a matter of inadequate water, fiber or exercise. It was more complex than that. Eventually, the most likely culprit would be discovered. Pending the discovery, I was able to get relief with a daily dose of Miralax, though to me that isn’t an ideal regimen. But, treating the symptoms is sometimes the best we can do.

I agree! Find a GOOD Gastroenterologist!
I am working with Mayo GI in Jax.
MRI showed a large stool load in the ascending and transverse colon.
Colinoscopy showed patchy active colitis, my GI wants another look with a Sigmoidoscopy to confirm the colitis.
Also schedule for a manometry to see if pelvic floor dysfunction is part of the problem.
When I cant stimulate a BM with all if the concoctions: Mira lax, Metamucil, colace with senna I go to a half bottle if mag citrate… magic!
Also very helpful is the squatty potty which gets your body into the correct anatomical position to evacuate the bowel.😅
Definitely a GI will get to the bottom.
I have adrenal insufficiency ( liw cortisol) and that has a huge impact on bowel function!
A work in progress…

Thanks, don't give up our bodies have lots of ways to heal and cope,
@farmersmith

Right on thanks for the hug, don't give up our bodies have lots of ways to heal. Hugs count too as you know!
@farmersmith

Hi Shelley best of luck. What we liked about it was listening to some of the chatter we tell ourselves doesn't always help and we can use affirmations to pull ourselves onto a better course. Like I said I have malformed legs from an auto accident (oops left that part out) so have some chronic pain. You might look up Substance P too. Our brains make that chemical which tells our brain we have pain and then our brain gets confused always on guard. Anyway bringing in a counter affirmation or even counter substance like hot pepper or biofreeze for me on my legs has helped me lessen the discomfort. Our bodies are complex but why not take on the challenge vs giving up, right? lol
@farmersmith

Try the Goddess collection teas. They work for Chronic constipation. DIGESTIVE RELIEF or PARASITE PUNISHER are good ones.
https://thealkalinegoddess.com/

Just started motegrity 2mg and is starting to work unlike trulance or the linzess doesn't add more fluid to the intestines works by making contractions its made a little difference

I was recommended to look into functional practitioners and some products for digestive health. I am looking into it.