Hi there, welcome to HELL of CIC. It's especially aggravating when even your GI doesn't know, for example, that ANS-autonomic nervous system has a HUGE impact on CIC. I'm keeping my comments on the short side. Tried every script, OTC, food, etc...all failed. 17 years of failure. In last 3 years it's gotten worse. 3 partial small bowel obstructions, 2 cleared by eating almost zero solid foods, used meal replacement shakes, and tons of all fluids (I have always been a huge water drinker), 1 SBO 3 days in hospital via ER, ng tube, OMG, it hurt. Three blocks in my anus that required digital removal, by my fingers, OMG these hurt too. I hope you have never had to dig 💩enough holes to release an avalanche of 💩💩. I use miralax 3-6 caps per day to keep my bowels in a liquid/sediment state. My GI simply ghosted me. My Hyperparathyroidism was found accidentally. My main reason for replying is, consider having your PTH, calcium and vitamin D tested. Do NOT start any supplements, if you choose to pursue Hyperparathyroidism. That will skew your results. Look it up online, see if you have a lot of the symptoms (which are also common in many other diseases). Elevated calcium can wreak havoc on your body and you don't even know it. Good luck. I know this is not the answer for all CIC, but it WILL NOT be brought up by any dr., it's up to you to get enlightened. Shelley