After reading all the comments regarding constipation, I can see that everyone has their own recipe to become a "regular guy/gal". When I was regular, my BMs came every three to four days, but the front portion was very hard and the stool was VERY large...like an anaconda. Since I had a pain pump implanted with hydromorphone implanted about a year and a half ago, my movements have been more difficult to expel. I went to an enterologist who told me to take Miralax twice a day. That helped for a while until my stools became very loose. So, I cut back on the miralax, and the stool became reluctant again. I tried Fleets glycerine suppositories. They helped for a while until they didn't. I then tried the Laxative suppositories. They have worked, but I have to strain quite a bit for a long period of time to rid myself completely. Now, I don't even get any signal from my bowel telling me that "It's time to go". I'm thinking of just letting things go for as many days as it takes to feel the urge. I'm just fearful that my stool will be extremely hard. Oh, I just started Tramadol about a month ago. I'm sure that it has contributed to the problem along with the Hydromorphone.