I do miralax and mg citrate every pm BUT still I would not have a BM other than a few hard rock balls that you will blow a carotid artery to get out if I didn’t take a prescription called Linzess. Before Linzess three years ago I lived like that! It was proven I have very slow colon transit with the Sitz study and I only had rock hard people fer with bloating and abdominal distention and pain. I’m 64 and since 36 I’ve been extremely extremely constipated. I was a vegetarian and very active and drink lots of water. They couldn’t blame it on the usual like poor die, lack of exercise and lack of activity etc. I do have some adhesions from years and years of endometriosis and have hypothyroidism which is under control but still didn’t help when hypothyroidism fixed as it should if it was my hypothyroidism. Sometimes everything checks out, you eat a pristine diet, drink adequate fluids and are not sedentary and you’re still severely constipated! Drs don’t know everything. I’ve been a nurse for 44 years and as I’ve have had more health issues from just a life of working hard and genetics I realize more and more Drs know less and less. I also see the basic knowledge decrease in Drs in general and in the inability to listen and look at the whole person. They all specialize and are poor diagnosticians. Quick to stamp on a one size fits all because that does not require critical thinking and a broad knowledge base.