My motility at its worst was 28 days. Good fibre, water, every kind of laxative ... My question would be, do you have any physical anomalies the docs are disregarding? I had 2 hernias the GI docs swore had nothing to do with my problem. But I have had an elongated colon my whole life, and only severe motility issues post hernias, caused by childbirth. A Nissen Fundiplication and an umbilical hernia repair, along with HRT for menopause related digestive issues, completely reversed my motility issues. With good diet, exercise, and moderate fibre, I have reduced my senna use to only a couple times in the last 3 years. My motility is 3-5 days. I was on ppis for GERD, domperidone for improper stomach emptying, Peglyte, Senna, and dulcolax, as well as other nerve agents such as lyrica, and painkillers.