@tumblewind I am not on a stool softener but a bunch of other OTC laxatives: senna, Miralax, and magnesium daily. I also have pelvic floor dysfunction that did not respond to physical therapy. I use a pelvic wand rectally every time I need to have a bowel movement and a soap suds enema daily to ensure things are being cleared out. My Gastroenterologist is aware of all of these modalities and has never discouraged me from using them. It definitely limits my lifestyle options, but I am still able to be here for my family, which they reassure me is enough. I would be surprised if Motegrity is not available overseas as so many meds come from India, etc...it may go by a slightly different name. For example, I just got my first Rx for Xifaxan through a Canadian pharmacy, but I got generic form (no generic is available currently in the USA).