I have severe constipation. I have always been constipated but this is on a whole different level. I do suffered from automatic small fiber neuropathy and I am quite sure I have a motility issue. I have tried every single thing mentioned in the comment excluding prescription drugs. Not a single one helped, they worked for a short period of time. I currently take six magnesium citrate tablets along with two Phillips Laxative tablets before bed. This seems to work well but occasionally I have to use a small enema. I buy the tiny fleet enemas or the CVS small enemas. They are really small so I don’t mind and now the need is less than it was. I took the smart pill test to see what was going on and my gastroenterologist said she was presenting my results to a panel of doctors who go over difficult cases. I have a tele-health visit on January 3rd and I should know more then.