I was glad to hear that after your conversation with your husband, you had the hope and energy to keep searching for answers, as are we all here.

I read your contact with the motility specialist as she simply didn't have any answers so seized on the easy out of "It's all in your head." Is it possible that you have been written off as depressed in your medical record which reduces any effective intervention and the doctors can focus on easier cases with a clear conscience?

Reading Mayo Clinic's Drugs and Supplements very long entry for the Citalopram (Oral Route) she suggested is concerning.

My "NotMoff" name is based on Dr. Moff's laughing reply to my question as to how to reduce my obstipation impactions. He suggested I stand in front of the laxative aisle at Walgreens and try things randomly. He also commented casually that I had an incredibly tortuous colon (not in my medical records and news to me) as he rushed off to a waiting colonoscopy.

When I asked my internist for ideas, she said to try an out of Kaiser resource.

It doesn't appear to me there are many good answers out there. But I keep reading whatever I can find on the subject, walk daily to get my intestines moving, drink chia water, eat dried figs & prunes, take Miralax about 1/week, Smoothe Move about 2/month, do my own abdominal massage, and when my rectum is packed solid but reluctant to release, use manual extraction. I hope this isn't tmi.

As a relative newcomer to this group I wonder how many "graduates" there are . . .