This response is mostly for Ashby1947, and my heart goes out to Thull. Difficult! But my note to Ashby is quite relevent since she described me to a tee. What I am doing is working well and guided by my GI and team at Mayo. I take linzess along with miralax daily. I titrate the miralax from 0 up to 2 doses. If things go wrongly, i put myself on liquid diet. I also am diligent on the positioning and quiet time with coffee in the morning to achieve relaxation of the pelvic floor and autonomic calm. In addition, i always have chicken broth and brothy soup in the cupboard if I run into a slow down or a pain cycle. I am very well versed on what an imminent obstruction feels like. There are various foods I have to look out for, and others I try to infuse into my days. This part is likely an individual thing. I hope this helps.