Posting this in women's health (with a name change) which I hope will be the right place. Cutting a very long story short, I've had chronic constipation probably for a decade now. I've got endometriosis in my bowel and rectum and I've had several surgeries for it now, including a hysterectomy and excision from bowel and urinary tract. I have a lot of pelvic scar tissue showing on mri, and was told at my last colonoscopy that my bowel is very loopy and that the colonoscopy was very difficult.
A couple of years ago I started suffering from random bouts of excruciatingly painful and uncontrollable diarrhoea (that would follow a week of no movement at all). I've been put on nortriptyline to help with the nerve pain and to try to prevent the diarrhoea. I was told to add fybogel to the laxido I was taking anyway, and there were tweaks to diet as well. It has got a lot better. But I'm just so sodding constipated all the time and nothing I do seems to sort it. I take senna when desperate, that's not really working now either. A couple of weeks I thought I would try ditching the laxido and increasing from 1 sachet of fybogel a day to 2, because I am so desperate for some degree of regularity. It has just made things worse. Why is my bowel so rubbish and is there some trick with the laxatives that I'm not getting? (I monitor water intake to make sure I'm drinking enough).
Please no helpful tales about how you fixed things by having a glass of prune juice once or that I should go for a brisk walk 🙄