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When symptoms develop, the most common are abdominal pain, more frequent urination and pain at the end of urination

First Line Polyethylene glycol (Miralax) 17 grams daily in water Safe and effective Takes 23 days Magnesium citrate (powder) Adjustable dose Helps draw water into stool Add If Needed Fiber supplements Psyllium (Metamucil), methylcellulose Start low, go slow Stool softeners Docusate Helpful if straining Rescue (Not Daily) Stimulants Senna or bisacodyl Use as needed, not every day When to Call Your Doctor Call right away if you have: No bowel movement for more than 57 days Severe abdominal pain Vomiting Blood in stool or black stools Severe bloating One More Thing Before We Get Practical I start my day with a breakfast shake

Being reviewed for 503A a separate committee process that may, or may not, authorise compounding

Estimates range between 3% and 20% among all Americans

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Eur J Clin Pharmacol, 2020.