hi thank you asking HCM I have gone through your medical concerns, and I am sorry for the situation you are in. For the time being, continue using movicol to alleviate your symptoms. However, additional lifestyle and diet changes are also necessary to have more success. So, it is good to : - avoid spicy foods, coffee, tea, chocolate - try to copy with stress. I understand you are experiencing a tough period, however, be positive and you will go through it more easily. Stress plays a crucial role in aggravating your symptoms, therefore, I suggest to find ways to cope with it. - take 2-3 l of fluids /day - you should take foods reached in fibers After these I recommed you to perform colonoscopy, and abdominal ultrasound. This is the best way to be diagnosed the reason of severe constipation best regards Dr.klerida