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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Constipation While On Miralax

I am being treated for severe constipation. I have tried Miralax and Phillips with a lot of problems and my doctor has prescribed Linzess. I took the first one this morning and feel like I have to go but nothing is happening. Should I take Miralax or Phillips in addition? Does it take a few days to work?
Tue, 22 Nov 2016
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Emergency Medicine Specialist,  's  Response
Thank you for your question

In my opinion the medicine can take sometime to work

In my experience Miralax works the best but patients often don't take enough

If you were my patient this is how I would treat you

I have patients take 1 capful of Miralax on Day 1 and then increase by 1 capful daily until you have soft bowel movements. For example, on Day 2 you would take 2 capfuls, Day 3 3 capfuls, etc.

The other option is to have your doctor prescribe you 238 g of Miralax. You mix this is 32 oz of Gatorade, shake, wait an hour and then drink. This is a colonoscopy prep so you will have pretty severe diarrhea after that.

Hope this helps and you feel better

Dr Dupy
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Suggest Treatment For Severe Constipation While On Miralax

Thank you for your question In my opinion the medicine can take sometime to work In my experience Miralax works the best but patients often don t take enough If you were my patient this is how I would treat you I have patients take 1 capful of Miralax on Day 1 and then increase by 1 capful daily until you have soft bowel movements. For example, on Day 2 you would take 2 capfuls, Day 3 3 capfuls, etc. The other option is to have your doctor prescribe you 238 g of Miralax. You mix this is 32 oz of Gatorade, shake, wait an hour and then drink. This is a colonoscopy prep so you will have pretty severe diarrhea after that. Hope this helps and you feel better Dr Dupy