Clean house.: If necessary, first step is to have a "blow out." which may be manual disimpaction / enema or a cathartic such as magnesium citrate. Afterwards start a program of regular docusate 1 tab twice a day, then add an osmotic agent such as miralax (polyethylene glycol). If necessary add senna, but do not stop the prior agents. The goal is one formed bm/day.
Answered 3/20/2013
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