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A 40-year-old female asked:

No bm for 3+ wks. already tried triple dose miralax, magnesium citrate, prune juice, senna tea, high dose live probiotics... enema is contradicted. what is the most effective cocktail to try now? what are early warning signs of bowel obstruction?

2 doctor answers2 doctors weighed in
Dr. James Bucci
Specializes in Internal Medicine
Constipation: go to the emergency department, you need an x-ray and possibly CT scan to "see" what is wrong. GET SEEN!!!
Dr. James Ferguson
Pediatrics 46 years experience
Under supervision: If you truly haven't evacuated in 3 WEEKS you need to do so under supervision. Whether this is in a hospital or clinic setting, it should be done with personnel trained to assist and recognize any problems that may arise. A constant infusion of Miralax through a oro-gastric tube can be titrated up to the point it pushes a blockage out. Good luck.

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Last updated Jul 27, 2020
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