Not sure what to do at this point :(
F24 I have had a very annoying cycle of constipation for a few years now, usually going 3 days to 2 weeks without a substantial BM. I've tried upping my water intake, increasing soluble fiber through diet, Miralax (but it causes overactive bowels with no movement, which is super uncomfortable), and am even doing pelvic floor therapy now to address a hypertonic floor, which has helped with straining but not the frequency or amount that I pass. The only thing that works is drinking espresso once a week to "clear me out", but that sometimes doesn't work either. I had a colonoscopy done last year to check for any blockages, and they only found hemorrhoids from the constipation and straining. My gastro just keeps pushing Miralax, saying that it shouldn't be causing overactive bowels, and hydration, saying that dehydration is usually the root of constipation, and thinks I'm just not drinking as much as I think I am, even though I'm tracking it. I have no idea where to go from here and am very frustrated. I'm open to any advice and willing to try anything to finally be regular!