Hi Daylily, I also struggle with constipation. I have found that Senna (1) taken at night helps me. Sometimes I have to also take a Senna Plus (stool softener) as needed. These are a tablet that are easily swallowed and have worked well for a long time. My PM doc told me about this, and as they are considered to be natural it makes me feel a little bit better. These both come in a cheaper store brand that seem to work as well as the name brand. Good luck!! Lisa