I was struggling, suffering, took forever - once a week or so got a large constipated into rocks, hurtful poop out. Such an effort and fear of never completing task! Fiber, etc. never seem to help. A urologist told me some Miramax in my coffee every day. Increased some a little every day and found perfect dose. Too much I get squiggles and fudgies. Now 1-2 times a week a formed, but soft enough to easily some out nice size stool is formed and passed. I hate using a drug (Miralax) everyday but the benefits outweigh anything else. Ran it past my GCP and she's fine with it. I'm much happier now!