constipation, drug induced
"3 stars because it induced a BM. I had been constipated for a couple weeks, not no BMs but few and incomplete with bloating and discomfort. From reading the literature I thought this might work, after several hours. But, wham! one hour after taking (on an empty stomach to decrease systemic uptake) I had a large BM. Great, but then I got severe intestinal cramps. Thought I was going to perforate something. After a couple hours then watery explosive diarrhea the rest of the day. OK, it cleaned me out, but at the expense of great pain and inconvenience.  I'll go back to Senna & Miralax. Perhaps my opioid intake is too high for this? It was tested on people taking morphine equivalents between 30 and 100 mg/day. I take more than that."