Thank you for the response, if you haven’t been through it I think it’s hard to see the amount severe constipation can really affect your life. I eat a high fiber vegetarian diet and I drink lots of water, unfortunately it doesn’t seem to be doing much. I have never had much luck with miralax but maybe I need to take it longer or at a higher dose. I think you are right and I just need to talk to my doctor about what is going on.