Try this one first: OTC (over the counter): docusate/ Colace – sold generically as docusate sodium— adult dose is 100 to 500mg per day; usually sold in 100mg gel capsules–usual dose is 2 a day--but it is very safe and a lot more can be taken. It may take a few days before it is working well; this is a “stool softener” which causes stool to retain water.
You can take a large amount of these pills, as docusate actually doesn’t enter the body. It stays in the intestine and draws more water in.
OTC: Peri-Colace is a little stronger than plain Colace–– sold generically as docusate sodium 100mg with casanthranol 30mg– usually one or two at bedtime; the casanthranol is an irritant which makes the bowel move faster.
- try to avoid this one—the one with the stimulant/ irritant—because your bowel can get “dependent” on it.
Metamucil type preparations are to be mixed with water; they provide bulk:
otc—Citrucel: (and various generics) is 2 grams of methylcellulose and the dose is one tablespoon twice a day.
otc –Metamucil: (and various generics) is 3.4 grams of psyllium. One packet is put in liquid to drink, three times a day or less. It is said to help reduce lipids.
Note: I am told that if you are using both a docusate / Colace-type medication (i.e., water retaining) with one of the Metamucil-type medications (i.e., bulk inducing), it works better if you do not take both types at the same time of day—i.e., try to take them at least a few hours apart.
This is a medication that also provides bulk: Konsyl
Another type: MiraLax (polyethylene glycol) 1 tbsp in 8 ounces of water daily, as needed
Align – a probiotic.
For excessive gas