by GilmoreGirl » 17 Apr 2017, 16:35
I took the miralax and Metamucil in a smoothie in the evening, or right before bed. I would generally then go sometime before lunch, usually 10, but I never rushed it.
I have a sensitive system, so I started with one capsule of Metamucil (like the size of a Tylenol capsul, maybe a little bigger), and worked my way up to three. However this is a low dose for most people - I eat low fibre diet for my ibs. But all the same, start small and work up until you're finding what works for you. I took the Metamucil in the evening, when I tend to eat the most, but you may want to try a bit with each meal if it works. This is just from my experience - maybe someone else has something to add!
Soluble fibre like Metamucil helps bring water into the stool and forms kind of a jelly (tmi, sorry!) that gives the bms a really good consistency. This is why I liked taking it with miralax and lots of water - you ensure that there's enough water in the colon to hydrate the fibre so it can work the way you want it to.
The important thing is to drink a ton of water - if there's not enough in the colon the fibre can just clog you up.
As far as diet goes - you may want to look into soluble vs insoluble fibre foods. You may be able to keep bulk down by reducing insoluble fibre a little and keeping up the very useful soluble fibre.
This stuff is a real science haha! Hope I didn't make it more confusing!
Going Once per day is probably best when you have the fissure. You don't want to go too much - that's just too much irritation (trust me!) but less would give the stool a chance to harden too much. I would focus on using the softners, suppositories and diet to keep things soft. I bet you'll find miralax does the trick!