crs told me to take miralax and Metamucil until he can see me.im guessing he wanted me to take the Metamucil so that the miralax won't give me diarrhea? I take capful of miralax morning and night and my poop is small and fluffy which feels good.my question is should I start taking Metamucil also?

Metamucil is probably useless. IMHO its a terrible product. Miralax has made things soft for me where as metamucil makes things bulky and scratchy. I'd say if things are soft and fluffy just use miralax.

If it aint broke don't fix it as far as the fissure is concerned... :)

delasama wrote:crs told me to take miralax and Metamucil until he can see me.im guessing he wanted me to take the Metamucil so that the miralax won't give me diarrhea? I take capful of miralax morning and night and my poop is small and fluffy which feels good.my question is should I start taking Metamucil also?

My CRS told me that bulking agents are to make the stool larger on purpose with the intention of being somewhat of a natural anal dilator. I looked up metamucil, though, and it is almost all soluble fiber, which does not add bulk. Instead it speeds up the digestive process by stimulating the colon to push the food through. I used wheat bran for that purpose.

Metamucil is kind of the standard response given by doctors for regularity. It's just sort of their knee jerk, go-to recommendation. The majority of people I've known with fissures, including myself, have not had success with it. Metamucil will bulk up stool, mostly because of its insoluble fiber content. Psyllium is a 70-30 blend of soluble to insoluble fiber. For me, acacia fiber works far better because it is 100% soluble fiber, doesn't bulk up stool at all, but keeps it soft and easy to pass with no scratching.
Wheat bran was a similar disaster for me as the Metamucil because it is almost entirely insoluble fiber, which made far more bulkier, scratchy BMs.
But as with everything, everyone has to experiment to see what works for their own body.

Thanks for all of replies! I will look into acacia fiber..

if you do try it, my favorite brand is Heather's. You have to learn how to get it blended completely so it doesn't form clumps, but once you get the hang of it, it's easy, tasteless, and doesn't thicken in the glass. It's just like drinking a glass of water. I add the acacia to the glass first, then vigorously stir with a fork while slowly adding water. I keep stirring vigorously until it is totally dissolved. You apparently can also add it to soups, smoothies, oatmeal, etc., since it has no taste. It clumps if you try to add the acacia to the water instead of the water to the acacia.

Cool thanks for the info!