I have been reading through posts about Miralax and decided to give it a go. I have been using it for three days and am still having painful bm's. When should I expect it to really help my bum out? I used colace before and it didnt help much. I am also on a high fiber diet. Any advise is appreciated. Thank you.

Take MORE Miralax until it works enough for you to feel comfortable. Some people need more than the standard dose.

thing is high fibre is going to bulk out the stool making it bigger
water plenyt of

I am taking one capfull of miralax a day. Should i increase it to two capfulls a day or is that too much?

Adjust you dose until you are happy with the way your bm'like a nice wipped ice cream

Right. I take mine twice daily in order to have more control of the correct amount to take (2 times daily to adjust as necessary). I measure mine out with various measuring spoons.

I guess i will take as much as my body can handle and let you know what happens. I am 6'1 215lbs male so maybe my body just needs more of the good stuff to work.

Would milk of magnesia also be a possible alternative to miralax to accomplish the same? I'm also desperately trying to reduce my BM pain 6 days post fistulotomy surgery.

My Mayo GI doc told me that MOM could be an alternative to Miralax for me. But I think regulating Miralax might be easier than MOM.

I've had great experiences with Miralax. The only problem I have is that it's expensive. I'm using about 2 17g doses per day so it's around $60 a month. It's a smidge overboard but I'd rather have consistently comfortable BMs then that one bad one once a week.