Your reversal surgery involved handling and manipulation of the intestines by the surgeons. Intestines, as a general rule, are sensitive to touch and manipulation and easily irritated/upset by any surgical procedure. Slowing of intestinal motility is a common post-surgical by-product - i.e. constipation as one symptom.
MiraLax is a good choice. It is an osmotic agent that draws water into the large intestine with a gentle motility nudge. You
can titration dosing to meet your own needs, a little more or a little less depending on the outcome of your bowel movement (diarhea or loose bowel movement scale back on the MiraLax; constipation or hardened nuggets of stool add in additional MiraLax). You can use MiraLax on a regular basis, if needed for bowel management, without risk of laxative dependency.
Milk of Magnesia is another good choice. It is also an osmotic agent. Magnesia is a naturally occurring mineral in the body that plays an essential role in muscular contractions. Milk of Magnesia relieves constipation by giving the intestine a muscular boost along with flushing the intestine with a net positive influx of water.
Stool softeners are a less than ideal choice. Stool softeners draw water into the lower intestinal tract but nothing more. For a large intestine that has delayed motility due to surgical handling, the result is more aggravating than helpful in relieving constipation. Stagnated fecal matter in lower intestine becomes heavily weighted by the influx of water, and sits like wet cement. Constipation can be worsened with stool softeners in a slow to move intestine.
Simple yoga postures can be helpful in easing constipation. Elongating and rotating the torso in relation to the pelvis acts like a deep massage. You need not engage in overly complex postures or poses to derive benefit in mobilizing a slow moving intestine.
And never discount good old fashioned warmed prune juice or warmed 100% Concord grape juice (100% grape juice, NOT a juice blend and NOT a juice cocktail with added water) to ease constipation.
You are wise to try to stay ahead of troubling constipation before it becomes more than annoying. I hope that your lower intestine is soon humming along like a well oiled machine.
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.