Hi, Tiffany: Just happened to see your question. Without meaning to sound overbearing, if you have been "extremely constipated" for months, you really do need to talk to your doctor and get some help -- and I hope you are doing that already. Bulletin boards are OK for general info, but everyone is different. You need to take care of yourself. It's not healthy to be constipated over extended periods of time. I know, I've been there.I also am on a schedule of Metamucil and Colace softener, and drinking at least two quarts of water a day. It works most of the time, but there are occasions when my system gets tied up in knots. It's usually generated from stress and occasionally it hits before my period.I have tried stronger remedies, but they make me uncomfortable, and I don't like the "unpredictability" if you know what I mean.I know it isn't the most popular treatment, but I turn to the enema as a last resort. It's OK with my doctor as long as I do it in moderation (for me that's no more than one a month, two if I'm desperate.) Not the Fleets type, but from an old fashioned bag with a quart or so of warm water and a teaspoon of baking soda. When I'm constipated, I'm also gaseous, and the Fleets don't help at all. The baking soda makes the enema more relaxing to take. Don't use soap, it just cramps you more.Remember, don't abuse. I have a girlfriend who got hooked on them, and that wasn't good at all. Hope this helps. Vicki