Hi again SageThis is exactly what the "Treatment Regimen for constipation" says:1. High fifber Diet: A high fiber diet is essential. Fiber is the component of our food that we cannot digest. Therefore, it stays within the lumen of the bowel, draws in moisture, and makes the bowel movements large, soft and easy to pass. Fruits, vegetables, whole wheat bread and bran cereals are high in fiber. 2. fiber Supplement: This is a dietary supplement to add more fiber to the diet. Metamucil, citrucel, fibercon tablets, or others may be used once or twice daily. You should also drink several extra glasses of water during the day.3. Colace (Docusaate sodium): 100 mg. capsule once or twice daily. This is a stoool softener and should make bowel movements easier to pass.4. Milk of Magnesia: 1 or 2 tablespoons at bedtime, and the dose can be adjusted as necessary to keep bowel movements regular and may not be needed on a daily basis. Milk of Magnesia should not be used if you have chronic renal insufficiency.This is something additional that he told me. Do not take anything with "Senna" or "Cascara" as a product of it.I hope that this helps you.Linda