I often need / like to smoke. often times I "smoke over it" temporarily numbing the effects of IBS, but can't say that it helps ( or hurts) with my constipation. (Definitely helps the bloating or the food hangovers in the morning.) It definitely makes life more enjoyable for awhile. If it's at night and I fall asleep with it, I usually wake up in the middle of the night and have to take citracel and drink water till the BM happens. The thing is, it relaxes me to the point where I'm not moving or standing, so the process slows down for me. You choose.