Constipation and chills

Hi, I was hoping someone here might be able to help me. I started on humira in November and since then the crohns disease symptoms have improved but now I'm struggling with near weekly constipation. It comes on fast I end up nauseous, throwing up and shaking until I am able to go which often takes several days. My doc just told me to take miralax but I'm concerned about taking it so frequently especially because it makes the chills and shaking worse. Any advise would be appreciated as I feel horrendous right now. I've thought about using an enema but I am concerned that would not be good for someone who has extensive damage in that area.

I think it might be helpful for you to get a routine to avoid the constipation in the first place. If you don't have a stricture, then daily fiber tablets like psyillium (Metamucil or Citrucel)would be helpful along with daily stool softener like Colace. Also, you can safely take the Miralax daily and cut back if it is too much for you. Plenty of fluids and daily exercise will also help. Even when my stools are soft, I don't feel well unless I have a bowel movement every 1-2 days. If it goes any longer I get bloated, in pain and sick feeling. I have had the nausea and chills when I am very constipated before I'm able to go, so I do understand what you are describing.