Crohns Constipation

The only ongoing symptoms have been that she's very tired, and her last blood test showed that her iron stores were down, she was put back on an iron supplement, (about 3 months ago)

This last week or so, she has been severely constipated. Didn't have a bowel movement for about 6 days. 

The nurse advised taking a Senekot. After one day, she did have a BM, but it's been another 4 days since that.

She has some pain around her naval that comes and goes, but still has a healthy appetite. 

We're a bit worried that there is some disease activity again. Could anyone comment on her status at all? I appreciate any input.

Is there something diet wise that might help if it's just a case of constipation? When I was young we used to get Prune juice, not sure if that would be advised. 

Thanks in advance for any assistance.

I guess part of what I'm wondering is, does constipation signal any problems? Or, is it just a natural occuring state, that can come and go?

The thing I also don't understand, is that she's very hungry. She's only had 1 BM in the last 12 days, and she's still eating a normal amount of food, where is it going?

I have been in touch with the IBD clinic, and the nurse suggested putting her on Senekot, everyday until her next appt. in two weeks. The problem is when she takes Senekot, she ends up getting completely cleaned out and it's straight diarreah. 

She doesn't have any pain, and doesn't seem to have any hardness on her right side. She is excessively tired though. The nurse is ordering a blood test, so maybe that will indicate if there's anything going on. Is there anything in particular that couild have tested in her blood that wouild give some insight? 

Thanks to everyone for the replies. Very helpful.

Thanks Gail,

We tried the Senekot again for a couple of days, and it seemed to work okay. She's feeling much better right now. She will be having blood work done soon, so we'll see how it goes. Thanks very much for the concern.      Tom.