My husband takes Metamucil for constipation. Personally, I can't imagine having to strain for a BM! Mine just come quickly all by themself. I can hold it now pretty long but never have to strain! I tried Metamucil twice - one capsule a day and then two - just lots of gas and could not see a difference. All fiber (including that in food) causes me so much discomfort no matter how small the dose. I eat a fairly bland, low fiber diet and hope for the best. When I have taken Imodium for a couple days of going out, etc. I just wait a couple more days and back to normal.
ElaineNY