Colace and Miralax: Difference? Can I take them together?

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[@karlhungus5554]

As for getting a "proper" diagnosis by my doctor: When I mentioned constipation (eliminating every 2-3 days, versus what was previously 1-2 times daily), his hypothesis? "You're getting older and your body is changing." So much for a "proper" diagnosis.

[@mikahundin]

Colace and Miralax are both stool softeners, but they function differently: Colace works by surrounding water in stool to trap it, similar to a surfactant in hand soap, while Miralax is a laxative that draws water into the intestine through osmosis and propels stool forward. Colace is recommended as the initial option due to its softening action without pushing stool forward. If Colace alone isn't effective, Miralax can be tried as it softens stool and aids in propulsion. Taking both Colace and Miralax together isn't recommended as they work in different ways and combining them may lead to excessively loose stool without providing additional benefits. It's important to consult a doctor to ensure constipation or other gastrointestinal issues aren't indicative of a more serious underlying condition, as stool softeners can mask such problems. Developing a consistent routine with one stool softener is preferable for long-term management of constipation, as relying on multiple medications or supplements can become cumbersome and stressful.

[@mikecutlet]

COLACE DID NOTHING FOR ME,MIRALAX IS WONDERFUL

[@jeanlucdrion1152]

All one may need is a tall , crisp , cold glass of Sunsweet prune juice and an all bran muffin like you may see plenty of in a coffee house tray after all the blueberry muffins are gone and you settle for a bran one, and in about 2 hours or less you'll be spraying the commode bowl and having an experience you wont soon forget . But better out of you than in you.

[@Ramona0827]

[@ferarri5536]

Can you please make a video on the best treatments for chronic fissures for those with Ulcerative Colitis/Chrons. Thank you for taking the time to share your knowledge with us!

[@neyor4921]

Same here

[@katnip198]

Thank you for this great education on constipation. It is so helpful. I like your sense of humor.

[@zuzuspetals8323]

Thank you, Doctor. My 91-yo aunt is being given two senna(!) in the evening at her nursing facility. It is causing her distress and difficulty (explosive loose stool), and she naturally does not want to comply. I suggested a gentler approach: warm prune juice and/or colace and/or miralax, if needed. No response yet from the charge nurse. This video is a blessing. Thank you!

[@helenfong3339]

I have chronic constipation. When I broke my leg, one of the doctors (I don't even know if he was a GI), prescibed Senna. I was suppose to take it every day but it was way too strong! I would cut the tablet in 1/2 & take it when needed. Dr. Chung, it's good to know to not take Senna long term.

[@tuulalarson2625]

I use regularly resistent starch as stool softener and it works amazingly well. I have done that for years with great success. I buy Deep Frozen Potato Wedges and keep them in my freezer. I take a full cup of it every morning and place it on a plate and throw some cheese on it. Add a couple of meatballs for more taste. Put it in a microwave oven and after a minute or two it´s ready to be eaten.

[@aissaboukrit6116]

Hey Doc, I truly appreciate the videos they really helped me out! Thanks (:

[@aliciamolloy5948]

Thank you Dr Chung for this video.

[@puppytoes6241]

I will never take miralax again. I had major issues for weeks. I will stick to Metamucil and make sure I drink at least 20-40 ounces of water a day. I couldn’t handle the runny and leaking poo from miralax.

[@gracieallen8285]

Colace has a stool softener and a stool softener with a laxative.

[@suzanneemerson2625]

One well-known KZbin “natural medicine” doctor says very emphatically no one should ever use Colace or Miralax or any other laxative because they “dehydrate your colon.” Apparently, that is a very bad thing? I’d like to know how you’d respond to that advice. He is a keto/carnivore diet advocate. I never experienced constipation in my entire life until I tried the keto diet.

[@vzeller]

Colace is a laxative as well. Stool softener is a laxative. There are several types of laxatives.

[@datsuntoyy]

"If colase doesn't work then go to number 2." If colase dosn't work you can't go number 2. 🤔

[@HowToGetSaved...Love.Taylor]

Is magnesium as safe as Miralax? When I tried Miralax, it caused a bit of water retention in my legs which made me nervous for the kidneys. Plus, I took 2 capfuls the first day, and 3 the second, and nothing happened,😯 so I gave up, not daring to try more. Thanks SO much for your videos!

[@joyevans1984]

Thankyou..was using colace..took to yesterday had no stool for 4 days..and my left front side was hard and painful..Had a little stool today

[@Julia-xf5ps]

Interesting topic I can see because of the comments around mine! (😮Miralax generally bloats my tummy even after it does it’s job…..maybe I’ll try the Colace instead.) In the end, I think the real answer is finding the correct foods for YOUR body….identifying allergies or intolerances (like gluten, junk foods, wheat, dairy, etc.) Folks just want easy answers, pills, medications, etc. and to EAT whatever tastes good! I’m guilty too. 😮 AND, then there is the whole topic of stress and how we handle it…….am I right…… 🤣 Thanks as always. 💃 🙂

[@yourfriendlyproctologist]

Big fan of cheat days!

[@radiodx2937]

@@yourfriendlyproctologist I feel my stools softer with Dr Philips -milk of magnesia - can i use it long term? I am also scheduling anal fissure surgery.

[@naturegirl4074]

@@radiodx2937how much did you use

[@robertatimmons7014]

60cc

[@ThreePhaseHigh]

I use MiraLAX for years. It was the greatest stuff ever but finally, I became allergic to it and be very very sick every time I took it so I’m really in trouble. Nothing else seems to work other than Dulcolax and you can’t take those more than week or two.

[@irisdiaz4179]

I used miralax for more than a year, it did its job well but after 8 months I started loosing my hair and found out it was because of miralax

[@Julia-xf5ps]

How did you find that out ? Did a doctor tell you that?? I’m sorry for your hair loss ☹️maybe because it dehydrated you?

[@areufkingkiddingme]

That makes no sense

[@exelmans8855]

Yeah sure.

[@naturegirl4074]

What?

[@PhillyGirl-pt3vq]

You don’t need it if you eat right!

[@steeletek786]

Hi Doc. Have you researched randomized controlled trials for Colace and for Miralax? Trials have shown Colace has no real effect on softening stool or constipation. Whereas Miralax has proven very effective in trials. I personally also went to Colace after long time use of Miralax and have immediately started having much harder stools and got another fissure. Miralax on the other hand helped me get consistently soft stools, by God's grace. Interested in your thoughts of the randomized controlled trials of Colace showing no real benefits.

[@fredcdobbs823]

Prayers up that you recover fully from a fellow sufferer slowly getting better...!

[@AwesomeFinish]

Thanks for your comment! I was healing from a fissure pretty good and trusted Colace to keep my stools soft. Took 2 in the morning and 1 before each meal. Took that on top of Metamucil. Had a hard poop and reopened the fissure. I swapped to miralax now.

[@lisabourque1321]

Thanks for sharing your knowledge

[@yourfriendlyproctologist]

You bet!

[@susandavenport9257]

I have something called “chronic” appendicitis. It is wreaking havoc on my colon. I may eventually have surgery (if I still have an appendix after all this). Meanwhile, I am using Miralax per your guidance. Thank you for giving important information.

[@Mmdmade]

Fascinating. Kaiser diagnosed me with same thing in 2021 but then redacted it. Be careful. I still have my appendix. Went to emergency because of right side pain. Had second CT in 6 weeks which did show it was 20% bigger. Surgeon said “ I could take out your appendix but I might be taking out a healthy one”. I have severe constipation and bloating. I’m hoping as well to keep this all at bay. Which is why we are all here.

[@susandavenport9257]

@@Mmdmade Follow up: my appendix was finally seen on CT and removed 11-30-2023. I am 100% better! My surgeon recommended removal due to likely recurrence.

[@BobHenry4161]

What's your opinion on Glycerin Suppositories? I've been using them weekly ever since i got diagnosed with a tight pelvic floor.

[@hanshawks5088]

Friendly Proctologist??? I never heard those words together 😭😭😭

[@sabreengordon2505]

Colace works for me, restorlax doesn’t at all…

[@nehal74]

What about Psyllium Husk? Isn't Psyllium is superior to Docusate for softening stools by increasing stool water content, and has greater overall laxative efficacy in subjects with chronic constipation.

[@Jojo-vg3ke]

Thanks!

[@yourfriendlyproctologist]

Thank you so much for your support!!

[@narutokun19]

I did this once - got 2 prescriptions from different doctors - my MD over phone said miralax, then I needed to go to walk in I saw who said I could take them together. Sounded like he gave me really bad advice based on this video. Thankfully got local family physician. It was hell absolute hell soft but nasty rough ragged thin/small-ish difficult to pass BMs lots of viceral pain over a week. I don't know if I'd ever take any of these alone again certainly not together. But maybe alone if I needed to... Colase/ducoset alone might have been okay based on this conversation.

[@owenoone9445]

Thanks again for all the information. I’ve tried colace, not much help. Myralax works much better. I also take magnesium citrate. But this is what I found online…. Stool softeners such as docusate (Colace, Surfak, generic versions) are safe. However, when put to scientific testing in controlled clinical trials, they are no better at relieving constipation than a placebo. -Chicago Health

[@yourfriendlyproctologist]

I used to be strict on the research as well. But, when you actually spend the time to listen to patients and build your own experience repertoire, you'll find that studies all have limitations. Hence why the best doctors see medicine as an art, not a protocol.

[@JohnSmith-em4gk]

I call BS to the entire system.. Doctors no longer treat patients they sell products and push snake oil garbage.. From Big Pharma. They banned the old medical practices handed down through the generations for a reason

[@djlimou]

can we take 400 mg of docusate sodium per day ? or 300 mg is the max dose ? thank you very much

[@williampaganucci1084]

Hello doctor. I had hemorrhoid surgery 3 weeks ago. Just starting to feel comfortable. Do bananas cause constipation? Should I eliminate bananas from oatmeal and cereal? Thanks 🎹 👍

[@nohc4]

Hi doc, thank you so much for this video, I had asked this question about long term use in one of your old videos and now you made this one, love it! My concern is that any time I look up long term use of these products I get always the same result "Overuse and prolonged use: Overusing or using docusate sodium for long periods of time may cause your bowels to become dependent on the medication. Unless recommended by your doctor, do not use this medication for longer than one week." I'll like to use them but I don't want to become dependent, I recently had a colonoscopy because I'm under the age for my first check up and the results came back clear, no problems at all and my doctor recommended to take the next one in 10 years, but I have constipation and very bad hemorrhoids, I had great results taking 2 pills of 400mg each of magnesium citrate daily and go to the restroom great, but as soon as I forget to take the pills I get constipated again. So docusate sodium is safe long time then?

[@aprilwaters2246]

Since Miralax pulls fluids from your body, will it help with mild edema. I'm on 20 lasix will I need more fluid intake if I use Miralax

[@bansheesioux5569]

Can you take metamucil and miralax on same day, a few hours apart

[@pinocurcio1083]

Where does Magnesium fit into this ?

[@westfield90]

My dad has been put on diuretics with CHF so he gets constipation now everyday and he is scared of using colace everyday since he’s also cut down on his water intake

[@soliniv1411]

Why do they add colors to the colace? Is that part of what makes it work? I dont want to take colace cuz they add those harmful red#33 blue#1 red#40

[@naturegirl4074]

Because they have to put some poison in all our stuff

[@Crizteas]

They have a dye free one called clear colace

[@soliniv1411]

@@Crizteas the price is ridiculous for the dye free and it has a lower dosage, it boggles the mind why they do that

[@sudheerk82]

Hi Dr, Is it better to use fiber supplements or colace/miralex for longterm?

[@yourfriendlyproctologist]

Can use either of them!

[@missmusketeer1710]

Question is it ok take miralax in the morning and probiotics at night?

[@MthyclOnXbox]

Thank you Dr. Chung my question is how much colace can taken per day?

[@madmartigan3921]

Doc, is senna the same as sennosides? If so, why shouldn't you use that everyday?

[@brandonwilson929]

I had a severe case of constipation now I’m passing stools normally but having issues with gas buildup extremely painful anything that would help??

[@gmanfitness]

People who are in dialysis are prone to constant constipation especially after dialysis. Can they take colace the same as taking mirakax, taking it as much as they need to in order to produce bowl movement. Constipation can get almost severe so do you have any suggestions for this.

[@maryroseneck2404]

My dr has me taking 1 pill colace with senna per day It helps but after 5 or 6 days i get all day diareah it cleans me out. Does it build up in your system? Do you have any suggestions

[@Rusty6507]

Miralax for post surgical constipation due to pain killers?

[@toddluther206]

What about Konjac root vs metamucil or miralax?? Can you take it with either of them??

[@sabieric]

Hi, Dr Chung, your work is highly appreciable. However, people watch you from around the globe. I would like to request to kindly share medication by formula so we can purchase locally e. g Nephedipine, GTN etc. Sir, these Colace, Miralax or Pranicura are not available in all other countries, please. Regards.

[@yourfriendlyproctologist]

I'm not a pharmacist so I am unable to give formulations. Please speak with your physician for a suitable replacement. Best to you.

[@heybaby321]

Is it safe to take Linzess & Docusate together everyday?

[@YingMouaLife]

I have hard stools and coming thruw then bright red blood drip down after. Can I use Colace?

[@ashiqur2023]

Which one is better for fissure?

[@allasain]

If stuk in but near but rok hard how to take out any tip..in stumch can soft but not end

[@ninivtl]

literally me rn i get a stinging pain in my butthole and i'm so scared i havent went in a while

[@diagnochemllp7866]

I use glycerine Suppository.

[@allasain]

I put ewater botle warm water in anema bottl in but warm wattr makbsoft poo

[@obamaobama2723]

I bought Colace but it has "sennosides" in it. Is sennosides the same as Senna so its just as bad?

[@egleradzeviciute4273]

Hello, I have a questions I have long bowels and one third should be operated but I have Behterev autoimunine disorder and we decided its to dangerous. I have hemorrhoids I tried lots of stool softeners but I get huge bowels pain is there is any softer which doesn’t cause bowels cramp pain? And softeners mostly gives me diara an no soft poop. What I can try else?

[@ethiopiaaberach7062]

Hi, is miralax safe for new born baby if the mother takes it during constipation?

[@emilyjeffords5907]

Ask your Pediatrician.

[@user-dy2cj3no9m]

I have diverticulitis I go for days before my bowels move then it hard maybe just 2 r 3 as my saying name it I have try it and nothing HELPS please help me?????

[@naturegirl4074]

What about after surgery? Can I take both?

[@allasain]

Meralax mak gass blsast buble in stomch and poo stuk .gas poush cant get out vus instatine block.air poush hurt

[@SomeGal]

I have mental health issues. Do you think someone like me should take miralax with all the people on the internet linking it to mental health issues?

[@ADMESSIAH]

Been using miralax awhile and it does work and help heal however I question of it can cause the sphincter to tighten over time. I can heal for a month or two but some random stool always seems to set me back.

[@Caramelfudge5]

I don't use stool softners i just watch what I eat but it still sets me back sometimes. I think it will just always happen

[@tammybrown5983]

I'm going thru what your afraid of. Long term miralax.. which helps more then anything has. Now I have a severe anal stenosis. And am being told I need surgery..here doing my own research

[@ADMESSIAH]

@tammybrown5983 look into dilation, many people swear by it. Its a natural approach but takes time. Some do this rather then surgery. But surgery helps many people as well. Good luck!

[@tammybrown5983]

@@ADMESSIAH I asked about the dilators and was told that was an option but would have to do them forever?? So I may start that way regardless... Still reading up on everything

[@joecastellano4278]

Why do these products have food coloring in the capsules? Who cares what color the capsule is?

[@kathiejohns1418]

I take colace twice a week (Monday & Friday)and I take senna once a week (Wednesday)!I have been doing this for a year!Is it okay?

[@areufkingkiddingme]

No, you will die

[@vzeller]

@@areufkingkiddingme No response? I wonder if he dead.

[@helenfong3339]

He said not to take Senna long term.

[@diagnochemllp7866]

Indians take Senna for years. Kayam tablet

[@carlthornton3076]

Very Good!... #98 ✝ {12-25-2024}

[@4mudski]

Eat more fiber and greens!!!

[@lululove6175]

Do not use Colace, Senna, Miralax, etc. This doctor does not think out of the box. There are so many alternative remedies. Do the research.

[@ishiiiiiiii406]

What will u recommend then ?

[@maylily820]

@@ishiiiiiiii406don’t listen to this person either he’s not a health professional and he’s not a doctor, he’s pulling things out of his ass and has no knowledge of it. If you are having constipation for more then a couple days and aren’t pooping more then 2 times a day start off with colace if you see no results go to Mira lax if not see your health provider

[@johnmickel2330]

Nothing work ---

[@alphaatomyeshuayahwehelohi1185]

You’re crazy… take 300 mg colace and 2 doses of MIRALAX and drink 64 oz of water. That will clean you out completely mane

[@Tes7000]

Sometimes it may require more time or a higher dose. I started fasting 3 days a week a couple of months ago, and I noticed that I got constipated very quickly. When I started taking Miralax, it took several days before it started to work. I also learned from watching one of this doctor's other videos that I have to make sure I am drinking a little bit more liquid on my fasting days, because when I am not eating, I also tend to not want to drink as much.

[@HeyYall398]

Dry dusty 💩 to watery 💩!

[@PhillyGirl-pt3vq]

None of these are good for you to take (even if preparing for a colonoscopy. Can be very irritating.) If you eat right then you don’t need this $hit. Pun intended.

[@maylily820]

That’s not true some people deal with constapation even if they do eat healthy ecpecially if they are on certain medications so sometimes mirilax can be very beneficial