Bowel Issues: Constipation, Pain, and Diarrhea Concerns

I have been having issues with my bowels for about half a year, with constipation and it becoming painful when passing stool, and intermittent diarrhea. I'm on laxatives, but they have not worked. I've told the professionals, but they are more concerned about other health-related issues rather than the change in my bowels. I've added more water to my diet, but no other help has been given to the stoma.

I've never had this change before, as the blockage I experienced back in 2018 was no stool or gas, and it was painful to walk, so a blockage has been ruled out.

Should I be concerned, as the medical doctor doesn't seem to be as worried about the bowels as about the other issues at the moment that have occurred? Or is there any advice that can be given?

I'm finding that a lot and lots of water helps. This sucks for me because I am a double bagger, so all the water has me draining the urostomy often.

I drink the water, but then need to go to the bathroom constantly to get rid of it. It's a pain.