This topic is about the challenges someone is facing with their bowel function after they stopped using colostomy irrigation, a method they had relied on for over 30 years. They are now dealing with slow transit and constipation, which require the use of laxatives. Here are some key points and advice that might be helpful:

- The individual was born with an imperforate anus, and during surgery as an infant, their sphincter muscle was cut. This has led to lifelong issues with incontinence and constipation, and they have experienced diarrhea from laxatives. They chose to have a colostomy in their early 20s and were trained to irrigate, although it was inconsistent and time-consuming.

- They maintain a healthy lifestyle by drinking plenty of water and eating well. However, they are concerned about their upcoming appointment with a gastroenterologist, as they have had a negative experience with this doctor in the past, including a misdiagnosis and a suggestion for unnecessary medication.

- They are also experiencing spinal alignment problems and are curious if these could be linked to their original congenital condition.

- They are looking for suggestions on what questions to ask their gastroenterologist and are seeking alternatives to using laxatives or returning to irrigation.

Here are some suggestions:

1. Consider seeking a second opinion from another gastroenterologist. It's important to find a doctor you trust and who communicates well with you for effective management of your ostomy and bowel function.

2. Use resources like local nurses or social media neighborhood sites to find recommended gastroenterologists in your area.

3. Don't let insurance or logistical challenges stop you from finding a doctor who is genuinely interested in helping you resolve your issues.