This topic is about someone who has had a colostomy since August and is experiencing concerns about bowel output. Normally, they have a mushy output, but for the past six days, they've only passed a few hard stool "balls" and nothing at all for the last day. They have tried using Miralax as prescribed by their doctor, but it hasn't helped. They recently had cataract surgery with light sedation and are wondering if the anesthesia could be causing this issue. Although they are not in pain, they are very anxious about the possibility of a bowel obstruction.

Here are some pieces of advice and insights shared by others:

1. Diet, fluid, and relaxation:
- Stress can slow down bowel movements, so it's important to relax. Consider taking hot showers, lying down, and practicing deep relaxation techniques.
- Eating smaller, well-chewed meals and staying hydrated can help. Balancing your diet with foods like juice, granola, meats, milk, V8, and seafood is also recommended.

2. Sedation-related constipation:
- Some sedatives or anesthetics can indeed cause constipation. This has been a personal experience for some individuals.

3. Alternative or stronger laxatives:
- Magnesium-based purgatives, such as bottled magnesium nitrate (likely magnesium citrate), can often clear severe constipation within a day or two. Afterward, maintenance with Miralax is suggested.
- Stimulant laxatives like bisacodyl 5 mg tablets can be effective when used intermittently, but not daily.
- Combination products containing senna and docusate (e.g., sennosides/docusate sodium) are also mentioned, though availability may vary by prescription.

4. When to seek medical help:
- If constipation persists after using Miralax, it's crucial to contact your physician or stoma nurse immediately to rule out an obstruction. It's better to be extra cautious with constipation issues.