There's a lady that works at my health food store and she has severe back problems and walks with a limp ( she was in a bad car accident years ago, I believe, which resulted in some nerve damage ). She also has problems with constipation. I don't have the answers- I sure wish I did-- :-( but it seems to me that many of us are having constipation for different reasons. I am also STILL having problems with lack of peristalisis after doing tons of cleanings and loads of approaches for my candida the past few years. I think mine may be due to lack of good flora after years of Antibiotic onslaught ( stupid doctors- hmph! ) I do however agree with the poster below in regards to senna- I have used that a lot lately and I can't say it has done me any good at all. Everything I've read leads me to believe it is habit forming. I realize though that sometimes we must get some temporary relief, and that is why I've used it at times. I really hope you find some answers and relief soon Hopinso. I'll keep you in my prayers-- :-)