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It is never easy to think straight when your family is involved! I think adding some fiber to her diet would be a great idea-Metamucil is fine but citrucel tends to cause less gas. I would not recommend reglan, as its effect on GI motility is most pronounced in the proximal gut (hence better for gastric motility problems) and Parkinsonian side effects are still possible. If she does not respond well to these measures, there are some newer prescription medications for constipation that she could consider (eg Amitiza).

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