Hi Sarak

Coloxyl & Senna are probably the best thing to use. They contain a bowel stimulant and an irritant. Take 2 in the morning and 2 at night they can take up to 48 hours to work. If nothing happens after 2 days then take 3 in the morning and 2 at night. You can also continue with your Metamucil. Pear juice is also good. Lots of fluid is very important.

The cause of constipation in pregnancy is a hormone called progesterone. This is one of the hormones that help to loosen smooth muscle (amongst other things). When the progesterone levels build up it slows down peristalsis (small movements that move the food along) of the intestine and bowel. Your body then removes more water fron your stools making them hard and dry.