ABSTRACT
A 28-year-old female presents with a history of constipation. Her symptoms also include bloating, abdominal pain, and the sensation of incomplete rectal emptying. She has one bowel movement every 2–3 weeks and denies any history of fecal incontinence. Her current medications include: lubiprostone (Amitiza®), linaclotide (Linzess®), polyethylene glycol 3350 (MiraLAX®), and polycarbophil (FiberCon®). In the past, she has trialed biofeedback for 2 months without any improvement.
