Laxative dependency

Hello. I need to know how to stop taking laxatives, colon cleansers, ext. I am to embarrassed to ask my doctor.
It seems like I have always had constipation issues, Dr always said take fiber ,end of discussion. But that was not enough.so I have taken lax's for many years. I now can not go unless I take something, even then I have to strain and I dont feel the urge to go but I feel so full I know I have to. Now I also have hemroids.I can take 4 sennekot and not much help. So what can I do, I have been eating an apple every day, does nothing.If I take fiber pills it seems to make thing worse, dont know if that is possible or not. I also do not eat many carbs at all ( for years). Pls help!. Kizzie

[Patricia Pitts, PhD]

Because being on laxatives and ceasing laxatives can cause electrolytes imbalances, I would highly recommend you speak with your medical doctor to let him know your condition and your desire to get off.  Getting off laxatives should be medically monitored.  In addition, inidiviudals who are abusing laxatives are highly emotionally dependent on them.  It would be wise to seek psychological treatment to support getting of the laxatives.  Visit the bella vita website to learn more about eating disorders and treatment options.  Best, Dr Patricia Pitts   Los Angeles, CA