This is my go to solution any and every single time I have an intestinal blockage. I have struggled with many intestinal blockages throughout my life; and this is the ONLY thing that can clear it up. However, I will definitely include fair warning. If you do take this medication due to severe constipation ....clear your schedule. Make sure you are at home and that you have plenty of clear fluids to stay hydrated. You're gonna be stuck at the house for a while. But when constipation is super severe, there are few pains worse then those types of stomach pains. Remember to take it in moderation. Maybe a teaspoon at a time because this stuff is just that strong. I have warned many people of this. Those people did not head my warning and instead drank half the bottle. They were practically married to the toilet for a few days. So as a extremely serious warning, please take it in moderation. Start small. If you need more, you can always take more. But if you take a lot.... You cannot intake it and the turmoil that will come from it will fill you with regret. Other than that.... This is a 5 star item all day long as long as you use it how you should. It's the only thing that works for me when I have severe intestinal blockages and I will sings it's praises until the end of days!