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How old are you?
Have you had a colonoscopy?
Have you tried psyllium?
I am sorry to be the bear of bad news, but you need a colonoscopy.
Both. You need one to evaluate your symptoms and for general colon cancer screening
The mucus and pain are both from the constipation.
Occasionally, masses can block up the stool and prevent bowel movements.
I would try to hold off on taking any more Miralax if it is causing you pain.
You can try an enema or suppository or fiber such as psyllium.
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You should try something else instead.