Dear MTM, Hope you can ask your sisters for help as soon as they get back. You really are going to need some. Have David try some prune juice thru the tube, John also uses Benefiber powder[OTC at Walmart] It helps him alot to stay fairly regular.Peg tube food just doesn't have enough fiber in it, and pain meds. tend to constipate too. Glad you have an outlet for your emotions in your writing. This will probably get tougher for the foreseeable future and you are gonna have to be really strong. Amy