EZ JIM

I share everyone's concern but hear you loud and clear about the ER - not only is it time and $$$ wasted, in my experience, unless it is obvious trama like broken bone or garden variety illness, it turns into a bad "House" episode of repeated wrong diagnosis (RWD) after RWD, with attendant suffering.
Take the pain pills buddy, lots of them but before run out to the local drugstore and pick up a very inexpensive jar of glycerin suppositories. For me at least, they have worked as advertised: within one hour on otherwise verging on impacted constipation.(okay so that time I used two instead of one -it's not like you will overdose or even can)
Regular laxatives (and I was prescribed them all) never worked and pericolase OTC made me vomit (no snickering from over the pond please, yes I did use the right hole)
Seriously the only warning I could ever find was a generic one that if it was lower abdominal pain, don't use, you need to see a doctor, It is so Easy (bad pun)
I asked my doctors over the course of the last two years of narcotic induced constipation why they don't recommend glcerin suppositories and they all replied: patients do not know how to use them and the labels don't explain and even when we(doctors) do explain, patients don't follow the basic rules and don't go deep enough or hold long enough
Okay WARNING NOT FOR THE SQUEAMISH -AVERT YOUR EYES AND QUIT SCROLLING NOW - GRAPHIC MEDICAL S**t AHEAD LITERALLY
1. If the suppository is too soft, it may be chilled in the refrigerator or under cold running water before unwrapping. Remove the wrapping and moisten the suppository with water. Lie on your left side (if you are right handed) and draw your knees up towards your chest, with the right leg drawn up more than the left.
2. Using your index finger or middle finger, whichever you find easier, gently push the suppository into the rectum, pointed end first.
3. The suppository should be inserted as far as possible, pushing the end of the suppository sideways to ensure contact with the wall of the bowel.
4. Lower your legs to a comfortable position to help you to hold the suppository in place.
5. Retain the suppository in place for at least 15 to 20 minutes if possible. If you feel the suppository must come out immediately, it has not been inserted high enough.
6. You may feel an immediate urge to go to the toilet. Try to ignore this as the suppository will not work for at least 15 minutes.
Being a tough guy, I ignore step 1 and just shove one or two up the full length of my middle finger and sit on the toilet and read Maximum time was one hour and it saved some poor newbie resident from impaction duty