Noted the history of taking Cymbalta and Wellbutrin and development of constipation
Both these medicines are well known to cause constipation and GI disturbance.
The Psychological or Psychiatric problems in itself can affect the bowel habits in form of IBS-C that is constipation due to irritable bowel syndrome
Hence the softeners and other medications may not be working well.
I would advise you the following:
Consult your Psychiatrist
requesting to change over to another medications that cause less or no constipation.
Also to discuss IBS-C so that he may add on some medications.
But it is important to rule out other causes of constipation such as cancer, polyp, mass or so on.
Send stool for lab for three days.
Tests of blood for thyroid and any such diseases that cause constipation.
Change over to the foods and beverages that help pass out stool and to stop those that cause constipation.Colonoscopy
and CT scan of abdomen.Consult a Neurologist
to see if the back injury is the cause of constipation due to neurological problems.
Hope I have answered your query. Let me know if I can assist you further.
Dr. T Chandrakant,