What are we doing for constipation?

I haven’t gone to the bathroom consistently or even well since I found out I was pregnant - it has now been a month. I am desperate to find relief as my nausea has been bad and my midwife seems to think the constipation is the main culprit.

I am eating plenty, it just won’t come out, lol. I’ve tried the CALM powder (magnesium citrate) and prune puree/prune juice. I don’t like how miralax gives me stomach cramps so haven’t tried it.

Should i be doing an enema at this point? lol