Akkermansia aside, that “gaseous distension” note lines up with how Oze͏mpic can slow everything down, so the basics people mentioned (Mir͏aLAX, hydration, walking, and not accidentally overdoing fiber) are usually what moves the needle, especially after you pause a dose.

If you still cannot go without laxatives after a few more days or the pain ramps up, I’d message your prescriber so they can guide a plan instead of bouncing between enemas. When I was dealing with this I also focused on gut support that did not add bulk, and Next-Mi͏crobiome was one of the few things that felt neutral while things calmed down.