This is likely chronic functional constipation or sometimes a pelvic floor issue (outlet obstruction). Homeopathy has not helped, so I would advise stopping it. For now, please follow this: Do not sit in the toilet for more than 10–15 minutes. If nothing happens, get up and try later. Use a small stool under your feet while passing motion (knees higher than hips, lean slightly forward). Start an osmotic laxative like PEG (Movicol) / Lactulose 15–20 ml at bedtime to soften stool. If needed, add Isabgol 1 tsp in warm water at night (start low and increase slowly). Drink adequate water (2.5–3 litres/day unless restricted).