If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Ten years of hard stools needs a proper evaluation. Ten years of hard stools with recent piles and fissure laser surgery suggests this is long-standing functional constipation, and after fissure surgery it is very important to keep stools soft so the healing area is not injured again. Fibre and 2.5 litres water are good, but fibre alone often fails in such cases. An osmotic laxative like polyethylene glycol (Lactulose or PEG sachet) taken daily at a proper dose is safer and more effective than stimulant powders, and it does not cause dependence - the dose is adjusted till you pass one soft stool a day without straining. Please avoid frequent stimulant laxatives and do not repeat Linaclotide on your own since it gave you watery diarrhoea. Also keep a fixed morning toilet time, do not suppress the urge, sit with a footstool, and add regular walking. Since you are only 48 kg with 10 years of symptoms, I would like to rule out hypothyroidism, anaemia, low calcium and coeliac disease with simple blood tests. Do get checked in person iTfe ny oyue anrs ooft ihcaer db lsotoodo,l sw ewigthht pliolsess, aonrd cfoimspsluertee soubstrugecrtiy otnw.o m oYNotuh sa raeg ow etleclolmse mteo tbhoios ki sa chornosnuilct fwiuntch met ioonn aPLr aconsttiop astoi oIN cthaant sneete dtsh ea esxtaecatd yd odsaiinlgy arnedg irevimeewn ,y onuort ron-aenpdo-rotfsf. laxatives. The most useful medicine in your situation is an osmotic agent like polyethylene glycol (PEG 3350) taken daily in a dose titrated to give one soft stool a day - it is safe for long-term use, unlike stimulant powders which cause cramps and dependence; ispaghula husk at night with a full glass of water also helps if you can tolerate the bulk. Equally important: keep your water at 2.5-3 litres, do not suppress the urge, sit for a fixed 10 minutes after breakfast, use a footstool to raise the knees, and walk at least 30 minutes daily. Since you are only 48-50 kg with 10 years of symptoms, please get a TSH, calcium, CBC and a stool test done, and if the surgery site is still painful get a review with your surgeon, as an unhealed fissure itself makes you hold back stools. Come in person urgently if you have bleeding, weight loss, vomiting, no stools with abdominal distension, or a mass. Please do not keep switching laxatives on your own - book a consult with me on Practo and we will set up a proper bowel regimen and monitor it.

Check your Tsh for hypothyroidism Eat properly and hydrate Fibre rich diet Are you taking any medication for any other problems Stress can cause constipation Exercise well yoga Avoid red meat Family history of constipation and slow intestinal transit If chronic and not improving see a gastroenterologist

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY. USE OF ISABGOL HUSK TWO TEASPOON TWO TIMES  FOR LONG TERM IS USEFUL

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Try Milk Of Magnesia (Dey's ) 10-15 ml In Milk Or Juice At Bedtime .

A proper assessment can identify the cause and choose an effective long term treatment rather than repeatedly causing watery stools.

Do Colonoscopy To Rule Out Any Pathology In Large Bowel.If Already Done And It's Normal , May Be You Are Suffering From Irritable Bowel Syndrome.

Please consult

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Need few more details for further evaluation. Kindly consult

Kindly visit general surgeon

Can help you, kindly consult and provide detailed history for proper diagnosis and further management