Actually fibers and laxatives are not working because intestinal motility ( आतो की चाल )  would be slow . Dont loose hope  we are here to help you. Do consult to cure . We all doctors are your . Good day

Continue taking fibre rich food Consume lots of water Avoid fried food Avoid bananas in your diet

Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at plus nine one nine five nine five zero eight seven three nine nine. Thanks.

You should visit a physician for proper physical examination and treatment

Fibre rich diet, lots of fluids and medical management is advised.

Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

Chronic constipation can be challenging, especially if it’s causing pain and has persisted for years. While laxatives and dietary adjustments are often first steps, sometimes they aren’t enough, particularly if no underlying cause has been identified through previous tests. Given the history, a CT abdomen may help rule out any structural or functional abnormalities that may be contributing to the issue. Additionally, it could be beneficial to evaluate for slow transit constipation or pelvic floor dysfunction, which are often missed in routine exams. There are also medications that can help with severe constipation, such as prokinetic agents or secretagogues, which work differently from traditional laxatives and may offer relief. I would recommend a comprehensive evaluation to determine the best approach tailored to her needs. Please feel free to reach out for a detailed consultation. You can contact me directly on WhatsApp at eight-zero-zero-nine-eight-two-one-three-three-two for a personalized assessment and guidance on next steps.

.

Enema is strongest. In chronic conditions ISABGOL HUSK TWO TSF three times a day for long time. Or proctoclysis enema when ever required. Or dulcolax suppository two at a time to be put in anus wait for 3-5 min . When pressure is much go for toilet. High fibre means Raw salad big bowl two three times per day 350 GM's of fruits every day. Use of oats in any form. Use green vegetables juice with dhaniya leaves. Add salt bhuna jira according to taste. Continue for long time.

Can help you with your concern. Your concern need to be evaluated in detail with history and possible examinations. Can contact for consultation via chat

I myself is dealing with this problem in a close relative and can understand how discomforting it can be. My advice as a doctor and an attendant is every case should be worked thoroughly. The pain component could be because of anal fissures which are linked to chronic constipation in a vicious cycle. I can help you kindly connect.

SYP.DUPHOLAC 0-0-15ML.

Hello! Apart from being a doctor I am also a health and wellness coach. I've guided many people facing same issues as you, just by changing their diet. They have got positive results for the same. You may contact me on seven four nine four eight four one six six eight.

Take dulcolax suppository. Use oats. Fibre rich diet. Drink plenty of water.

If pain is there, She needs to be examined for piles/fissure. Constipation and piles are interlinked, with a vicious cycle, one problem increasing the other.

Connect please

Please go for usg abdomen & LFT for underlying cause👍

Please consult

Kindly consult once for discussion

Connect

Get a ct abdomen done

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Regular exercise in form of walking 45 minutes Plenty of liquids salads fruits and vegetables Cremaffin plus 2 spoons at bedtime till above start working

According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

Kindly connect.

Need few more details Kindly consult

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

Consult on practo app

Syrup.Duphalac 30 ml

Please consult Doctor with more information and medical history

Take softovac powder 2 teaspoons in one glass of water followed by one more glass of water after dinner for one week

Kindly connect for better understanding , what is the age of the patient , any history of smoking or alcohol also a colonoscopy should be done prophylactically