1) Duphalac can safely be increased from 10 ml to 15-20 ml at bedtime for a few days, and up to 30 ml a day if needed; take it with a full glass of warm water. Reduce back once motions are soft and daily. 2) Drink 2.5-3 litres of water daily - lactulose will not work without this. 3) Add fibre: soaked raisins or 2 soaked figs/prunes at night, papaya, guava, oats, whole wheat, cooked leafy vegetables; add 1-2 tsp isabgol (psyllium) in a glass of water at night. 4) A 20-30 minute walk daily and a fixed unhurried toilet time after breakfast - do not suppress the urge or strain. 5) For the gripping pain, warm compress over the abdomen helps; you may take a plain antispasmodic tablet if the pain is troublesome. 6) Discuss your pregabalin with the doctor treating your neck - it commonly slows the bowel and the dose or timing may need review; do not stop it on your own. 7) If not improved in 3-5 days, or the pain increases, get a clinical examination with abdominal ultrasound and basic blood tests including thyroid (TSH) and haemoglobin. You are welcome to consult me here on Practo for a detailed review, or in person at Synergy Multispeciality Hospital, Miraj.

Word of caution: seek urgent medical review if the pain becomes severe or constant, the abdomen becomes distended and hard, you vomit or cannot pass stool or gas at all, develop fever, bleeding from the back passage, black stools or unexplained weight loss. Do not use stimulant laxatives or enemas repeatedly on your own, and avoid straining as it can cause piles or a fissure.

If Duphalac Is Not Working ,You Can Take Cremaffin Plus,15 Ml Also For 5-7 Days.Do Not Make Habit Of Taking It.Cremaffin Plus Works Faster And Better.

If Your Symptoms Is Chronic And Do Not Improve On Taking Medicine,Kindly Consult A Gastroenterologist.You May Need Some Test Also. Thank You

consult for investigation.

Don't take Duphalac chronically the cause of constipation needs to be found.

Need proper assessment by general physician along with usg w/a

Eat fibre rich food.