U r taking lactulose in low quality,U can give Triphala Churna 2 tsf at night with Lukewarm water, Isabgol 3 tsf with milk or water at night, Draksha anjeer sprouted maithi, other grains, pomegranate, seasonal fruits and vegetables, Chitrakadi Vati 2 tabs tid to be sucked

Do this 1. Take home cooked, fresh light food. Take a lot of green vegetables n fruit. 2. Increas the fibre in your diet. 3. Increas your fluid intake. 4. Avoiding straining and constipation which is the most useful thing patients can do 5. Maintain active life style 6. Curd is good for u. 7. Avoid fast foods, spicy n fried foods Homeopathy has very encouraging results. Consult online with details