Your acute constipation (hard stools, straining, and bloating over the last 2–3 days) is very common and usually responds well to a gentle osmotic laxative like Lactulose (Looz). The "warm moving feeling" is simply active peristalsis as your intestines attempt to propel trapped gas and hard fecal matter past the rectosigmoid area. While Lactulose is safe and non-habit-forming, using the correct initial dosage and adequate water is essential to prevent excess cramping.
Next Steps
A standard adult starting dose of Lactulose (Looz) is typically 15 ml once daily, preferably taken at bedtime with a full glass of lukewarm water. Continue with high dietary fiber (papaya, oats, vegetables), brisk walking, and at least 2.5 to 3 liters of water across the day to allow the syrup to soften the stool effectively. Please book an online consultation with me. if you do not pass, a comfortable stool within 24 to 48 hours or if abdominal discomfort worsens.
Health Tips
Do not take Lactulose for more than 3 to 5 days consecutively without medical advice, as overreliance can mask underlying issues or cause loose stools. Avoid straining forcefully on the toilet, as this can provoke acute anal fissures or painful external hemorrhoids. Seek immediate evaluation if you develop severe abdominal pain, persistent vomiting, inability to pass flatus (gas), or rectal bleeding.