Long-standing constipation despite using Anuloma DS means the problem is not just a laxative issue anymore.
Before changing medicines, the important step is to understand why it’s persisting.
Common hidden reasons at your age include:
Low fibre/water intake
Slow-transit constipation
Thyroid imbalance
Vitamin D deficiency
IBS-C
Certain medications
Low physical activity
Your ESR being high also suggests there may be an underlying inflammation or nutritional deficiency contributing to the problem and this must be evaluated before starting stronger medicines.
There are far better and safer options than what you’re taking, but the ideal choice depends on your symptoms, stool pattern, and reports.
If you want a proper personalised plan, suitable medicines, and guidance to fix this without long-term dependency, you can message me directly on nine three two six zero two zero five three six.
I’ll assess your details and give you the exact treatment that will work for you.