Anxiety, severe headache and fissures.

Make it a habit to take care of yourself. Stretch every morning and evening. Even basic stretches can help relieve anxiety and keep you in tune with your body. Try to get at least 8 hours of sleep. You’ll feel more energized. Do something every day that makes you happy, no matter how small or large Meditate or pray or practice deep breathing in silence every day. Whichever works for you. Keep a journal. Express your feelings and keep track of the good things that happen to you there. Smile. Laughing relieves pain. Try to be happy. Just try, nothing can stop you. Get out of your room. Get out of your home. Get out of your comfort zone and work outside your normal routine. Remove negative influences from your life and recognize the ones you can’t. Everyday, take a moment to be thankful that you are alive and gracious for the blessings in your life. Don’t let yourself fall apart over the little things. They are not worth it. Drink lots of water. Eat foods like whole grains and blueberries and avoid high sugar food, caffeine, and alcohol to help with anxiety. Eat as little junk food as possible. Know that things will get better, but you have to put the effort in.

consult Psychiatrist/ Psychologist

Do Yoga and meditation, Go for counselling session

Need to change ur medication that will help u to resolve ur issue. Consult psychiatrist

Consult expert there are options available with less anticholinergic side effects

Hi there, A detailed medical and psychiatric history is always needed for every case.Also is the Mental status examination. Well , in your case some advice can still be given. Drugs like Libotryp and amitriptyline can definitely cause constipation. These can be replaced with other drugs which are now available for your problems with lesser side effects. Do increase your liquid intake to keep a better hydration. Keep a regular bowel habit schedule. Keep green vegetables and fruits in your food habits. Keep a regular time table for your sleep hygiene.

You can have discussion with your treating health professional regarding your symptoms.