Brief Answer: Please see the details Detailed Answer: Hello! Thanks for putting your query in XXXXXXX I am a Gastroenterologist (DM). Get thyroid profile and serum calcium levels as they are common and correctable cause of constipation 1.Take high fiber (may be psyllium fibers) and lots of liquid in your diet 2.Take triphala powder one teaspoon with warm water or for better result mix it with honey and take it at time of sleep at night and one teaspoon in early morning empty stomach 3.Avoid foods that contain maida. 4. Take meals at least 2 hours before going to bed. 5. Take lots of fruits and vegetables daily 6. Add condiments like jeera, haldi and ajwain in your diet as these all help in digestion 7. take laxative like syrup cremaffin plus which is a combination of sodium picosulphate, milk of magnesia, and liquid paraffin (Titrate dose to make 1-2 stools per day) 8. Another drug is there lubipristone 25 microgram twice a day Pain appears to be due to constipation which I hope will resolve spontaneously once constipation is relieved. If pain is not relieved then get yourself evaluated by ultrasound abdomen and sigmoidoscopy examination I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

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Brief Answer: Add tab lubipristone and syrup cremaffin plus Detailed Answer: Hello! Continue with these metamucil and slippery elm. If still not relieved with these add syrup cremaffin plus and tablet lubipristone also. If you do not have any further query , you can close the discussion and rate the answer. Wish you a good health.

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