Brief Answer:
Treating constipation is very important.

Detailed Answer:
Hello,
Thanks for query.
Have gone theough your details

Most likely you are suffering from Dyspepsia, Its a layman's term
used for indigestion. It is a term that describes discomfort or pain in the abdomen. However, it's not a disease in itself. Dyspepsia is a group of symptoms which often include bloating, nausea and severe constipation.
Severe constipation causes fermentation of food and produces gases which presses abdominal nerves causing pain.So if constipation is relieved all things would settle down.
Lets understand the pathology of gut,the bacteria in our gut (mostly in the large intestine) in considered beneficial, helping us digest all kinds of food,the bacteria inside our gut influences our maturation, immune system development, metabolism, and production of essential biocompounds. Moreover, it has been proven that a number of diseases are associated with changes in our gut bacteria, he gastrointestinal tract is a complex system that allows the body to digest and absorb food while moving wastes for excretion. For the intestinal tract to function properly, normal flora must be present. Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body, but also gain benefits from their hosts. For example, these microbes reside in the intestinal tract, where they receive nutrients for growth.Intestinal flora are found in both the large and small intestines.intestinal flora might aid in food digestion to form other components. For example, Lactobacillus acidophilus creates lactic acid and hydrogen peroxide in the intestine during the digestive process as it breaks down food.

If this microbiota is disturbed food is improperly fermented causing production of large amount of gases in gut leading to severe flatulence.Hence most commmon cause in most of the cases is disturbed microbiota.In old patient mobility of intestines is severly compromised leading to accumulation of large amount of gases in intestines.As persitaltic moments are week gas accumulates in intestines.Severe constipation or incomplete evacuation can also hinder the passage of gases.

Take fleet enemas as and when required.
Take 30 ml of lauctulose laxative twice daily.
Reduction of constipation and soften stool by consuming enough fiber and water.
Strengthen and fortify vascular and connective tissue in the anal area and elsewhere by consumption of anti inflammatory diet.
Lifestyle measures to avoid hemorrhoids e. G. Good bowel function, exercise and healthy evacuation posture.
Reducing constipation and softening stool:
Consume high fiber foods as a part of high biber diet. Grain products: (6-11 servings of grain product in your diet is required daily) whole grain breads, whole wheat, whole grain mixed grain, cracked wheat, buns, muffins. Brown ricewhole wheat pasta or brown rice pastacereals made from whole grain oatmeal ground flax, wheat germ or wheat XXXXXXX in baked goods vegetables: (3-5 servings daily) dark green leafy vegetables contain heigest amounts of fiber e. G. Spinach, broccoli, green peas, green beans, turnip greens. Fruits: (2-3 serving of fruits) apples. Oranges, pears, peaches. Berries (strawberries, raspberries, blueberries, and blackberries) dried fruits (dates, prunes apricots legumes, nuts and seeds
Black bean, green beans, peas, kidney bean, lentils, peanut, soy beanWalnuts, peanuts, cashews, sunflower seeds. High fiber food relieves the constipation which ultimately reduces the abdominal and colonic pressure resulting low incidence of hemorrhoid.

Plenty of water as a part of a hemorrhoid diet: water is key for fiber to function as an antidote to constipation
Avoid a diet high in refined carbohydrate as part of your hemorrhoid diet.
Avoid saturated fats, non vegetarian food, trans-fats which leads to inflammation.
Strengthen and fortify vascular and connective tissue in the anal area and elsewhere by consumption of anti inflammatory diet.
Omega 3 fat: it plays important role in maintaining healthy skin and mucus membrane. It has important anti inflammatory function which is extremely useful when it is consumed in a condition like hemorrhoids. As the consumption of omega 3 fat increases ratio of omega 6 and omega 3 lowers. It is abundant in cold water fish and their oils and in seeds and their oils e. G. Flax seeds

“flax seeds soak ¼ cup of flax seeds overnight in a glass of water and drink the gel on next day or boil it till the water become half and drink the gel on same day.”
Vitamin c: it maintains the healthy blood vessels and maintain tissue matrix. And increases the body immunity also. Rich source arblackberries, raspberries, broccoli, spinach, guavas, amla, lime melon, orange, papaya, pineapple, tomato.Vitamin e: it is a fat soluble vitamin which maintains healthy cell membrane as well as the prevention of inflammation. It is helpful in healing the inflamed tissue and trying to shrink the hemorrhoids. Rich source of it are nuts and seeds.
Magnesium: it is a key mineral for vascular tone and integrity as well as nerve and muscle function. It increases the peristaltic action of the colon that propels feces towards the anus. Dark leafy vegetables are rich source of magnesium.
Zinc: it plays important role of anti inflammatory diet and beneficial for hemorrhoid. Nuts and grains are rich source. You can supplement with 9mg /day (adult dose)

Proper defcation technique: avoid straining when seated on the toilet. “posture key factor is that your bent knees remain higher than your hips.” this posture promotes easier elimination and avoid strain or pressure in the anal are thus contributes in minimizing hemorrhoids.
Exercise: it is an important factor to maintain the tone of abdominal and pelvic floor muscle to avoid hemorrhoids. Kegel exercise strengthen the pelvic floor muscle which is done as follow


Avoid activities that put pressure on your back e. G. Prolong standing, sitting on desk for long time, strenuous work, lifting or carrying heavy materials.
Avoid stress which is a risk factor for hemorrhoids as it aids in constipatin and inflammation. Stress release the harmones which inhibit bowel movement.
Chew food slowly which helps in digestion and absorption of nutrients.
Take small and frequent meals.
Dinner should be light and 2 hour before retiring to bed.
Morning walk for 35 minutes daily
Meditation and exercise daily for 30 minutes without strain.
No smoking, no alcohol no tobacco
Non oily, non spicy and processed food is to be avoided.



All this will help in long run.

Thanks!

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