** Thanks for contacting HCM with your health concern and following is the symptomwise approach: 1. If there is acute discomfort: - Soap water enema with 500 ml soap water or glycerine syringe [30 ml] 2. If there is no acute discomfort: - Liquid paraffin 30 ml at bed time or tablet Dulcolax 2 tablet at bed time - If not effective castor Oil:15-30 ml early morning 3. If there is local pain at anus: kindly seek an opinion of General surgeon to exclude causes like: - Painful fissure - perianal abscess 4. If acute constipation is accompanied by colicky pain in abdomen, abdominal distension or vomiting suspect intestinal obstruction and refer early to surgeon [if any possibility is there, do not take enema or strong purgatives like castor oil] 5. If all the examination is normal then: - more roughage in diet - regular walking and abdominal muscles exercises - drink more water - avoid tobacco chewing - Triphala churan,Kayam Churan [ayurvedic preparations] are very useful PS. avoid use of same laxatives for month