My father is 72 years old. He is facing constipation problem for a period of around 40 years. His weight is 70 kg and height is 6 feet. His body is slim. He goes to latrine alternate day since long and latrine passed is very dry and hard like a metal. He is having smoking habit. Now a days the problem has got serious that before 12 days, he discharges latrine after completion of five days. Then I contacted to gastoenterologist. He advised (i) Picsul plus syrup, (ii) Cap Lubwel 24, (iii) Eva Q fibre (iv) Cap Reblet L. After five days treatment he got relief. His report is as under : total tsh serum 3.36 endocrinology , tlc 7700 cumm, , neutrophils 75%, lymphocytes 17 L%, monocytes 04%, eosinophils 04%, haemoglobin 12.5 gms % , aus antegen ( HBsAg ) negative, blood sugar random 138.5 mg/dl, serum creatinine 0.95 mg/dl , sgot 19 U/L, sgpt 24 U/L, alkaline phosphatase 174 U/L, rbc 4.46 (1012/1), mcv 83.5 f1, hct 37.2%, rdw h 16.1%, rdwa 68.6 f1, plt 187 (109/1), mpv 8.8 f1, pct 0.16% pdw 12.9% f1, lpcr 21%, wbc 7.7 (109/1), hgb 12.5 g/dl, hch 28.2 pg, mchc 33.7 g/dl, lym% 17.4, gra% 74.9, mid 7.7, lym 1.3 (109/1), lym 1.3 (109/1), gran 5.7 (109/1), mid 0.7 (109/1). Kindly suggest reason of acute constipation and remidy so that the problem is not repeated. He also suffers from backache for a period of 5 years and taking pain killer and calcium tabs.