I am suffering from chronic constipation. After taking Cremaffin plus for three days, I have started Lactulose, 30 ml in the morning and 15 ml in the afternoon. I also have stated about 5 gms of Isabgol at bed time.
I do pass stools in the morning but always there is feeling of as if something is there in the rectum and even after straining only small amount comes out.
I try to take lots of water, high fiber food like fruits and vegetables, prunes and figs.
Can I increase the dose of Lactulose?
Can I take Cremaffin plus (once or twice in week) along with Lactulose?
Or can I add senna preparation to lactulose to be more effective?
I am 80 year old male with mild physical activity, still continue my histopathology practice.
Thanks for the help. Dr. H.M. K.Saxena