Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice: - stop any medication being used for constipation for a week - thrice daily, take two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL water - increase warm water( atleast 8 glass/day) intake - do not drink water during and after meals - eat small meals (rich in fiber) - eat plentiful fresh oranges and pear - avoid COLD milk and and AVOID junk food(NO burger, pizza-even if its veg.) altogether - mix few drops of lemon juice in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement - avoid beverages / alcohol/ soft drinks- Do some exercise (push-ups / squats etc) early in the morning- avoid carbonated drinks. Take 2-3 spoon edible virgin olive oil in the morning. If no resolution after 10 days, then better to visit treating physician. besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test. Advise for fatty liver: Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease.- abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - Decreased oil consumption (oily food) - NO red meat- green vegetables should be ingested daily - Use lemon juice (lemonade) once in a day - Reduce weight if overweight/obese - recheck liver enzymes after 6 to 8 weeks and/or ultrasound.Hope to answer your concern. Hope I have answered your query. Let me know if I can assist you further. Wish you good and sound health. Regards, Dr. Tayyab Malik