Hello, It looks like chronic constipation. Commonly chronic constipation occurs due to anxiety, depression & stress. Low thyroid hormone levels, eating large amounts of acidic food or too much sex in a certain period of time may trigger it. Abnormal hormone response to ingested water may also cause constipation. Try to lead a balanced life & stay away from addictions if any. Regularize your toilet habits, do few relaxation exercises, listen to relaxing music, increase fluid intake, bulk up your diet(wheat bran, papaya, fruits & veggies), take warm milk regularly before sleep. Laxatives, stool softeners, fiber supplements are effective. You are recommended to get physically examined & get treated for IBS. Constipation sometimes complicate causing anal fissures & hemorrhoids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician