Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that you have a problem of constipation that is causing straining during bowels, unable to pass stools even after having the urge to evacuate.. It can occur due to a number of causes like lack of dietary fibres,stress, lack of physical activity,eating disorders, side effect of medication, diseases like Irritable bowel syndrome etc.. I would suggest you to consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigations like Colonoscopy, Barium swallow, blood test can help in diagnosis and treatment can be planned accordingly.. As of now you can take a high fibre diet, take plenty of green leafy vegetables and fruits and salads.. You should drink plenty of water.. Take stool softeners like Docusate, laxatives like Polyethylene glycol and fibre supplements like Psyllium or lactulose.. You can also be advised to take prescription like Linclotide and Lubiprostone.. Do moderate workout and take walk after meals.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora..