Hi ! Good morning. I am Dr Shareef answering your query. I would like to know about your dietary habits. Do you eat frequently from outside? If yes, then it could be due to some intestinal infections creeping in due to not infrequent unhygienic conditions of preparing food in the restaurants and the like. You should get your stool tested for ova and cyst, and go to your doctor with the report who may advise you a course of metronidazole for amebiasis which is a common undetected intestinal infection giving rise to such symptoms of yours. Also some components of food, specially used in fast and fried food may also cause you such symptoms by the way of intolerance to those components. This you can know by way of exclusion of those components from your diet which you may have to try yourself. At the same time, you should make some dietary modifications, like a lot of roughage with enough liquids which may relieve your constipation. Also a routine regular exercise schedule can also add to the effect. I won t prescribe you any laxative for this kind of occasional constipation which can be controlled by the measures suggested above. In case your symptoms persist, or increase, then I would go for more investigations like an ultrasound abdomen followed by endoscopic examination of your upper and lower GI tract if need be. The management will then depend on the findings of these tests. In the meanwhile, you can go for a proton pump inhibitor drug, along with a prokinetic and a probiotic which may also help in your constipation. I hope this information will help you in discussing with your family physician if the symptoms persist or increase in intensity. Thank you for using healthcaremagic forum for your health query. Good luck . Dr Shareef.