Hello Sanoj, welcome to HCM,
Four teaspoon of cremaffin
is sufficient as a laxative, what you need to do is to take sufficient amount of food proper bowel motion which you wont be doing because of pain and bleeding due to constipation
. It would be better if the food is rich in fibre content like green leafy vegetables..
You can increase 2 more teaspoons of cremaffin, nothing harm in that or you can supplement cremaffin by adding an oral laxative...