Brief Answer:
further necessary information

Detailed Answer:

Hi,

I'm of the following opinion:

A. Safi has got:
1. Senna [which can act as a habit-forming laxative]
2. Nishotha [mild laxative]
3. Harad [also has the laxative properties], so Safi is a laxative
4. Increased frequency of urination and weight loss are reported side effects

PS. the dose is once a day with water and before breakfast.

B. since suffering from GERD, thus usually antacids are prescribed to alleviate the symptoms which have constipation as a side effect ??, so I won't recommend any single drug or medicine without first inspecting and examining, other than:
- Bland and soft diet, more of milk
- Avoid hot drinks and spicy food
- Give small, non-bulky meals more frequently [since GERD causes hiccups/ irritability]
- Head high position at night [since GERD causes regurgitation / choking]

C. For Constipation problem:
- Take old brown rice, green gram, chickpea, green vegetables, bottle gourd, water, papaya, grapes, muskmelon, raisins, dates, orange, pears, guava, apricot, honey, and milk

- Avoid newly harvested rice, black gram, peas, banana, potato, spicy/junk food, late nights, sedentary lifestyle.

. Purgation with olive oil is best and free of side effect
. Early morning: eat 10 cashew nuts and 4 raisins and drink water after coming out of bed
. Do exercise which increases the tone of abdominal muscles and stimulates peristalsis like:
. Straight leg raising
. Scissor kicks
. Sit-ups
. Walking and jogging

PS. As constipation is chronic thus consult with your primary care doctor as he will be in better condition as how to approach the symptom.

Regards,
Dr. Munish Sood
Consultant Physician

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