Brief Answer: Please refer to the following suggestions... Detailed Answer: Hi XXXXXXX Thank you for posting at XXXXXXX Constipation is usually seen in patient who have poor diet (i.e. less fiber, less water, etc.). You are saying to consume more water, fiber foods, fruits,etc. That is great. However, not all fruits do good. There are some like banana, yogurt and dairies, carrots, etc. that make your constipation worst. Meanwhile, I encourage my patients to have more pear, kiwi fruit, dates, etc, that help you passing the motion. This explains why some foods work and some other do not. With regard to having watery diarrhea after taking the laxative pills, it is completely normal. Do not worry about it, because you have helped your bowel to be emptied. Your lower back pain might be related to bowels, urinary tract and genital tract problems. So, I suggest to - do colonoscopy (rule out polyps or hemorrhoids) - urine analysis, pap smear tests (to rule out uro-genital problems) - complete blood count (to check for anemia) Based on the results, can further evaluate your health condition. Hope it answered to your inquiries! Once you have the results, can pass them to me at the next follow up. Thank you and take care! Dr.Alba

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