Brief Answer:
Take lots of fiber and fluid in your diet

Detailed Answer:

Hello,

The best solution to chronic constipation is to take lots of fiber and fluids in your diet, lots of fruits and vegetables. Other food items that have high fiber content are oats, whole wheat, ragi, barley, greens, beans, peas and lentils. Do regular exercise.

Among allopathic medicines, you can take Lactifiber which is the combination of Lactitol and Isabgol, which are quite safe even for long term use. You may also add Polyethylene glycol which comes in sachet or syrup form if not relieved with lactifiber. You have to titrate the dose according to the response and severity of constipation.

For gastric problem I advise you to:
1. Avoid food that increase gas like beans, pulses, cabbage, peas
2. Avoid food that increase acid productions like tea, coffee, citrus and spicy and fatty food
3. If milk makes your symptoms worse then please avoid it
4. Take capsule containing Simethicone     
5. Also take a proton pump inhibitor like Rabeprazole along with a prokinetic agent like Domperidone

I hope I have answered your query and that this helps you. I wish you good health.

Regards,
Dr. Amit Jain
Gastroenterologist

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