Hello, Welcome to Health Care Magic. I read carefully your query and I understand your concern. I see from your description that you have a good dietary for avoid constipation but however that you continuing suffer from constipation, my recommendation is to do a TSH blood level because hypothyroidism is a usually cause of constipation except the other symptoms that it cause e.g. weight gain ,fatigue, dry skin and hair, cold hands and feet etc. I recommend you continuing the healthy diet with a lot of fiber and water and to go to your gastroenterologist. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regard, Dr .Marsida Janko