Hi Thanks for posting on HCM The treatment of chronic constipation depends on cause.Possible causes may include: -Blockages in the colon or rectum like Anal fissure, Colon cancer, Narrowing of the colon, Other abdominal cancer that presses on the colon, Rectal cancer, rectocele -Problems with the nerves around the colon and rectum like Autonomic neuropathy, Multiple sclerosis, Parkinson s disease, Spinal cord injury... -Difficulty with the muscles involved in elimination like anismus, dyssynergia, Weakened pelvic muscles -Conditions that affect hormones in the body like Diabetes, Overactive parathyroid gland, Pregnancy, Underactive thyroid With all these possible causes, only a keen examnation by the Doctor with some work-ups may help to identify the exact cause.I will advise you see the Doctor for examination.Tests that may help identify cause may include: thyroid function tests, sigmoidoscopy, colonoscopy, anorectal manometry, colonic transit study, defecography, abdominal CT scan or MRI. In the meantime,i will advise the following: *A laxative like duphalac, Stool softeners, Enemas and suppositories... *Increase your fiber intake *Exercise most days of the week *Eat enough soft fruits like soft pawpaw and water melon but avoid fruits like bananas that may rather constipate *Take enough water/fluids *Your Doctor may consider other treatment options depending on the identified cause. Hope this will help Wish you good health