we are here to help you. you probably are suffering from chronic constipation associated with acid reflux disease and that requires evaluation for the cause. if no cause is found we would say that you have idiopathic constipation. i would advise you the following. consult your specialist doctor discuss with him or her and take treatment with consent. get a thyroid function test done as hypothyroidism might be the cause of the constipation that you are having. i suggest laxative like lactulose in the night. increase fiber in the diet and take fruits like papaya which are bulk forming. i suggest a combination of pantoprazole and levosulpiride once daily. another thing that you can take is isabgol husk. you can take three teaspoons full in night time and as it is bulk-forming. it may help you with your constipation. once you are constipation free you do not strain during stools and our piles problem would go away on itself. for further information consult a medical gastroenterologist online --> <link>
i am having constipation problem and a feeling of incomplete evacuation. how to solve it?