###Human: I have a problem with bowel movements. Kindly help me. ###Assistant: Hello. So, this basically occurs due to constipation and incomplete evacuation. There are certain points you need to remember. Firstly, you need to have a healthy lifestyle which includes a healthy diet and regular exercises. In diet, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables like spinach, raw cucumber, whole wheat, etc., and plenty of water, which will help your free passage of stools. Next thing, make use of morning gastrocolic reflex. Normally when one eats breakfast, one tends to get a bowel movement. So have a good breakfast and plenty of water which will give good gastrocolic reflex. Visit washroom after this reflex comes. Most importantly, effective and physiological treatment is fiber supplementation. You should have Psyllium husk 5 to 6 g with each meal and drink plenty of water after it so as to give good volume to your stools. Gradually, we can increase the dose as needed up to 10 g with each meal. If this is not effective we can try other laxatives like syrup Lactulose 15 to begin with and increased up to 30 ml at bedtime which is also quite effective. Linzess you have already been trying, Lubiprostone we can try later. But we try to avoid this as much as possible as it can lead to laxative abuse. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->