This problem is since a couple of decades, initially the constipation was occasional but slowly it has become. E chronic. Earlier a teaspoonful of isabgul was good enough but now I need 3 teaspoonful. Tried various ayurvedic medicine but it doesn't helps after couple of months. Initially all types of medicine works but later after couple of months it becomes effectless. Tried kiva triphala tablets, digital tablets and saaf-saaf tablets, initially it works for a week then no effect or rather need to increase my dose. At present himalaya herbolax and dabur isabgull is somewhat helping me. Along with this am taking famocid 40 and pan-d, currently much better but feeling very week bones and joint pain. Due to this constant problem am having a constant lower back pain with constant gas ejaculation from mouth. My diet is fully vegetarian by birth and my height is 5 ft 10 inch with weight 70 kg. I don't have sugar problem nor blood pressure. The only issue is the stomach. My piles is nonbleeding with just a mass piping out due to my constipation.