It sounds like you may be experiencing mild constipation, a small anal fissure, or hemorrhoids, which can cause on-and-off pain and gas. Please be reassured that these issues are very common and highly manageable. Continuing with Isabgol (psyllium husk), a gentle bulk-forming fiber, is excellent, but try to limit Kayam Churan to occasional use to avoid dependency. Increasing your daily water intake and eating more fiber-rich foods will naturally soften your stool. Taking warm sitz baths (sitting in warm water for 10-15 minutes) can also greatly soothe the discomfort. If the pain persists, worsens, or you notice bleeding, please consult a doctor for a proper evaluation.

However, this contains stimulant laxatives like senna. Regular use can cause your bowels to become dependent on it, making constipation worse over time. To safely transition away, I recommend gradually increasing your daily fiber intake with fruits, vegetables, and whole grains, while drinking plenty of water. Daily physical activity also naturally stimulates your digestive tract. Please consult a healthcare provider who can help you safely taper off this remedy and suggest gentler, non-habit-forming options.

First, try to increase your daily water intake and gently add more fiber-rich foods to your diet. Please avoid taking more over-the-counter laxatives without guidance, as overuse can sometimes worsen bowel sluggishness. Your best next step is to consult a doctor who can safely evaluate you and perhaps suggest gentle, effective alternatives like polyethylene glycol.

While there is no instant 'permanent cure,' long-term relief is highly achievable. Daily use of stimulant laxatives (like those in Kayam) can make your bowels dependent over time. Real recovery comes from addressing the root cause. I gently recommend focusing on lifestyle adjustments: gradually increase your dietary fiber, drink plenty of water, and try light daily exercise. Please consult a doctor or gastroenterologist to safely guide you off these supplements and find a sustainable, personalized treatment plan.

Kayam Tablet is a laxative used to relieve constipation and is not intended for treating ulcers. If you have an ulcer, consult a doctor for an accurate diagnosis and proper treatment.

While severe gas from long-term constipation can cause chest and back discomfort, difficulty breathing and chest pain are critical symptoms that require immediate medical evaluation to rule out any urgent heart or lung conditions. Please seek medical care right away. Since Kayam Churan and Gerbisa (bisacodyl) have not provided relief, a doctor can safely evaluate your symptoms and prescribe more appropriate treatments, such as osmotic laxatives (like lactulose or polyethylene glycol) or dietary adjustments.