I have been suffering from constipation since 2012. Despite maintaining a healthy diet and trying various remedies, I still depend on medicines such as Laxobig or churan to have a bowel movement. If I do not take these medicines, I may not have a bowel movement for 5?7 days. Could you please suggest what might be causing this chronic constipation and recommend appropriate treatment or further evaluation?

Chronic constipation since 2012 despite a healthy diet suggests 'slow transit constipation' or 'pelvic floor dysfunction'. Long-term use of stimulant laxatives like churan can actually worsen this by making your bowel dependent on them (lazy bowel syndrome). Other potential causes include thyroid issues or irritable bowel syndrome (IBS-C). Please consult a gastroenterologist for a thorough evaluation, which may include a colonoscopy, anorectal manometry, or thyroid blood tests. Meanwhile, ask your doctor about switching to safer, non-habit-forming osmotic laxatives (like Polyethylene glycol) to help safely manage your symptoms.

Can a diabetic person consume this powder?

Pegfiber Powder is used to relieve constipation and contains ispaghula husk (a natural fibre) and polyethene glycol, which is not absorbed into the bloodstream in significant amounts. It generally does not affect blood sugar levels and is usually considered safe for people with diabetes. However, it is essential to check if the product contains any added sugars or sweeteners, especially in flavoured versions. Always consult your doctor or pharmacist before using this powder if you have diabetes to ensure it is appropriate for your individual health needs.