Seeking Advice for Long-Term Constipation and Skin Issues - #47238

Hello. I m 42 yrs old doctor ,male ,i am having long term mild to mofrrste constipation issues since early adulthood and more importantly poor bowel habits since childhood as not going on time regularly with hold up and delayed passage of bowel most of the time also ,considering my nature of work also . I have developed piles since young age ,may be contributing to this also.No other co morbid illness . At age 28 yrs developed psoriaric lesion in skin hands and foot which progressed gradually(mild form of disease ) .i did panchakarma therapy snehapana 5 yrs back which did help a lot ,reduction in skin lesions significantly ,with very minimal lesions in fingers and toes at present . Also taking constipation relief drugs such as triphala .currently on anuloma DS ,mahatiktavathi tab for short term . I need advice from your end what is recomended to do next, any treatment or any holistic therapy regarding my condition to be done.