Chronic Constipation Management for a 51-Year-Old Male - #49881

-Daily laxatives + weekly 60 ml castor oil = long-term dependency risk -Can cause electrolyte imbalance and affect BP, even if controlled -Better long-term option: Isabgol (psyllium) daily + stool softener, reduce castor oil gradually -Veg diet: add soluble fiber, warm water, fixed toilet time + footstool -Rx: Triphala churna – 5 g HS with warm water Isabgol – 2 tsp HS with lukewarm water Erand taila – 10–15 ml once weekly only (reduce from 60 ml) Abhayarishta – 15 ml BD after meals with equal water Pathya: Warm water morning, fixed toilet time Lauki, pumpkin, leafy veg; soaked flax/sabja Avoid excess rice, maida, fried foods Note: Gradually taper daily stimulant laxatives. Follow-up: 2–3 weeks. If still no relief will blan for Basti and virechana