How to treat chronic constipation caused by opiates and holding back during construction work? - #56951

Chronic constipation due to opioid medicines, delayed bowel habits, and long working hours often requires regular bowel management. Since you have rheumatoid arthritis and are taking opioids, continue your prescribed medicines and discuss constipation with your treating doctor as opioid-induced constipation may need specific treatment. Take • Triphala Churna 5 g at bedtime with warm water. • Gandharva Haritaki Churna 3–5 g at bedtime with warm water if constipation is persistent. • Abhayarishta 20 ml with equal water twice daily after meals. Diet and habits: • Drink 2.5–3 liters of water daily unless restricted by your doctor. • Continue fermented vegetables if they suit you. • Increase fruits such as papaya, soaked raisins, figs, and vegetables. • Take 1–2 tsp cow’s ghee with warm milk at bedtime if tolerated. • Do not suppress the urge to pass stool whenever possible. • Walk for 20–30 minutes daily.