Thanks for posting your query at DoctorSpring.com. I am Dr.R.K and I am pleased to assist you.
I would like to have some more information before I can give my opinion.
1. How old are you?
2. How long have you been having these symptoms?
3. Any medical illness you have?
4. Any tests so far?
5. Are you on any medications other than laxatives?
Kindly get back to me as follow-up with this information and I would be in a better position to give an informed opinion.
Patient replied :
1) 38 years old
2) 15 years constipation / 2 years fatigue & other symptoms
Thanks for providing the information.
Since no tests have been done so far, I my advice is to get some basic tests done.
A complete blood count, blood glucose test and a thyroid function test may be done initially as the symptoms you have can occur commonly in individuals with anemia, diabetes and thyroid issues.
Based on the test results further course of treatment may be planned.
You have also mentioned about laxative abuse. Laxative abuse can affect the functioning of colon. For good bowel movements you need to take high fiber diet, fiber supplements like metamucil and drink lot of fluids. A good physical activity is also important.
For anxiety, I would advice you to meditate everyday for 15 minutes.
I hope that answers your question. Would be glad to discuss further.