Hi Patrizia,
I suffered fr constipation badly as a child, here to share how i overcome de problem.
Whenever i constipated 4 more than 2 days, i would get so worried, n i would force myself to push de bowels out, and my piles would drip blood like crazy...
Initially docs prescribed tis pill with de name "cibamed" (in de late 70s), worked very well, but after a while de body seems too used to it n has no effect anymore.
So i believe taking pills is not de long term solution as de body might get immune to it after a while.
3 aspects of constipation u need to look at:
1)diet - perhaps your diet has too little veg or fruits / high fibre items, drink too little water.
2)frequency - due to infrequently doing "big business", your stools gets too hard, n it hurts de anus when u release, n if u hv piles it bleeds.
3)psychological - u get worried dat u can't release bowels, ur system gets tensed, n u dun get nature call anymore.
So to start with, u must ensure dat u take a well balanced diet. Fruits n Veg r must. Banana is very good at stimulating nature call, but de stool becomes very hard. Papaya also stimulates. Believe it or not, water melon was very helpful for me - it makes de stool soft. Drink enough water. A glass of cold milk in de morning does wonders too.
Having ensured tat your stools stay soft, de next thing is frequency of releasing your bowels. For me, doing it daily is a must. If u accumulate for a few days, it will eventually becomes hard even if your diet is balanced.
The hardest part is "psychological". I won de war by overcoming de psychological fear. So dun think dat there's such a big problem with your system, its really in de mind.
You MUST BELIEVE tat u can become normal again. If u stick to de "diet" n "frequency" rules, u will get nature call. When u get nature call, dun miss de chance. Use de squat toilet, force your bowels out, dun worry if it bleeds.
One approach i used is walking around reading a book in my hand, or even in de toilet. Because i diverted my attention to wat i was reading, de fear was temporarily forgotten n my system gets a chance to give me a nature call. Once i get de nature call, i simply forced myself to release, even if it were to cause lots of bleeding. With a few occasions like dat, i had de opportunity to clear my intestines, n not forgetting to apply de medicine given to me to allow de piles to subside. If your piles r internal, u need your partner to help apply de medicine for u.
Bit by bit, as u become able to pass motion more frequently, your faith will grow, n bit by bit, u will become more n more normal, n get nature call daily like most people.
Till tis day i still stick to my daily visit to toilet.
Remember, there can be miracle, if U BELIEVE.