Constipation treatment

Male/30 years Complaint of constipation since 1 month Patient goes for stool once in 3 days black stool with burning highly offensive Stool are very hard and crumbles at verge of anus Stools in broken pieces Great straining, makes patient worn out Patient drinks a lot of water but there is no relief His routine gets worsed when he started awakening at night & sleeps for only 4 to 5 hours Aggravation- milk, non-veg, spicy things Amelioration- N.S Appetite, thirst- normal Urine- normal Stool- constipated Desire- spicy, sweet things Aversion- no How we can help the patient Doctors?

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Bryonia 200
Nux vomeka
Try to figure out the mental status of the patient. Advise to drink atleast 3-4 Liter of water Add Seasonal Fruits in diet Take Meal at fix time and help in planning a healthy Balanced meal. Add Drakshasava along with your homeopathic management @Santhosh Sharma sir It will help in overcoming the Constipation and reduce the Burning Sensation
Drink Sufficient Water Take Patte dar Vegetables and Fruits in Diet. Chokar Yukta Aate ki Rotiyan. Avoid Ratri jagaran. Take Sufficient Sleep. Wakeup before Sunrise. Do Morning walk and Exercises. in Night before sleeping Take Pancha Sakara Churna with Luke warm water 1 Tsp. Take Zandu Pancharishta After meals With Same quantity of water.
I would like to inquire about the causes of disturbed sleep which inturn may open up the psyche of the patient and provide deeper insight into the case which will allow me to not only give first prescription but also manage the follow up in terms of second prescription; remedy relations; assessment of relief and cure.
रोगी विबन्ध से पीड़ित है। चिकित्सा संबंधी योग,,,, सफेद निशोथ 50 ग्राम, छोटी हरड़ 50 ग्राम,काला नमक 30 ग्राम लेकर पाउडर बनाकर 5 ग्राम रात को सोते समय दूध के साथ दे। द्राक्षासव कुमारियासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है।
Triphpa churna 5 gm with leukwarm water at bed time High Fiber diet like whole & multi grain floor,Fruits,Salads & More vegetables etc. Physical Exercise.
Rx Tab Alkali 2 tab pc BD X 10 days, Susp Co_ Up 2 TSF tid BBF after lunch and dinner Softovac granules 5gms or 1 TSF BT with Luke warm water
Thuja Alumina Laxovel Powder ,2 tsf mix. With a glass of water, tds Eat more green vegetables and fibrous food
Zandu Pancharistha Triphla churna Herbolax Panchsakar churna Proper diet management
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