I am having constipation for more than 8 years I have been taking Ayurvedic powder Of senna, fennel seeds, Gulab pathy and khade sugar in equal quantity of 200 gm each. And I have been taking 2 teas spoon at night. I am now am dependent to it and can?t get motion without it. I heard senna on long term basis has lot of side effects .i have got sever spondylitis of my cervical and lumber region and pain. I am taking lot of vegetables including lot of beet salads every day. Mainly eat fish no meat. Taking lot of water. Now once a while I take 2 ducolex 5 mg to get good motion. I got internal piles. Is it advisable to stop Ayurvedic powder And switch to any other laxative with minimum side effects to take every day, pl try to help me. I got gastritis and doctor told me to take fresh granules daily at night one teaspoon, but it not giving good motions. Kindly help me.