I am a 40 years old male with complain of habitual constipation, poor digestion gastritis, bloating and ibs from past several months I am taking carmozyme syrup- digestive enzyme thrice after meals, cap sompraz d 40 for acid reflux, isabgol at bedtime. I am also taking frequent and lighter meals ,but no relief from constipation. The gas gets accumulated in the body and causes pain, even at times the stool gets so hard that I have to remove it from the rectum by hand. What is the reason for this and cure for the same.