My mother 77 years old is suffering from chronic constipation and piles since last many years. She was regularly taking pruvict 1.0 and softolax powder and was able to somehow manage the constipation problem. But now since last few weeks, these medications does not seem to work. She is also taking duphalac, but not able to pass stool for 2-3 days. She is also taking medicines for urine incontinence (mirago 25, soliten 5), arthritis medicines (hcqs 200, saaz 500), thyroid medicine (thyronorm 37.5), rosufit 10 and arbitel 20. Her constipation and piles situation has detoriated and now since last 2 months, the gap of passing stool has become very inconsistent and sometimes becomes 2-3 days. Any suggestion whether some other medication routine can be followed?