Regarding the Gases / hard stools & back head pain etc, since the problem had become so much that I decided to go for "Lipo endoscopy" surgery for my Hiatus Hernia, last year in Oct 15 thinking that this was the root cause of all my symptoms, but unfortunately, all my efforts of surgery went in vain and the problems are same or rather bad as they were couple of year back in Renukoot or earlier. Since there was No relief from surgery, I again visited a Good Gastroenterologist, in Bhopal, in Dec 2015, who prescribed the following medications-- Diagnosis--(IBS/post operative case of Hiatus hernia/Painful defecation/Also he advised Psychiatric help) Pantose-D (before B/F) Cap Velgut depof 37 (morning) medigas axiwill (night) But again No relief as usual and I stopped his medicines. You would recall my symptoms as reported to you in Renukoot @ Sept/Dec 2007 and there after on mails. By & large all the previous symptoms still persists and I have never come out of the same ever, as on date. Your Diagnosis was--Hypertension/Hiatus hernia/IBS Medications were Amplopress-Z 1OD Tenoric 1OD Serlift 25 mg 1OD cap omez-D 1BD Mucaine gel Altiva-D, then replaced by Alerid-D and finally Feliz S plus in the night After I left Renukoot since I was not directly in touch with you, lately I tried Homeopathic. The good homeopath also tried various good medicines for last 1 year or so particularly for Lower GI tract and to increase the mortality of rectum for removing the trapped Gases/hard stool in the large intestine ,but unfortunately they are also not working for me. Hence I am back to the square one. My current symptoms are by & large the same as you saw in Renookut. Rather it has taken more sever form. My daily routine has come to a standstill and not able to go to work anymore. I am at home only trying to somehow get rid of the stupid health problem Symptoms as on date Severe back head pain/biting sensation at the time of wake up Severe sprain/strain/biting in neck and shoulders/entire back. Almost the whole day In Fact the whole body suffer through strain/muscular sprains and biting feeling.(while gives temporary relief with head or full body massage). Heaviness over the eyes Gases/Bloating/belching starts severe after B/F till Lunch time Very weak feeling as long as the stomach is bloated with gases--between B/F and Lunch the trapped gases do not come out at all creating all the undue pressures on neck/head etc Hard stools in colon--very difficult to defecate Dryness of mouth /lips Too much lethargy--don't feel like doing anything. Feels like only lying down in bed or taking frequent naps across the entire day /very sad mode. Don't feel like talking to anybody or going out or do any activity. This feeling is giving me fears of how I will sustain my Job or continue working. Please note that the problem starts in the early morning since wake up and persists the whole day. It is severe since early morning and peaks till Lunch. after Lunch I am forced to go to bed lying down pressing the pillow on stomach side, so as to expul the trapped gases since last night/morning. Feel slightly better after the gases comes out in 1 hour of lying down in bed. The story doesn't end here. The 2nd cycle of Lunch gases starts build up and gives the same symptoms. Again & again. So the 24 hr cycle continues. After trying various medications over a period of long time---I feel I have got depression clubbed with Lower GI severity where in gases/hard stools are trapped and creates all the issues. Please Let me know your diagnosis and suggest the best medication to get rid of this chronic problem Once for all. I am taking the following medication now-- Pentose-D-before B/F (since I do not have any acid reflux, please let me know whether this medicine is needed or not.) Nebistar SA 1OD cardace 1OD Lipvas 20 mg for cholesterol Feliz S plus in the night Aloe vera Gel with fibre-2 times/day Note--{As long as the stomach is Bloated & is full of gases, the back head/neck and shoulder is terrible and the moment the gases evacuate/expelled the head/neck/shoulders etc become completely light, Hence it will be very important to focus on how to eliminate the bloating/gases/hard stools/and symptoms of strain/depression} Look forward to your valuable advice immediately.