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Thank you for your question.
Sorry to hear about your aunt.
Can you please enumerate all the medications and stool softeners that she has tried and all the medications that she is on?
Does she have any other medical problems?
Please let me know.
If she has not had a recent colonoscopy this is mandatory.
She also needs immediate consultation with a gastroenterologist.
The straining causes a vagal vasal response. This is why she passed out.
She needs to avoid straining to avoid passing out, which , for her, can be dangerous.
Straining must be alleviated.
OK, so that is an initial answer….
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I would appreciate it if you could answer the questions that I have posted above so that I can help you out with your concerns in a better way.