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Hi there ...
Thank you for your question .
As you have severe constipation , and forceful straining can cause Piles .
First thing before taking Laxative , you should rule out the possibility of intestinal obstruction , once obstruction is ruled out Kleen enema will help you out along With Syrup Lactulose to overcome constipation .
You need ER visit to check bowel sounds , if audible than it is highly likely that you have any obstruction .
So please visit to ER .
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