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PHARMACIST-REVIEWED GUIDE · PAKISTAN
A simple step-by-step plan, from fibre and water to the right laxative, and when constipation needs a doctor.
✓ Reviewed by Arhum Nadeem, Pharm-D · ✓ Based on NHS guidance · ✓ 3–4 hr delivery in Lahore
Medically reviewed by Arhum Nadeem, Pharm-D (8 years’ experience as a pharmacist) · Last reviewed: 17 October 2026
The best home remedies for constipation are more fibre (fruit, vegetables, whole wheat atta, daal), plenty of water, daily activity, and not ignoring the urge to go. If that isn’t enough, a bulk-forming laxative such as ispaghol (psyllium husk) is usually the first medicine to try, followed by an osmotic laxative such as lactulose (Duphalac, Lilac) if stools are still hard. Most constipation settles within a few days to weeks. Blood in the stool, weight loss or a lasting change in bowel habit needs a doctor.
Key points
| Type | How it works | Examples (Oct 2026 price) | Works in |
|---|---|---|---|
| Bulk-forming | Adds fibre and water to soften and bulk up stools | Marhaba Ispaghol 50 g (about Rs 366), 95 g (about Rs 760) | 1–3 days |
| Osmotic | Draws water into the bowel | Duphalac 120 ml (about Rs 300), Duphalac 240 ml (about Rs 567), Lilac 120 ml (about Rs 277) | 2–3 days |
| Stimulant | Makes the bowel muscles push stools along | Bisacodyl or senna; ask our pharmacist | 6–12 hours |
| Suppository | Works directly in the rectum | Glycerine suppositories; ask our pharmacist | 15–30 minutes |
Stir the dose into a full glass of water (or milk) and drink it straight away, before it thickens. Follow with another glass of water. Don’t take it just before bed or lying down, and keep it 2 hours apart from other medicines. Without enough water, ispaghol can cause blockage.
Lactulose (Duphalac, Lilac) is sweet-tasting and can cause wind and bloating at first. It’s commonly used for children and in pregnancy on a doctor’s advice. Adjust the dose so stools are soft but not watery.
Hormones and iron tablets often cause constipation in pregnancy. Start with fibre, water and walking. Ispaghol and lactulose are generally considered suitable. Check with your doctor before using stimulant laxatives.
Common causes include not enough fluids or fibre, too much milk, and holding in stools because passing them hurts. Offer water, fruit and vegetables, and set a relaxed toilet time after meals. Don’t give adult laxatives to children. A doctor can recommend a child-safe laxative and dose, often lactulose or macrogol, and treatment may need to continue for some weeks.
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Qabz ke ghar ke behtareen ilaaj mein fibre wali ghiza (phal, sabziyan, chokar wala atta, daal), zyada pani, roz walk aur hajat ko na rokna shamil hain. Agar is se farq na pare to pehle ispaghol lein, poore glass pani ke saath. Phir bhi sakht pakhana ho to lactulose (Duphalac, Lilac) madadgar hai. Tez julab roz istemal na karein. Pakhane mein khoon, wazan kam hona, ya 6 hafte se zyada aadat mein tabdeeli ho to doctor ko zaroor dikhayen.
A glycerine suppository or a stimulant laxative works within hours, but these are for occasional use. For lasting relief, combine fibre, water and activity with ispaghol or lactulose.
Ispaghol (psyllium husk) is usually the first choice. If stools stay hard, lactulose (Duphalac or Lilac) is a gentle next step. Stimulant laxatives are for short-term use.
Yes, for most adults, as long as you drink plenty of water with it. Keep it 2 hours apart from other medicines.
Yes, constipation is a common side effect of iron. More fibre and water, or switching the type of iron on your doctor’s advice, can help.
Lactulose is commonly used in pregnancy. Check the dose with your doctor.
Anywhere from 3 times a day to 3 times a week can be normal. Constipation is about hard, difficult stools or going less often than usual for you.
This article is for general information and does not replace advice from your doctor or pharmacist. Always read the pack leaflet and follow the dose on the label or prescription.
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