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Constipation is a difficult problem, not because we cannot treat it but we hesitate to get treated in the first place. Our diet and food habits are increasingly becoming westernised which is resulting in low intake of fiber and increased consumption of refined carbohydrates, all of which causes constipation. Frequent constipation results in perianal problems such as Piles, Fissures, Fistulae, and Abscesses etc.