What is the treatment for severe constipation and bloating?

Hello doctor,

I am a 22 year old female, and I have been experiencing major constipation from the last month. Every time I eat, I experience bloating, and I am unable to go to the toilet later on. Have tried taking Sennetabs, Metamucil, increasing fiber, and water in the diet. I have this problem approximately five days a week. I have also been getting abdominal pains, and four days ago I had a light vaginal blood discharge for two days. I am taking tablet Estelle from a very long time, I am still taking it, so this would not have been my periods. I do not have any weight issues. I also get quite a bit of walking done in my job, so I am not sitting down all day long.

Hello doctor,

Thank you for your reply. I have bowel movement approximately twice a week, but in the last month, it has not been consistent. And according to the Bristol stool chart, my stool is type 1 and 2. I also have had one day where it was completely different and was type 7. I have not had diarrhea before this, just once during the month where it was type 7. My menstrual cycles are usually fine. Once I get to the nonactive tablets on my sheet of Estelle, I usually get my period within two days. And it always lasts for four days with spotting on the fifth day.

Yes, lately it has been painful trying to defecate, it has never come easy. I often go to the toilet feeling like I need to go, but once I sit down, I, cannot go. No family history that I am aware. Yes, for years I have always felt the cold more than everyone else. When other people say the temperature is nice, I often have goosebumps. I always assumed this was because I do not have good circulation. My hands and feet often are a purple color, and get cramps in arms and legs regularly. My mother has varicose veins and same problem with the cold. I have lost weight lately, but only a couple of kilos. I just get extremely bloated and constipated, and then when I do get to go to the toilet and relieve myself, I feel better.