Hi The best way to manage chronic constipation is to identify the cause which at times might be very difficult.The pains associated with your conditions suggest the cause be investigated.Some causes of chronic constipation include: -Blockage in colon or rectum by a mass -Problems with nerves that cause colon or rectal muscles to contract -Problems with pelvic muscles -Hormonal imbalances that alter fluid regulation in body -Functional colopathy With all these possible causes, i will suggest you see the Doctor for examination and request for the following tests: stool exam, recto/colonoscopy, anorectal manometry, colonic transit study, and an abdominal CT scan if possible. The treatment of chronic constipation depends on the cause but in most cases, medications and lifestyle modification produce good results.You may try the following: -Increase fiber intake -Avoid dry and baked foods -Regular physical exercise -Take enough water -Take enough fruits like soft pawpaw -Avoid fruits like bananas which constipate -Laxatives/medications to draw water into your intestines like lubiprostone. With all these and with investigations from you Doctor, you may get over your problem. Hope my answer will help you Best regards