an unusual cause of constipation in patient without any underlying disorders

constipation is the most common digestive complaint in the general population.it is associated with  considerableadverse effect  on quality of life  and  substantial economic costs  and  often have  no underlying pathology . non celiac gluten sensitivity( ncgs)has been described as a cause  of constipation  in  a few study .  we present  a  62-year-old male with long standing constipation without underlying cause  during extensive surveys and not responding to  any conservative treatment  but significant response with gluten free diet(gfd).