Some Points to Remember

• Constipation affects almost everyone at one time or another.
• Many people think they are constipated when, in fact, their bowel movements are regular.
• The most common causes of constipation are poor diet and lack of exercise.

• Additional causes of constipation include medications, irritable bowel syndrome, abuse of laxatives, and specific diseases.

• A medical history and physical examination may be the only diagnostic tests needed before the doctor suggests treatment.

• In most cases, following these simple tips will help relieve symptoms and prevent recurrence of constipation:

  • Eat a well-balanced, high-fiber diet that includes beans, bran, whole grains, fresh fruits, and vegetables.

  • Drink plenty of liquids.
  • Exercise regularly.
  • Set aside time after breakfast or dinner for undisturbed visits to the toilet.
  • Do not ignore the urge to have a bowel movement.
  • Understand that normal bowel habits vary.
  • Whenever a significant or prolonged change in bowel habits occurs, check with a doctor.

• Most people with mild constipation do not need laxatives. However, doctors may recommend laxatives for a limited time for people with chronic constipation.

Measures to Treat Constipation

The goal of treatment is to reestablish normal bowel habits without the use of laxatives or enemas. Treatment measures listed below:

• Eat a diet high in roughage (fiber).
• Eat regular meals; it is especially important to have breakfast.
• Take bulking agent with meals and follow with a full glass of water. Begin with:
  • 1-2 tablespoons millers bran 3 times a day or
  • 1-2 heaping teaspoons Metamucil 3 times a day
• Do not take harsh (stimulant) laxatives except as directed.
• Establish regular daily bowel habits; DO NOT ignore the urge to have a bowel movement.
• Allow 15 minutes after breakfast to sit on the toilet - do not strain.

• If there has been no bowel movement after 48 hours, take 1 or 2 tablespoons Milk of Magnesia at bedtime. If unsuccessful, the dose may be increased the next evening.

• If no bowel movement occurs after 3 days, use a glycerin suppository or, if necessary, you may take a small tap water enema.

• Exercise daily.

• Whenever possible, avoid medications that contribute to constipation. DO NOT stop taking any prescribed medications unless approved to do so by your physician.