Treatment FAQ

what is the best treatment for chronic constipation

by Dr. Elliott Jones Published 2 years ago Updated 2 years ago
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How do you permanently cure chronic constipation?

They may recommend you:Eat more fiber. Pack your plate with lots of veggies, fruits, and whole grains and don't eat too many low-fiber foods like dairy and meat.Drink more water. Your digestive system needs water to help flush things out.Exercise. ... Take the time to go.May 13, 2020

What is the best medicine for long term constipation?

A number of prescription medications are available to treat chronic constipation. Lubiprostone (Amitiza), linaclotide (Linzess) and plecanatide (Trulance) work by drawing water into your intestines and speeding up the movement of stool.Aug 31, 2021

Does chronic constipation ever go away?

With a change of diet and increased water consumption, constipation often resolves on its own. Sometimes when constipation is resolved, back pain lessens or disappears. If not, talk to your doctor specifically about treatment to relieve your back pain.

What can a person do for severe constipation?

How is constipation treated?Drink two to four extra glasses of water a day. ... Add fruits, vegetables whole grains and other high-fiber foods to your diet. ... Eat prunes and/or bran cereal.Keep a food diary and single out foods that constipate you.Get moving, exercise.Check how you sit on the toilet.More items...•Nov 7, 2019

Is Dulcolax better than miralax?

Dulcolax (Bisacodyl) works fast and the suppositories work even faster to relieve your constipation, as long as you're okay with it "cramping" your style a bit. Helps get things moving. Miralax (Polyethylene Glycol) provides effective relief of constipation without "cramping" your style.

What do you do when laxatives don't work?

Treatment for ConstipationChange what you eat and drink. Changing what you eat and drink may make your stools softer and easier to pass. ... Get regular physical activity. ... Try bowel training. ... Stop taking certain medicines or dietary supplements. ... Take over-the-counter medicines. ... Prescription medicines. ... Biofeedback therapy. ... Surgery.

What are the 3 types of constipation?

Types of constipation. Primary (idiopathic) constipation can be conceptually categorized into three main types: normal-transit, slow-transit and pelvic floor dysfunction.

What are the signs of severe constipation?

Signs and symptoms of chronic constipation include:Passing fewer than three stools a week.Having lumpy or hard stools.Straining to have bowel movements.Feeling as though there's a blockage in your rectum that prevents bowel movements.Feeling as though you can't completely empty the stool from your rectum.More items...•Aug 31, 2021

How do I make myself poop when constipated?

Quick ways to make yourself poopTake a fiber supplement. ... Eat a serving of high-fiber food. ... Drink a glass of water. ... Take a laxative stimulant. ... Take an osmotic. ... Try a lubricant laxative. ... Use a stool softener. ... Try an enema.More items...

How can I increase my bowel movements?

Tips to have a more comfortable bowel movementDrink water. Water and fiber: These are two major components of poop that are part of your diet. ... Eat fruits, nuts, grains, and vegetables. ... Add fiber foods slowly. ... Cut out irritating foods. ... Move more. ... Change your bathroom posture. ... Keep your bowel movements in mind.

How fast does miralax work?

A bowel movement will usually occur within an hour after the first glass of the Gatorade-Miralax mixture. Don't worry if this doesn't happen for three or four hours.

Does miralax work for impacted stool?

The volume and rate of oral lavage are dependent on the patient's size. To treat childhood fecal impaction, Youssef and coworkers recommend 1 to 1.5 g/kg/day of polyethylene glycol solution (PEG 3350, MiraLax).

What medications cause constipation?

Several medications can cause chronic constipation. Antacids that contain aluminum or calcium, anticonvulsants, antispasmodics, anticholinergics, antiparkinson drugs, antidepressants, calcium channel blockers, diuretics, iron supplements, and pain medications (particularly nar cotics / opioids) can be at fault. Check with you doctor to see if your medications can be changed or eliminated.

How many doctor visits are there for constipation?

It’s one of the most frequent gastrointestinal problems in the United States, with over 2 million physician visits each year. When constipation continues for more than a few months, it’s known as long-term or chronic constipation. Chronic constipation affects almost 15% of all adults and 30% of those over age 60.

Does fiber help with constipation?

Nutrition and dietary supplements. Consuming additional fiber through the use of supplements (along with adequate water) can have a positive effect on long-term constipation. It’s best, however, to check with your doctor before adding any supplements to your daily diet.

What are the best probiotics for constipation?

Some of the most common types of probiotics include Lactobacillus, Bifidobacteria, and Saccharomyces boulardii.

How many people have chronic constipation?

Chronic constipation affects almost 15% of all adults and 30% of those over age 60. It’s characterized by difficult, infrequent, or incomplete bowel movements. Chronic constipation is defined as having two of the six following symptoms for more than three months: straining, hard stools, less than three bowel movements per week, ...

Can you take a laxative for constipation?

Herbs used to treat constipation are either bulk-forming or stimulant laxatives. Flaxseed, Linum usitatissimum, which is a bulk-forming laxative, contains soluble fiber and can be mixed with water. Herbs that are stimulant laxatives can cause pain, dehydration, and electrolyte imbalances and are only for short-term use.

How does biofeedback help with constipation?

It works by retraining the pelvic muscles that control the release of bowel movements. Learning how to relax and tighten these muscles can ease the evacuation of stool.

What tests are used to diagnose constipation?

In addition to a general physical exam and a digital rectal exam, doctors use the following tests and procedures to diagnose chronic constipation and try to find the cause: Blood tests. Your doctor will look for a systemic condition such as low thyroid (hypothyroidism) or high calcium levels. An X-ray.

How to get rid of constipation?

Your doctor may recommend the following changes to relieve your constipation: Increase your fiber intake. Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. Slowly begin to eat more fresh fruits and vegetables each day.

Can over the counter medications cause constipation?

If over-the-counter medications don't help your chronic constipation , your doctor may recommend a prescription medication, especially if you have irritable bowel syndrome. Medications that draw water into your intestines. A number of prescription medications are available to treat chronic constipation.

Can you have surgery for constipation?

Surgery may be an option if you have tried other treatments and your chronic constipation is caused by a blockage, rectocele or stricture. For people who have tried other treatments without success and who have abnormally slow movement of stool through the colon, surgical removal of part of the colon may be an option.

What is the best way to soften stool?

Enemas and suppositories. Tap water enemas with or without soapsuds can be useful to soften stool and produce a bowel movement.

How does biofeedback help you pass poop?

Biofeedback training involves working with a therapist who uses devices to help you learn to relax and tighten the muscles in your pelvis. Relaxing your pelvic floor muscles at the right time during defecation can help you pass stool more easily.

How to get rid of a swollen intestine?

Slowly begin to eat more fresh fruits and vegetables each day. Choose whole-grain breads and cereals.

How to prevent constipation?

How can I prevent constipation? 1 get enough fiber in your diet 2 drink plenty of water and other liquids 3 get regular physical activity 4 try to have a bowel movement at the same time every day

What to do if you think a dietary supplement is causing constipation?

If you think certain medicines or dietary supplements#N#NIH external link#N#are causing your constipation, talk with your doctor. He or she may change the dose or suggest a different medicine that does not cause constipation. Don’t change or stop any medicine or supplement without talking with a health care professional.

How to make your stool softer?

Change what you eat and drink. Changing what you eat and drink may make your stools softer and easier to pass. To help relieve your symptoms. eat more high- fiber foods. drink plenty of water and other liquids if you eat more fiber or take a fiber supplement. Read about what you should eat and drink to help relieve constipation.

What to do if self care doesn't work?

If self-care treatments don’t work, your doctor may prescribe a medicine to treat your constipation. If you’re taking an over-the-counter or prescription medicine or supplement that can cause constipation, your doctor may suggest you stop taking it, change the dose, or switch to a different one.

What is the best medicine for constipation?

Your doctor may prescribe one of the following medicines for constipation. lubiprostone. NIH external link. —a medicine prescribed to increase fluid in your digestive tract, which can help reduce pain in your abdomen, make your stool softer, and increase how often you have bowel movements. linaclotide.

What is the best treatment for bowel movements?

Biofeedback therapy . If you have problems with the muscles that control bowel movements, your doctor may recommend biofeedback therapy to retrain your muscles. By using biofeedback therapy , you can change how you make your muscles work.

Can a doctor remove a colon?

Your doctor may perform surgery to remove your colon if your colon muscles don’t work correctly. If your doctor recommends surgery, ask about the benefits and risks.

What causes constipation in the body?

Chronic constipation can be caused by medications or health conditions such as thyroid disorders, Parkinson’s disease or spinal cord injuries. Structural and functional problems including slow bowel transit and pelvic floor dysfunction can also cause it.

How often do you have constipation?

Constipation refers to difficulty in moving the bowels. Most people have experienced acute constipation at least once. It’s caused by many factors, including diet, stress and changes to daily routine, and usually resolves within a couple of days. Constipation is considered chronic if symptoms are present at least 3 times per week for 3 months.

Is constipation dangerous?

By Kimberly Yawitz (Registered Dietitian Nutritionist) [Last updated 8th November, 2019] Chronic constipation is a common and uncomfortable complaint. It’s rarely dangerous and can often be prevented and treated at home with diet and lifestyle changes.

What does it feel like to be over 50?

You are frequently constipated and have a family history of bowel disease. You can feel a lump or mass in your abdomen or rectum. You are over 50 years old and chronic constipation is a new problem for you. You have severe abdominal pain and vomiting.

Is there a cure for IBS?

It causes chronic constipation (IBS-C), chronic diarrhea (IBS-D) or alternating symptoms (IBS-A or IBS-M). There’s no known cure for IBS, but certain diets including a low-FODMAP diet can help prevent constipation.

Does stress affect the gut?

Digestive symptoms like constipation can lead to anxiety and psychological stress. In turn, stress strongly affects the gut. Chronic stress is known to modify the gut microbiota and to alter nerve action in the intestines ( 18 ). Psychological stress influences the gut both directly and indirectly.

Does physical activity help with constipation?

Physical activity is often recommended by medical professionals to help ease chronic constipation. It’s said to to shorten intestinal transit time, but research on physical activity and constipation is conflicting. One observational study of older adults linked low physical activity levels to constipation.

How to treat constipation?

The treatment of chronic constipation involves clearing the bowel of the large amount of hard stool, preventing the return of constipation, and teaching normal bowel habits. This may involve medications in addition to changes in diet and toileting behavior. Click here to begin.

Can a child have constipation?

So if there isn't a clear explanation for your child's constipation, if your child is having other symptoms such as frequent abdominal pain, fever, low energy, or vomiting -- or if the constipation has been going on for a long period of time ...

What is the best treatment for constipation?

The next step in the treatment of constipation is the use of an osmotic laxative, such as polyethylene glycol, followed by a stool softener, such as docusate sodium, and then stimulant laxatives. Long-term use of magnesium-based laxatives should be avoided because of potential toxicity.

How common is constipation in nursing homes?

Chronic constipation is common in adults older than 60 years, and symptoms occur in up to 50% of nursing home residents. Primary constipation is also referred to as functional constipation. Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues. Fecal impaction should be treated ...

Does exercise help with constipation?

Exercise programs do not improve symptoms of constipation in nursing home residents and older adults 8 – 10; however, lifestyle education, including exercise and advice on increasing fluid and fiber intake, decreased constipation in one small study. 11.

What is the diagnosis of constipation?

Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. Patients typically experience other symptoms such as hard stools, abdominal bloating, pain, and distention.

How often does constipation occur?

Constipation may be present with normal stool frequency, defined as at least one stool three times per week, or with daily bowel movements. 1 Chronic constipation is characterized by the presence of symptoms for at least three months out of the preceding 12 months.

Do older adults need laxatives?

Most older adults with chronic constipation eventually require a laxative to alleviate symptoms. A systematic review of laxative treatment in older persons showed varying degrees of effectiveness and concluded that therapy should be individualized. 16 There are limited data on long-term use of medications for constipation in older persons. Medications for constipation are listed in Table 1. 16 – 24 Figure 1 provides a suggested approach to the management of chronic constipation in older adults. In patients with a poor response to behavioral interventions and laxatives, referral may be warranted for assessment of colonic transit times and for rectal manometry to evaluate for disorders of defecation.

What are osmotic laxatives?

Osmotic laxatives are not absorbable. These laxatives draw water into the intestinal lumen. Lactulose and sorbitol are hyperosmolar sugar alcohols that increase frequency of defecation and reduce straining. They are metabolized by colonic bacteria and then absorbed by colonic mucosa. An RCT of 30 men 65 to 86 years of age showed that sorbitol and lactulose were equally effective in treating constipation. 19 Another RCT of nursing home residents with an average age of 85 years found that lactulose was more effective than placebo. 28 Lactulose may cause diarrhea in patients who are lactose intolerant.

What are some foods that help with constipation?

Supplements or foods containing prebiotics, like bananas and oatmeal, and probiotics, like yogurt and fermented foods, may help.

How many people have constipation?

A lot of Americans -- more than 4 million by some estimates -- deal with constipation on a regular basis. Women have constipation more often than men. This may have to do with the slower movement of food through a woman's intestines, as well as with the effects of female hormones on the GI tract.

Does coffee make you poop?

While caffeinated drinks and alcohol can make you dehydrated, there’s evidence a cup of coffee of tea in the morning may help you poop. Limit high fat/low fiber food. Cheese and other dairy products, processed foods, and meat can make constipation worse. Watch your FODMAPs.

What is the best medicine for constipation?

These drugs include methylnaltrexone (Relistor) and naloxegol (Movantik.) Surgery for constipation treatment. Sometimes constipation is caused by a structural problem in your colon or rectum. Your colon may be blocked or unusually narrow, or you may have a partial collapse or a bulge in the wall of your rectum.

How many bowel movements do you have in a week?

According to the National Digestive Diseases Information Clearinghouse, part of the National Institutes of Health, constipation is a condition in which you have fewer than three bowel movements in a week, and your stools are hard, dry, and small, making them painful and difficult to pass.

Can laxatives help with constipation?

Laxatives for constipation treatment. A box of laxatives shouldn' t be the first place you turn to relieve constipation. Reserve laxatives for constipation that doesn't improve after you've added fiber and water to your diet.

How to get rid of constipation fast?

Gradually increase the amount of fiber in your diet until you're getting at least 20 to 35 grams of fiber daily. Good sources include whole grains found in cereals, breads, and brown rice, beans, vegetables and fresh or dried fruits. Prunes and bran cereal are tried and true constipation remedies. Stay hydrated.

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Diagnosis

  • In addition to a general physical exam and a digital rectal exam, doctors use the following tests and procedures to diagnose chronic constipation and try to find the cause: 1. Blood tests.Your doctor will look for a systemic condition such as low thyroid (hypothyroidism) or high calcium levels. 2. An X-ray.An X-ray can help your doctor determine whether our intestines are blocked a…
See more on mayoclinic.org

Treatment

  • Treatment for chronic constipation usually begins with diet and lifestyle changes meant to increase the speed at which stool moves through your intestines. If those changes don't help, your doctor may recommend medications or surgery.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Alternative Medicine

  • Many people use alternative and complementary medicine to treat constipation, but these approaches have not been well-studied. Researchers currently are evaluating the usefulness of acupuncture.
See more on mayoclinic.org

Preparing For Your Appointment

  • You'll likely first seek medical care for constipation from your family doctor or general practitioner. You may be referred to a specialist in digestive disorders (gastroenterologist) if your doctor suspects a more advanced case of constipation. Because appointments can be brief, and because there's often a lot of information to cover, it's a good idea to be well-prepared. Here's so…
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