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November 24, 2009
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Laxatives For Constipation (cont.)

When should a doctor be consulted for constipation?

Many people have a life-long tendency toward constipation while others tend to have occasional constipation alternating with a normal bowel pattern or even diarrhea. While mild and intermittent constipation in these individuals is usually not a cause for concern, a doctor should be consulted under the following circumstances:

  • A new onset of constipation or recent change in bowel habits;

  • Moderate to severe constipation, or constipation that does not respond to self-treatment with simple bulking agents that provide fiber;

  • Constipation that is accompanied by rectal bleeding, abdominal pain and cramps, nausea and vomiting, and involuntary weight loss; and

  • Constipation during pregnancy or while breastfeeding.

What non-drug measures can you take for constipation?

Mild constipation that does not have an underlying cause (such as medications, an under-active thyroid, or colon obstruction) can often improve with life-style modifications that include:

  1. Increasing fiber in the diet. Fiber improves bowel function by adding bulk and softening the stool. Examples of foods that are high in fiber content include:
  • vegetables,

  • fruits (include the skin),

  • whole grain breads,

  • whole grain cereals,

  • prunes,

  • corn,

  • whole beans (such as kidney beans and pinto beans),

  • oat bran,

  • corn, and

  • barley.

  • over-the-counter fiber supplements can also be taken.
  1. Increasing fluid intake.
  1. Regular exercise such as walking, swimming, or running.


Next: What over-the-counter preparations can be used for constipation? »

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