Increasing dietary fiber intake to 25 to 30 g daily may improve symptoms of constipation. Encourage physical activity to improve bowel regularity. If nonpharmacologic approaches fail, recommend increased fiber intake and/or laxatives to increase bowel movement frequency and improve symptoms of constipation.
Osmotic laxatives such as polyethylene glycol (brand name Miralax) are well-tolerated by most older adults, and can be used daily.
The most common treatment for a fecal impaction is an enema, which is a special fluid that your doctor inserts into your rectum to soften your stool. An enema often makes you have bowel movements, so it's possible that you'll be able to push out the mass of stool on your own once it's been softened by the enema.
Don't Force Poop Out
When you're feeling constipated, you may be compelled to “force” your stools out. However, this can cause you to strain the architecture of your pelvic floor, including blood vessels, nerves and muscles, which can cause hemorrhoids and have a damaging effect on your long-term bowel habits.
Insoluble fiber is the most beneficial for softening stools. It does not dissolve in water and helps food pass more quickly from the stomach to the intestines. Wholewheat flour, nuts, beans, and vegetables, such as cauliflower, green beans, and potatoes all contain insoluble fiber.
Movement and exercise can help you empty your bowels. Increasing activity will help you to improve your bowel function. Aim for 30 minutes of activity a day, for example, swimming, walking or gardening.
In general, bulk-forming laxatives, also referred to as fiber supplements, are the gentlest on your body and safest to use long term. Metamucil and Citrucel fall into this category.
Polyethylene glycol (Miralax) is preferred over lactulose for the treatment of constipation because it is more effective and has fewer adverse effects. Linaclotide (Linzess) and lubiprostone (Amitiza) are more effective than placebo for chronic constipation.
A warm mineral oil enema is often used to soften and lubricate the stool. However, enemas alone are not enough to remove a large, hardened impaction in most cases. The mass may have to be broken up by hand.
Eating a lot of high-fat meats, dairy products and eggs, sweets, or processed foods may cause constipation. Not enough fluids. Water and other fluids help fiber work better, so not drinking enough liquids can contribute to harder stools that are more difficult to pass.
Dairy Products
“On the opposite end of the spectrum, fermented dairy products such as yogurt or kefir can improve gut health and may decrease the likelihood of constipation,” she notes.
Contrary to popular belief, you don't have to have a bowel movement every day in order to be considered regular. But more than 3 days without a bowel movement is too long.
A doctor may recommend oral laxatives, such as polyethylene glycol (MiraLax) or bisacodyl (Dulcolax). A person should take the tablet as the doctor, pharmacist, or instruction leaflet advises. Polyethylene glycol comes as a powder to dissolve in water or another drink.
Dulcolax® Stool Softener is a stimulant-free laxative made to relieve occasional constipation. Each tablet contains 100 mg of the #1 doctor-recommended stool softener ingredient — docusate sodium.
Straining is the most commonly identified symptom by older adults, even though physicians tend to rely on bowel movement frequency to diagnose constipation. Additionally, patients tend to underestimate their frequency of bowel movements. Normal stool frequency can vary between 3 motions per day and 3 motions per week.
MiraLAX ® is recommended more often than any other laxative.
Metamucil is a bulk-forming laxative that's readily available OTC. It's mainly used to help relieve constipation. Metamucil side effects, such as gas and bloating, are typically mild for most people. It's very important to follow the directions on the packaging to help prevent serious side effects.
The main risk factors for constipation in the elderly population include the following: immobility, weakness of the abdominal and pelvic floor muscles, malnutrition, rectal hyposensitivity, ignoring a “defecation call,” chronic medical conditions (metabolic, neurologic, cardiovascular), chronic medication use ( ...
Although constipation is not a physiologic consequence of normal aging, decreased mobility, medications, underlying diseases, and rectal sensory-motor dysfunction may all contribute to its increased prevalence in older adults.