Constipation
Straining to have a bowel movement, hard stools and
infrequent stools (once every 4-7 days) may be defined as
constipation. When this occurs out of the blue in persons
over 40 years old, the colon should be examined. Often,
however, this is a chronic condition due to deficient intake of
fluid and fiber, and a lack of exercise. Sometimes,
this is a genetic problem, with too few muscle and nerve cells
in the colon, and subsequently, a “sluggish” bowel.
The fundamental elements of treatment are:
1. Fluid intake of 64 ounces or more daily.
2. Increase fiber intake (fruits, vegetables, bran) and add fiber
supplements (Metamucil, Citracil, Benefiber, Fibercon) daily.
3. Walk or jog 3-5 times per week, building up to 1-2 miles each session.
4. If all of the above measures are not helpful then gentle laxatives or medication to stimulate the colon may be appropriate.
