Osmotic laxatives such as polyethylene glycol (brand name Miralax) are well-tolerated by most older adults, and can be used daily.
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.
The fastest-working oral laxatives include mineral oil, saline laxatives (like magnesium hydroxide and magnesium citrate), and stimulant laxatives (like bisacodyl and senna tablets). Common OTC products in this group include Milk of Magnesia, Dulcolax, and Senokot.
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.
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.
Docusate is often used when straining to have a bowel movement should be avoided (such as after a heart attack or surgery). Docusate is a stool softener. It works by increasing the amount of water the stool absorbs in the gut, making the stool softer and easier to pass.
Once Metamucil enters the body, it forms a gel-like substance in the stomach. It then travels to your intestines and acts as a source of soluble fiber. This helps your stool to absorb and retain more water. This makes your stool larger and softer, making it easier to go.
Side effects of stool softeners may include stomach pain, nausea and diarrhea. Contact your doctor if the medicine doesn't help relieve your constipation within one week.
Bulk-forming fiber supplements include calcium polycarbophil (Equilactin, Fibercon), methylcellulose fiber (Citrucel), and psyllium (Fiber-Lax, Konsyl, Metamucil), and wheat dextrin (Benefiber). Unlike other laxatives, you can take these every day. They make the stool bigger and softer.
Stool softeners like docusate (Colace) work by reducing the hardness of stools, which should make them easier to pass. Problem is, they won't do much if you're already constipated, since they take three of four days to kick in, he adds. But they can help treat chronic constipation.
A stool softener usually is taken at bedtime. Follow the directions on the package or your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take stool softeners exactly as directed.
MOVICOL® has a natural mode of action that works gently, in harmony with your body. acts locally in the colon to relieve constipation: The water retained by MOVICOL® softens the stool and bulks it up slightly. As the stool gently expands, it naturally triggers colonic activity and a bowel movement.
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 ( ...
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.
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.
Foods that help ease constipation
Consider adding some the following fibre-rich foods to your diet to help ease constipation: High fibre cereals such as: bran flakes, Weetabix, porridge, muesli and shredded wheat. Whole grains.
Magnesium helps to increase the amount of water in the intestines, which can help with bowel movements. It may be used as a laxative due to these properties, or as a supplement for magnesium deficiency.
There's no evidence that daily use of fiber supplements — such as psyllium (Metamucil, Konsyl, others) or methylcellulose (Citrucel) — is harmful. Fiber has a number of health benefits, including normalizing bowel function and preventing constipation.
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.
Coloxyl 50 mg and Coloxyl 120 mg tablets contain the active ingredient docusate sodium which helps soften stools providing gentle relief from constipation over 1 to 3 days.
Try natural laxatives that work fast for constipation relief, which include: aloe vera, leafy greens, chia and flax seeds, high fiber fruits, probiotic foods, and coconut water. Also make sure to drink plenty of water/fluids when consuming natural laxatives, since these work with high fiber foods to help soften stool.
Metamucil and Citrucel are recommended as the best treatment in most cases of constipation because their mechanisms of action are very similar to how the digestive system normally works. After constipation resolves, Metamucil and Citrucel can still be used as fiber supplements to promote good digestive health.
If the daily recommended amount of fluid is not drunk, then Metamucil could cause severe constipation, especially in people who are already dehydrated. Some products may contain sugar, sodium, or phenylalanine (phenylketonurics should avoid).
You should not take Metamucil if you have ever had an allergic reaction to it. Ask a doctor or pharmacist if Metamucil is safe to use if you have ever had: stomach pain, nausea, or vomiting; trouble swallowing; or.