Constipation isn’t simply the occasional “off” day. Medical doctors outline it as fewer than three bowel actions per week, stools which can be arduous or lumpy, or straining to move them. Nevertheless it’s price spelling out, says Beth Motley, MD, a household drugs doctor in Greenville, SC, as a result of folks usually have their very own thought of what it means. And that may depart them not sure of when to deal with constipation or whether or not a pure laxative will assist.
“Some people only have two bowel movements a week and think that’s normal,” says Dr. Motley, MD. “Others get concerned if they skip a single day.”
In both case, pure laxatives for constipation generally is a protected medical choice to assist restore regularity.
Why constipation turns into extra widespread after 50
As we age, digestion naturally slows. “The muscle contractions that move stool through the colon get weaker over time,” explains Dr. Motley. “The longer stool stays in the colon, the more water is reabsorbed, and that makes it harder to pass.”
Hormone adjustments round menopause can add to the issue as estrogen and progesterone, reproductive hormones that fluctuate after which diminish, additionally have an effect on the digestive system.
“Progesterone helps relax the smooth muscle of the gut, so when levels drop, that can disrupt the normal rhythm of bowel movements,” says Dr. Motley. “Estrogen keeps tissues hydrated, and when it falls, stools can become drier.”
Different elements, like shifting much less, consuming much less dietary fiber, or taking medicines equivalent to opioids, calcium channel blockers, diuretics, or some antidepressants, also can contribute to power constipation, she says.
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7 pure treatments for constipation reduction
Drink extra water
Hydration helps soften stools and helps simpler passage.
Purpose to drink usually all through the day as an alternative of ready till you’re feeling thirsty, says Dr. Motley. A mug of sizzling water or heat lemon water also can assist chill out the digestive system and stimulate a bowel motion. And it’s sensible to restrict dehydrating drinks: alcohol and caffeinated drinks like espresso and cola can have a diuretic impact, she provides.
Add fiber steadily
Solely 5% of Individuals meet every day fiber consumption targets, Dr. Motley notes, although consuming extra fiber-rich meals is without doubt one of the greatest methods to alleviate constipation. Beans, entire grains, fruits, greens, flaxseed, and chia seeds take up water, add bulk, and assist soften stool so it’s simpler to move. Dr. Motley advises beginning slowly and growing steadily to forestall gasoline or bloating. At all times consuming sufficient water to maintain issues shifting, she provides.
Sorbitol-rich fruit like prunes
“Prunes really are a natural laxative,” Dr. Motley says. “They contain sorbitol, which draws water into the colon to relieve constipation.” They’re protected every day, however there’s no set quantity that works for everybody and an excessive amount of without delay might trigger unfastened stool or cramping. Different fruits with pure sorbitol embrace plums, peaches, apricots, cherries, nectarines, and apples.
Increase magnesium naturally
“Foods like almonds, pumpkin seeds, spinach, bananas, avocado, and quinoa are naturally high in magnesium, and those can help relieve constipation,” says Dr. Motley. She notes these meals may be eaten every day, whereas magnesium dietary supplements ought to be used with warning in folks with kidney well being situations.
Kiwi and aloe vera juice
“Kiwis contain an enzyme called actinidin that supports the digestive system and helps with regularity,” says Dr. Motley. Aloe vera juice, she provides, “has compounds with a mild stimulant laxative effect, but it’s best used only occasionally since too much can cause cramping or diarrhea.”
Transfer after meals
Bodily exercise stimulates pure contractions of the digestive system. “Anything that moves your core, such as walking, yoga, will help get bowel movements more regular,” says Dr. Motley. “Even 10 or 15 minutes after a meal can help.”
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Sensible OTC choices if wanted
When pure treatments don’t present sufficient reduction, over-the-counter laxatives might assist. However Dr. Motley stresses they’re greatest for short-term use.
Bulk-forming laxatives, equivalent to psyllium (Metamucil) or wheat dextrin (Benefiber), work the identical means as added dietary fiber. “They help form soft, bulky stools that are easier to pass,” Dr. Motley explains. “But with these, it’s always important to drink plenty of water, or constipation can actually get worse.”
Osmotic laxatives (like polyethylene glycol/MiraLAX) draw water into the colon to melt stool. “They can be effective, but side effects like bloating, cramping, or diarrhea are possible,” she notes.
Stool softeners (like docusate sodium/Colace) add moisture to the stool to lower straining. They’re protected for infrequent use, however they’re not meant as a long-term answer, she says.
Stimulant laxatives, equivalent to senna (Senokot) or bisacodyl (Dulcolax), and rectal suppositories set off contractions within the digestive system to assist folks move stool rapidly. “These work fast, but if they’re used too often, your body can become dependent on them,” she cautions.
When to see a health care provider about constipation
Most constipation may be managed with pure treatments and occasional OTC assist, however some signs ought to immediate a name to your physician.
Dr. Motley says to hunt medical recommendation if you happen to discover:
Blood in your stool
Unexplained weight reduction
Extreme belly ache
A sudden change in bowel habits and not using a clear trigger
No enchancment after attempting pure treatments and OTC stool softeners
“If constipation is new for you, or your symptoms are severe, don’t ignore it,” she cautions. “It could be a sign of something more serious, like an obstruction or, rarely, colon cancer.”
For most girls, although, easy steps equivalent to staying hydrated, including extra dietary fiber, and utilizing light pure laxatives are sufficient to alleviate constipation and preserve the digestive system comfy.
This content material just isn’t an alternative to skilled medical recommendation or prognosis. At all times seek the advice of your doctor earlier than pursuing any remedy plan.
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