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Constipation
What is constipation?
Constipation is:
- hard, often very small stools
- infrequent bowel movements or
- a feeling of unsatisfied emptying of the bowel
It is caused by:
- neglecting the habit of attending the toilet
- not responding to 'nature's call'
- overuse of laxatives
- overuse of pain-killers
- a poor diet with a lack of fibre
- lack of exercise
What are the risks?
Constipation can cause a lot of discomfort in the stomach and rectum and may cause
blockage of the bowel. It can lead to problems of the anus such as piles and itchiness,
and to hernias.
Very important points
If an obvious change occurs in your bowel habit, consult your doctor for advice.
Bowel regularity can vary from person to person. Some people believe that just as the
earth rotates on its axis once a day, so too should their bowels open daily to ensure good
health. This may be ideal, but it can be normal to 'go' every second day or even twice a
week.
Useful hints to avoid constipation
Activity
Adequate exercise, especially walking, is important.
Diet
Take plenty of fluids, especially water and fruit juices. Eat foods that provide bulk
and roughage, for example vegetables and salads, cereals (especially bran), fresh and
dried fruits, and wholemeal bread. Some examples of food with good bulk (from least to
most) are potatoes, bananas, cauliflower, peas, cabbage, lettuce, apples, carrots and
bran. Fruit has good fibre, especially in the skin, and some have natural laxatives (e.g.
prunes, figs, rhubarb, apricots).
Habit
Answer nature's call to empty your bowels as soon as possible. Develop the
after-breakfast habit. Allow time for a good relaxed breakfast and then sit on the toilet
(up to 10 minutes if necessary) while reading! Eat meals slowly in a relaxed manner at
regular times.
Laxatives
Avoid laxatives, codeine compounds (tablets or mixture) and neglecting the call of
nature.
Many laxatives can actually aggravate the problem in the long run and should be
avoided. If absolutely necessary, your doctor may recommend one of the hydrophilic
bulk-forming agents such as isphagula and psyllium.
Copyright 1995: John Murtagh, Professor of
General Practice
Monash University, Melbourne, Australia
North
East Valley Division General Practice, Victoria,
Australia, Disclaimer
Level 1, Pathology Building, Repatriation Campus, A&RMC,
Heidelberg West VIC 3081. ..
map
Phone: 03 9496 4333, Fax: 03 9496 4349, Email: nevdgp@nevdgp.org.au,
Please note: NEVDGP does not provide
an on-line consultation
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