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Constipation

WHAT YOU SHOULD KNOW

Constipation--difficulty with bowel movements--occurs when stools become too hard or cause pain.

Causes

Constipation can result if you don't eat enough fiber (fruits, vegetables, bran, whole-grain cereals) or fail to drink 6 to 8 glasses (soda-can size) of liquid daily. It also can develop when you go for a longer time than normal without a bowel movement. Other possible causes include lack of exercise, depression, and certain illnesses.

Signs/Symptoms

You may feel the need for a bowel movement, but can't follow through--or feel as though you aren't moving your bowels as frequently or as much as usual. You may need to strain hard, or experience pain or bleeding.

WHAT YOU SHOULD DO

  • You may use certain over-the-counter medicines for constipation; but take them only as recommended by your doctor.
    • Stool softeners will make the stool easier to pass. Follow the directions on the label.
    • Do NOT use laxatives or enemas regularly. You can become dependent on them and make the constipation worse. If a laxative is advisable, your doctor will recommend how often to take it.
  • Set aside a regular time for a bowel movement each day. The best time is after meals, especially breakfast. Bending forward so your chest touches your thighs helps move the stool out. Wait at least 10 minutes, even if nothing happens.
  • Eat a well-balanced, high-fiber diet. Fiber makes stools larger, softer, and easier to pass. Good choices for fiber are fresh fruits and vegetables, whole-grain breads, oatmeal and bran cereal, and brown rice. Avoid constipating foods such as dairy products and foods high in sugar.
  • Drink plenty of fluids. Drink fruit juice at least once a day and at least 6 to 8 glasses (soda-can size) of water a day.
  • Exercise regularly. Walking is a good choice.

Call Your Doctor If...

  • Constipation lasts longer than 2 weeks.
  • You have fever and abdominal pain with the constipation.
  • There is bright red blood in the stool.

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