Disorders of the Gastrointestinal System, 2nd Edition
67
passing of the capsule occurs (Cedars-Si- nai, 2022). Treatment depends on the physical ex- amination results, the patient’s age and general health, and the patient’s ability to participate in lifestyle modifications. These initiatives can be preventative as well as used for treatment. The following are the most common interventions for chronic constipation: ● Increase fluid intake . Adequate fluid intake is critical to maintaining homeostasis and avoiding dehydration. Fluid helps keep stools soft for easy movement through the intestine and facilitates passage from the rectum (Basson, 2020). Older patients and/or patients with incontinence should avoid drinking large amounts of fluid before bedtime, as this increases the possibility of incontinence. Encourage these patients to consume their beverages during the day and early evening. Patients taking a bulk fiber supplement should be encouraged to drink a large glass of water with it to avoid worsened constipation or obstruction (Proctor & Gamble, 2022). ● Eat a diet high in fiber . The most common causes of constipation are a diet low in fiber or one high in fats, such as cheese, eggs, and red meats. Fiber is the part of fruits, vegetables, and grains that the body cannot digest. Fiber takes on a soft, gel-like texture in the intestines helping to make stools soft and easily eliminated from the body. The recommended daily dose of fiber is 20 to 35 grams a day. Unfortunately, most individuals in the U.S. consume far less than this amount. Good sources of fiber include fresh fruits with their skin, raw
vegetables, and whole-grain cereals (Wald, 2022). ● Participate in regular exercise as authorized by healthcare providers . Moderate physical exercise, such as a walking routine, should be incorporated into daily activities to help encourage intestinal movement (Basson, 2020). ● Identify medications that might contribute to constipation . As noted in the section about the causes of constipation, many medications contribute to constipation. These include over-the-counter as well as prescription medications. Patients with an inactive colon should discuss and review all medications, including prescription and over-the-counter medications, herbal supplements, vitamins, minerals, and weight-control products (Rao, 2022). laxatives under the direction of their healthcare provider . Bulk-forming laxatives are frequently used to treat chronic constipation, but they can interfere with the effectiveness of certain other medications. This is why it is important to consult a healthcare provider regarding adding medication to a treatment regimen. Examples of bulk-forming laxatives are Citrucel and Metamucil. Stool softeners, which ● In cases of a severely inactive colon, the patient should take moisten stool, or lubricants, which grease the stool and facilitate its movement, may also be prescribed (Rao, 2022).
Powered by FlippingBook