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Here are some lifestyle tweaks to consider: Establish a regular time of the day for bowel movements.

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Having a consistent time to go each day trains the body to regulate bowel movements. Eat regular meals that include fruits and vegetables, whole grains and other high-fiber foods. Avoid low-fiber, starchy foods like white bread.


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Try drinking six to eight 8-ounce glasses of hydrating fluids ideally water per day. Steer clear of alcohol or coffee — they can worsen constipation. Maintain an exercise routine, if possible. Regular physical activity can also help move things along. Try keeping a diary to track symptoms, diet, medications and bowel movement or lack thereof. See if there are any patterns that may give clues about the cause of your constipation.

How about OTC options? Example: Colace docusate Bulk-forming laxatives : These are mixed with an 8-ounce glass of water or juice. They also soften the stool by allowing more water to remain in it. This means softer, larger stool that is easier to pass. Examples: Benefiber guar gum , Citrucel methycellulose , Fibercon polycarbophil , and Metamucil psyllium Lubricant laxatives : These lubricate the intestines to help soften the stool and make it easier to pass.

They should only be used for a short time because they can absorb vitamins, preventing absorption into the body.

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Example: mineral oil Osmotic laxatives : These help draw water into the intestines to soften the stool. They may cause gas when first used. By retaining water in the colon, these drugs soften the stool, similar to osmotic laxatives. They help stimulate the muscles of the intestines to move things along.

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Examples: Doculax bisacodyl , senna, senna tea Enema products : These stimulate the colon using a stream of fluid introduced via the rectum. The fluid also softens the stool, making it easier to pass. Saturday, 29 September Constipation Blues.

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In primary intestinal pseudo-obstruction, the small or large intestines lose their ability to contract and push food, stool, and air through the gastrointestinal tract. The condition can occur suddenly acute or over time chronic.

It may occur at any age, but is most common in children and the elderly. Because the cause is unknown, it is also called idiopathic intestinal pseudo-obstruction idiopathic means occurring without reason. Risk factors include:. Nicholas did recover from his childhood bouts of being unable to eat anything at all due to his miserable gut function at one point he needed to be fed through his vein, bypassing the stomach altogether.

But recently, this chronic, adult form, or something like it, has reared its ugly head. It's rather typical of Nicholas and people like him who are the first of their generation of children living with severe disabilities - they are pioneering the territory of aging with severe health challenges. None of the medical literature can give any hint as to what to expect next from Nicholas - he is one of the first to survive his challenges to adulthood.


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Now, Nicholas has all the risk factors for pseudo obstruction in spades. I guess his intestines are finally fed up with trying to digest his feeds not to mention the odd bit of fried chicken and french fries , especially when he's lying down most of the time and popping oral morphine.


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