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Constipation - Management
Advice
What should I advise adults about toileting routines?
- Defecation should be unhurried, with enough time to ensure that defecation is complete.
- Attempt defecation first thing in the morning, or about 30 minutes after a meal — this requires planning and time management.
- Respond immediately to the sensation of needing to defecate — people with limited mobility should have help to get to the toilet whenever they need to go.
- Supported seating can help if the person is unsteady on the toilet.
- Inadequate privacy can contribute to constipation.
In depth
What should I advise about the role of diet in preventing and treating constipation?
- In general, the diet should be balanced and contain whole grains, fruits, and vegetables.
- Fibre intake should be increased gradually (to minimize flatulence and bloating) and maintained for life.
- Adults should aim to consume 18–30 g fibre per day.
- Although the effects of a high fibre diet may be seen in a few days, it may take as long as 4 weeks.
- Adequate fluid intake is important (particularly with a high fibre diet or fibre supplements), but can be difficult for some people (e.g. frail or elderly).
- Fruits high in fibre and sorbitol (e.g. apricots and prunes) and fruit juices high in sorbitol can help prevent and treat constipation.
In depth
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