People with diseases such as diabetes, thyroid disease, or Parkinson’s disease
People on medications such as pain relievers, antidepressants, or diuretics
People with serious medical conditions such as colorectal cancer or autoimmune diseases
Many people wrongly assume that they are constipated because they don’t have a daily bowel
movement In fact, it’s perfectly normal for bowels to move as often as three times a day or as
infrequently as once in 3 or 4 days Regularity is different for everyone
There are two types of constipation: atonic and spastic Atonic constipation, the more common
type, occurs when the colon muscles are weak; it develops when the diet lacks adequate fluids and
fiber Spastic constipation (sometimes called irritable bowel syndrome) is characterized by irregular
bowel movements and may be caused by stress, nervous disorders, excessive smoking, irritating
foods, and obstructions of the colon In addition, chronic constipation can cause hemorrhoids
QUICK TIP:
Drink hot liquids
Hot liquids help stimulate the bowels Drink a cup of herbal tea or a glass of hot water with
lemon, or coffee in the morning
Nutrition Connection
The foods you eat can cause or relieve constipation These general strategies can help:
Increase intake of dietary fiber The insoluble type of fiber that absorbs water but otherwise
passes through the bowel intact is instrumental in preventing constipation Doctors recommend a fiber
intake of 25 to 38 g daily Note that any increase in high-fiber food consumption should be gradual
and accompanied by more fluids A high-fiber foods include wheat bran, bran cereals, whole grain
products, legumes, fruits and vegetables
Drink plenty of water Adults should drink at least eight glasses of nonalcoholic fluids every day
When a low-fiber diet coincides with a low-fluid intake, the stool becomes dry and hard, and
increasingly difficult to move through the intestines
Avoid alcohol Alcohol causes dehydration and prevents the body from properly absorbing
nutrients
Beyond the Diet
Here are a few steps to better bowel health:
Don’t delay trips to the bathroom Poor bowel movement habits, such as putting off going to the
toilet despite an urge to go, can cause constipation
Exercise Regular physical activity helps stimulate bowel movements; inactivity can cause
constipation
Use laxatives sparingly Excessive laxative use reduces normal colon function If a laxative is
needed, one made of psyllium or another high-fiber stool softener is best
Talk to your doctor about medications One side effect of medication, especially codeine and
other narcotic painkillers, reduce peristalsis, the rhythmic muscle movements that push digested food
through the bowels