What is the correct treatment for constipation?

What is the correct treatment for constipation?
I am 17 years old, male, 5'10, 134 pounds and have come off a strict diet a few months ago.

Treatment
Changes in your lifestyle may be the safest way to manage constipation. To help ease symptoms, try using a fiber supplement, such as oat bran, Metamucil, Konsyl or Citrucel. These natural supplements help make stools softer and are safe to use every day. Be sure to drink plenty of water or other fluids every day. Otherwise, fiber supplements can actually make your constipation worse. And add fiber to your diet slowly to avoid problems with gas.

Your doctor may recommend a stool softener, such as mineral oil or docusate (Colace, Surfak), to soften fecal matter so that it passes through your intestines more easily. But don't rely on stool softeners on a regular basis because they can cause other problems.

Your doctor may also suggest that you take milk of magnesia, which acts as a mild laxative. Mineral oil may interfere with the absorption of fat-soluble vitamins and can cause a serious form of pneumonia if it's accidentally inhaled (aspirated) into your lungs, so don't take mineral oil just before you lie down.

Other approaches
If pelvic floor dysfunction is the cause of your constipation, your doctor may suggest biofeedback as a treatment. This technique may help you learn to better coordinate the muscles you use to defecate.

In general it's a good idea to check with your doctor before using any laxatives other than fiber supplements. Try eating lots of high-fiber foods, such as fruits, vegetables and whole grains. It's a good idea to check the content of prepared foods because not all foods claiming to be high in fiber actually are. Drink plenty of fluids and get as much exercise as you can. Swimming and walking are good choices.

What do you do for constipation when medicines don’t work?

I had never taken medicine for constipation ever, but I was in so much pain that I finally decided to try the medicine. It didn't work at all! In fact, I feel worse. What can I do? I can't afford to go to the doctor. Is this an emergency or life threatening? Or will I eventually go? What other steps can I take?

Forget the Milk of Magnesia and get some Peri-Colace (or generic brand). Take the maximum recommended dose. It is a stimulant laxative combined with a stool softener. One you have relief start taking a stool softener everyday until your diet helps you produce softer stools.

The best way to reduce or eliminate constipation is:
- More water
- More fiber (naturally fibrous foods are best)
- More exercises like walking, running or bike riding

But when the medicines don't work, I take a 1 to 2 quart tap water enema.

Relieving Constipation: the Natural Methods

Popular Methods

When it comes to relieving constipation, we are a society expecting quick fixes. We want it out and now, right? It’s no surprise we spend about 900 million dollars on laxatives each year. Laxatives, though, should be a last resort for many reasons. Since they are available without a prescription we tend to think of them as safe. Unfortunately, they can become habit-forming quickly and they are harmful to your body in the long-term.

Types of Laxatives:

• Bulk laxatives – This is the best type of laxative to relieve constipation for prolonged use. Though usually taking a few days to start working, they can provide some relief. Remember to drink plenty of water. Bulk laxatives include: psyllium husk (available through health food stores), bran, ispaghula husk, and sterculia.
• Stimulant laxatives – These laxatives aim at increasing bowel contractions but can cause stomach cramps as a side effect. These are taken at night to have a morning bowel movement, as they are supposed to work within 6-12 hours. Senna is an example of a stimulant laxative. Although they work to relieve constipation, experts believe the contractions cause weakening of the digestive muscles which will eventually make the problem worse. Since these laxatives cause contractions, they are not safe for pregnant women. Glycerol suppositories are included in this group. Although they are inserted into the rectum, they still act as a stimulant.
• Osmotic laxatives – These go to work at relieving constipation by helping the bowel retain water and by softening the stool. Epsom salts and Milk of Magnesia are osmotic laxatives.
• Lactulose – This medication comes in crystals or liquid form. A type of sugar that isn’t digested by the body, Lactulose acts like a fiber and osmotic laxative combined. This type takes up to 3 days to work and may cause cramping and profuse gas.

There are other medications that act as stool softeners, which basically coat the bowel so water doesn’t get absorbed from the stool. Since the body naturally removes water from the colon, it isn’t suitable as a long-term solution for relieving constipation.

Natural Methods – Fiber In, Fiber Out

Adding fiber to your diet is essential to maintaining a healthy lifestyle, relatively free of constipation. If you think fiber means just eating more bran, think again. You can also add fiber to your diet via fruits (with the skin), green vegetables, nuts, grains and seeds. Nuts and grains are also important because they are a good source of essential fatty acids (especially flaxseed or flax oil) which are wonderful options to relieve constipation naturally.

Adding fiber to your diet may make you feel like a gas-filled balloon at first. If your body has been used to eating white flour, heavy starches, fatty meats, and other low fiber foods, it may take some time to get used to it. Don’t give up after one short week. Remember, it probably took years of eating a low fiber diet to make constipation an issue in your intestines. Give fiber a chance! After 14-21 days of including more fiber in your diet, you’ll start to wonder why you didn’t make it a priority before.

Forming new habits really means you’re getting rid of the old one. If relieving constipation is your goal, you’ll want to stay away from the constipation culprits like: white flour, fried foods, sweets, carbonated drinks, alcohol, refined sugars, and cheese.

Maintain Your Flora

No, we’re not talking about your vegetable garden. Good bacterial flora is essential for proper digestion. In fact, if you took all the bacteria in your digestive system and put them all together you’d have a mass the size and weight of a brick. When we abuse laxatives and enemas, we can create havoc on the good bacteria we need to avoid diarrhea and help relieve constipation.

Eating yogurt with live cultures is one way to maintain your flora population. Be sure to read the label of your yogurt container. It should say it contains “live and active cultures.” If you’d rather not take their word for it, check the ingredients for Lactobacillus bulgaricus and Streptococcus thermophius.

Refrain From the Strain

With some people, constipation stems from issues with muscle coordination. They seem to contract the anus muscles when they should be relaxing them. There are certain biofeedback methods available for people who suffer with this problem. The treatment is used on those suffering from severe constipation linked directly to this muscle contraction issue.

Weekly Cleansing

Most of the waste matter produced from the food we eat gets passed out within a 72-hour period. Sometimes, up to 30% of that waste can sit in the colon for a week or more. Since retaining waste is not good for the body or health, a weekly cleansing of the colon will go a long way at relieving constipation. Oxy-Powder® is a safe way to clean out any waste that may be loitering in your colon and using it once a week will help improve bowel function. Remember the following: Avoid chemical laxatives. True, they can work for a while but along with those results come the weakened bowels, potentially unsafe contractions, and other nasty side effects. Add fiber to you diet. Fiber bulks up your stool and helps it retain water, which makes it easier to move along. There are many tasty and nutritious sources of fiber from which you can choose, so don’t fear that you’ll have to eat twigs or acorns or something. Keep a good quantity of bacteria on hand. Especially while undertaking a thorough colon cleansing program, replenish your flora with healthful and yummy yogurt. Relax and go. Don’t strain or try to force out impacted waste. You can end up tearing tissue and hurting yourself in the process. Cleanse naturally. Leave the chemicals in your garage where they belong and try a supplement especially suited for the job, one that just helps clean your colon so it can work its best again. Follow these guidelines to help relieve constipation and you can feel great again!

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The Colon Cleansing & Constipation Resource Center

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