CONSTIPATION - COMMON-SENSE CARE OF THE OLDER PATIENT

Constipation is a common complaint in older patients. Contributing fac tors are impaired general health, use of medications, and decreased mo bility and physical activity. Diet has an indeterminate effect. Many p atients become gradually more constipated with age and self-treat with over-the-counter laxatives. Investigation is warranted if defecation is associated with pain or bloating and/or represents a recent change in bowel habit. Although constipation is usually just an annoyance, it can have more serious consequences, such as impaction and ulceration. A combination of bowel training, dietary management, and regular exer cise is the first phase of treatment. Bulk laxatives are second-line t reatment, followed by other laxatives if needed.