Constipation in the elderly

Constipation is a common concern in the elderly and accounts for significan t expenditures on over-the-counter drugs. Although normal aging is not asso ciated with abnormal bowel motility, pathologic and psychosocial conditions lead to increased symptoms in elderly patients. Careful clinical evaluatio n to eliminate serious conditions including colon neoplasia is important. M edical management with emphasis on fiber, bulk agents, fluid intake, and ex ercise, as well as appropriate use of laxatives is reviewed.