What relieves constipation?
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3 Answers
Increase fibre gradually to 25–30 g with adequate fluid, move regularly, respond to the urge rather than deferring, and use a footstool to raise the knees. If needed, osmotic laxatives like polyethylene glycol are safe long-term; stimulant laxatives should be occasional.
Order of approach: fluid and fibre, a regular toilet routine after breakfast, a footstool to raise the knees, then an osmotic laxative such as PEG if needed.
New constipation after age 50, with bleeding, weight loss or a change from lifelong habit, needs colonoscopy rather than laxatives alone.
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