Constipation in the elderly

This may be due to:

• diet and fluids
  • less fruit and fibre in diet
  • reduced fluid intake
• general slowing down
  • decrease in work activity
  • taking less exercise
  • less effective movement of waste through the bowel due to a weakening of the bowel muscles
  • taking medicines which can cause constipation

These all combine to cause our digestive systems to function less efficiently. This slowing down of the system needn't be a problem, as people naturally tend to take extra care of their health at this time and become more aware of their diet.

The things to look out for are triggers, such as:

a change of routine
spending time away from home
eating out

Whatever your age you shouldn't be embarrassed to seek help from your doctor, pharmacist, nurse or carer. They will be able to advise you on the measures you can take to help yourself, as well as on constipation remedies.

	It is very important to maintain a healthy bowel, especially as you get older. Constipation can have a profound effect on quality of life in elderly patients. It is essential therefore, that you try and eat as healthy a diet as possible, be as active as you can and drink plenty of water. If these measures are insufficient, then see your doctor or pharmacist for further help.
Dr John Dillon, Consultant Gastroenterologist. Ninewells Hospital, Dundee