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Constipation in the elderly.

H Kallman

    American Family Physician
    |January 1, 1983
    PubMed
    Summary

    Constipation is common in older adults, often leading to laxative overuse. Lifestyle changes like increased fiber, fluids, and activity are effective management strategies.

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    Area of Science:

    • Geriatrics
    • Gastroenterology

    Background:

    • Constipation is a prevalent issue in the elderly population.
    • Misconceptions regarding normal bowel function and the pressure for daily bowel movements contribute to laxative overuse.

    Purpose of the Study:

    • To review the causes and management of constipation in the elderly.
    • To highlight indications for further medical evaluation.

    Main Methods:

    • Review of existing literature on geriatric constipation.
    • Discussion of diagnostic procedures including laboratory tests, endoscopy, and radiography.
    • Emphasis on conservative management strategies.

    Main Results:

    • Conservative measures such as increased dietary fiber, adequate fluid intake, attention to toileting habits, and physical activity are effective.
    • Gastrointestinal blood loss, altered bowel patterns, or complications necessitate comprehensive medical evaluation.

    Conclusions:

    • Effective management of constipation in the elderly involves lifestyle modifications.
    • Medical evaluation is crucial when specific red flags are present to rule out serious underlying conditions.

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