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DESCRIPTION
NORMAL STOOL MOVEMENT
Your digestive system is remarkably efficient: In the space of a few hours it extracts nutrients from the foods you eat and drink, processes them into the bloodstream, and prepares leftover material for disposal. That material passes through 20 or more feet of intestine before being stored temporarily in the colon, where water is removed. The residue is excreted through the bowels, normally within a day or two.
Many alternative therapists say we should move our bowels 1-3 times a day to remain healthy. Depending on your diet, your age, and your daily activity, regularity can mean anything from 3 bowel movements a day to one every 3 days. The longer fecal material sits in the colon, the harder the stool becomes and the more difficult it is to pass. A normal stool should not be either unusually hard or soft, and you should not have to strain unreasonably to pass it.
Constipation is difficulty in passing stools or the infrequent passage of hard, dry stools as a result of food moving slowly through the large intestine. Most people experience constipation from time to time, but usually lifestyle changes and better eating habits help relieve the symptoms and prevent recurrences.
HOW THE COLON WORKS
To understand constipation, you have to understand how the large intestine creates feces (stool). Food flows through the small intestine as a liquid mixture of digestive juices and the food you eat. By the time it reaches the large intestine, all the nutrients have been absorbed. The large intestine has one main function: to absorb water from the waste liquid, and turn it into a waste solid (stool).
Regular bowel movements are an important mechanism for removing toxins from the body. The colon serves as a holding tank for waste matter. Antigens and toxins from bowel bacteria and undigested food particles may play a role in the development of diabetes mellitus, meningitis, myasthenia gravis, thyroid disease, candidiasis, chronic gas and bloating, migraines, fatigue, and ulcerative colitis.
People can have bowel movements as infrequently as 3 times per week and still not be constipated, although there are some health practitioners who maintain that it is important to have a bowel movement every day.
CONSTIPATION
Constipation results when waste material moves too slowly through the large bowel, resulting in infrequent and/or painful elimination. Bowel movements are difficult, uncomfortable with hard and dry stools.
- In most people, constipation is harmless, but can indicate an underlying disorder. Constipation can give rise to many different ailments, including appendicitis, bad breath, body odor, coated tongue, depression, diverticulitis, fatigue, gas, headaches, hemorrhoids (piles), hernia, indigestion, insomnia, malabsorption syndrome, obesity, and varicose veins. It may even be involved in the development of serious diseases such as bowel cancer.
- It is important that the bowels move on a daily basis. The colon is a holding tank for waste matter that should be removed within 18 to 24 hours. Harmful toxins can form after this period. Antigen and toxins from bowel bacteria and undigested food particles may play a role in the development of diabetes mellitus, meningitis, myasthenia gravis, thyroid disease, candidiasis, chronic gas and bloating, migraines, fatigue and ulcerative colitis.
- In most cases, constipation arises from insufficient amounts of fiber and fluids in the diet. Fiber is found in plant foods, such as whole grains, fruits, and vegetables. Fiber that is soluble in water takes on a soft texture and helps soften the stools. Insoluble fiber passes through the intestine largely unchanged and adds bulk to stools, which in turn helps to stimulate bowel contractions.
- Other causative factors include inadequate exercise, advanced age, muscle disorders, structural abnormalities, bowel diseases, neurogenic disorders, and a poor diet, especially heavy consumption of junk food. Constipation may be a side effect of iron supplements and some drugs, such as painkillers and antidepressants. It is also common during pregnancy.
- High levels of calcium and low levels of thyroid hormone are two metabolic disturbances that can lead to constipation. People with kidney failure or diabetes also tend to have problems with constipation. In older individuals, constipation is often caused by dehydration; in people of any age, depression can be a factor.
- Some medications can cause constipation, including cough syrups, pain medications that contain codeine, some antidepressants, iron supplements blood pressure and heart medications, calcium supplements, and some antihistimines.
- A small percentage of people, such as persons with spinal injuries, have problems with constipation because the nerves that usually regulate bowel movement have been damaged or destroyed. In a condition called Hirschsprung's disease, normal excretion of feces is impossible because the nerves inside the bowel are missing. The nerve cells in the wall of the colon can also be damaged by long-term, habitual use of laxatives. When this happens, constipation is inevitable. A thrombosed hemorrhoid, anal fissure, or a pocket of infection at the anus can create a spasm of pain strong enough to contract the muscles and hinder the evacuation of stools.
Keep one thing in mind: Do not become obsessed with how often you have a bowel movement. Normal varies from 2 to 3 times daily to twice weekly. Constipation is defined by the difficulty of getting stools out, not by frequency of your bowel movements. Every person's normal is different. Do not worry about it unless your body strays from your particular normal and you begin to have difficulties with bowel movements.
FREQUENT SIGNS & SYMPTOMS
People vary widely in bowel activity. Any of the following may be a sign of constipation:
- Infrequent bowel movements, sometimes accompanied by abdominal swelling and lower back pain or pressure.
- No bowel movements in 3 days for adults, 4 days for children.
- Hard feces. Compacted stools that are difficult or painful to pass.
- Straining during bowel movements.
- Sensation of continuing fullness after a bowel movement.
- Stomachaches that are relieved by bowel movements.
- Bloody stools.
- Leaks of wet, almost diarrhea-like stool between regular bowel movements.
CAUSES
Our busy, modern lifestyles may be responsible for most cases of constipation. Not taking enough time out of our busy lifestyles to respond to an unmistakable urge to defecate. Not having a bowel movement when you have the urge keeps the stool in the colon longer, where more water is absorbed and stools get harder.
Inadequate fluid intake. Your colon will absorb more water to prevent dehydration, resulting in dry, hard stools.
Insufficient fiber in the diet. Fiber adds bulk, holds water and creates easily passed, soft feces.
Not eating regularly enough to stimulate the intestines to move food through the colon. Certain high-protein foods may cause constipation.
Inactivity, lack of exercise. Older people, especially those who are more sedentary, tend to develop constipation more often.
Constipation in pregnancy is thought to be due to hormones that relax the intestinal muscles and to the pressure caused by the expanding uterus on the intestines. It can occur anytime, but is most common late in pregnancy.
Emotional and psychological problems (worry, anxiety) can contribute to the problem.
Depression.
Hypothyroidism; hypercalcemia.
People (children especially) who are more sensitive to pain, may avoid the toilet if they have minor splits or tears (anal fissure) in the anus from straining or other irritations.
Chronic kidney failure.
Back pain.
Persistent, chronic constipation may also be a symptom of more serious conditions, including irritable bowel syndrome, colon or rectal cancer, diabetes, Parkinson's disease, multiple sclerosis.
Bottle-fed babies tend to have firmer stools and more bouts of constipation than breast-fed babies.
Some children become constipated when they start school or other activities because they are embarrassed to ask permission to use the toilet.
RISK INCREASES WITH
Stress.
Illness requiring complete bedrest.
Use of certain drugs, including belladonna, calcium-channel blockers, beta-adrenergic blockers, tricycle antidepressants, narcotics, atropine, iron, antacids.
Sedentary life style.
PREVENTIVE MEASURES
Eat a well-balanced, high-fiber diet. Get sufficient fiber by eating fruits, vegetables, and grains. Fiber is critical because most of our stool is actually made up of bacteria, and fiber gives bacteria a good foundation to grow on. Ample bacterial action results in a larger volume of stool and better bowel function. 25 to 30 grams per day of dietary fiber can help prevent and relieve constipation. Check out the fiber value of foods rather than make assumptions about which ones are high in fiber. Not all foods thought of as being high in fiber actually are. Read labels.
Eat at least three meals per day no more than 4 hours apart. If you eat smaller, more frequent meals, reduce the time between your meals. Frequent feeding keeps your intestines contracting and moving along.
Exercise regularly. Walking, swimming, or other moderate exercise helps mobilize the intestines.
Because greater consumption of fiber increases your requirement for water, you will need to drink more fluids. Drink at least 8 cups of water a day. If you are pregnant, or if you sweat a lot, or are exposed to hot, humid climates, you may need more than 10 to 12 cups of water or fluid each day.
If you are taking iron supplements, cut back on them. Try dietary iron from food sources and herbs such as Yellow Dock, Nettles, Alfalfa, blackstrap molasses, raisins and so forth. Iron supplements cause constipation, especially if the dose is high (over 30 mg per day). Constipation will often improve if the amount of supplemental iron taken is reduced or if smaller doses of iron are taken at one time. Women (pregnant or non-pregnant) with good iron levels and a healthy diet do not need to take iron supplements at all.
Avoid caffeine and alcohol, which deplete the body water stores. If you cannot avoid these, then match your caffeinated or alcoholic beverage intake with an equal amount of water.
If you diet is not extremely high in fruits, vegetables, and whole grains, by all means take a bulk fiber supplement.
EXPECTED OUTCOME
Usually curable with exercise, diet and adequate fluids.
POSSIBLE COMPLICATIONS
Hemorrhoids; laxative dependency. Laxative Abuse - Surprisingly, using certain laxatives also causes constipation. With continued use, your body becomes accustomed to the effects of the laxative, and if you stop taking it, the colon slows down and its contractions become very weak. This is called laxative dependency constipation, and it can be severe.
Hernia from excessive straining.
Hemorrhoids can also develop from straining and can be quite painful and bleed.
Uterine or rectal prolapse.
Spastic colitis; bowel obstruction.
Chronic constipation.
TREATMENT
GENERAL MEASURES
The preventative measures can be helpful in mild cases of existing constipation as well as acting as a preventative. If you stimulate the colon enough, contractions will help get the hardened stool out. Try prunes or other fruits, or even caffeine to stimulate contractions, as well as moderate exercise. But do not jog too far away from a bathroom!
If constipation is quite severe, or special circumstances (such as hemorrhoids) make it important to control quickly, then consider these laxative groups:
- Bulk fiber laxatives. Different brands have different ingredients, but they all just add bulk to the stool and prevent too much water from being absorbed. They may take awhile to take effect (12 hours to 3 days).
- Stool softeners. These can be effective if your stool is too hard or dry to come out, despite normal bowel contractions. They are mainly preventative, but can work very quickly when combined with a stimulant laxative.
- Stimulant laxatives. These stimulate bowel contractions quickly, but do not soften the stools at all. They are often combined with stool softeners.
- Glycerin suppositories. Promptly effective, usually within 1/2 hour. They both soften the stool and stimulate contractions. They only work on the stool that is in the rectum and lower colon.
- Enemas and oral magnesium solutions. Avoid these unless directed by your health care provider.
CHILDREN & LAXATIVES
If your child is having obviously hard, painful stools, laxatives can relieve the problem right away. But too often, laxatives are given to kids who feel fine just because they are parents think they aren't having bowel movements often enough. Always base kid's treatment on how they are feeling with bowel movements - ask them:
- Does it hurt when you poop?
- Does it take a long time to get it out?
- Do you have to push hard?
If treatment is necessary, always use laxatives designed for children. My mother and I both used the herbal-based liquid laxative called Fletcher's Castoria for our children and for ourselves as well and is my personal favorite children's laxative. Castoria is composed of senna, sodium bicarbonate, essence of wintergreen, taraxicum, sugar and water according to it's initial patent. The active ingredient in Castoria is senna (33.3 mg senna/ml). It has a nice flavor (tastes like root beer) that kids will swallow. It works in babies as well as adults and is available in most drug stores and pharmacies for over-the-counter or online purchase.
Since infants cannot tell you anything, you will usually have to guess about their constipation. Crying and apparent straining with bowel movements, and of course hard stools, are good clues. Fortunately, there are some very safe products available for infants (see below), so if you are wrong and constipation is not the problem, no harm will come to your baby because of the laxative. If problems persist more than 24 hours, contact your health care provider. BRAND NAME LAXATIVES
Citrucel (methylcellulose 2 grams/tablespoon). Many find this brand of bulk fiber laxative to be less gritty than others, and it comes in both sugared and sugar-free versions.
FiberCon (calcium polycarbophil 625 mg/tablet). If you cannot stand drinking a bulk fiber laxative, these tablets are an excellent alternative. Just make sure you take them with a full 8-12 oz. of water or other liquid.
Senokot, Senokot S, and Senokot Children's (senna concentrate, various concentrations; docusate sodium 50 mg per tablet is the softener in Senokot S). The active ingredient senna is a bowel contraction stimulant. It is considered safe in children as young as one year. If you need stool softening or lubrication along with the stimulant effect, Senakot S is the recommended combination.
Fleet Glycerin Suppositories and Fleet Babylax (glycerin). These are especially useful if you desire very quick results without swallowing a lot of fiber or a drug that may have other side effects. Glycerin works only in the rectum and lower colon, and is one of the few laxative forms that is safe and effective in infants under one year old.
Drugs.com: Oral Laxatives Drug Information
Sometimes constipation results in stools so hard they will not come out no matter what you try at home. This is called stool impaction. Do not delay any longer. See your health care provider immediately. If an impaction is not removed, it can cause total bowel obstruction and require hospitalization.
Severe constipation and impaction sometimes occur in kids who hold their bowel movements on purpose. If you suspect this in your child based on frequent constipation or other clues, a medically supervised bowel program is very important. Withholding stool does not just cause bowel problems; nutritional deficiency, growth retardation, and psychological problems are all well-documented in children with this disorder. Do not try to cure this one by yourself.
Lastly, if your constipation continues despite good habits and non-prescription treatment, get professional advice. There may be an underlying condition causing the problem such as thyroid disorders, diabetes, medication side-effects, or irritable bowel syndrome just to name a few. Do not keep suffering. It is best to get it checked out.
Most cases of constipation respond to conservative treatment, such as dietary and exercise changes or mild laxatives. Severe or chronic cases will prompt your health care provider to test for other diseases.
CONVENTIONAL MEDICAL TREATMENT
Medical treatment will probably start by recommending more fiber or bulk to your diet. Except for fiber or bulking agents, over-the-counter laxatives should be avoided.
For stubborn constipation in older children and adults, your health care provider may recommend a non-digestible sugar called lactulose or specially formulated electrolyte solutions.
EXAMINATION & MEDICATIONS
For occasional constipation, you may use a stool softener laxative, mild non-prescription laxatives or enemas. Do not use laxatives or enemas regularly as this can cause dependency and serious problems, including diarrhea, abdominal cramping, bloating, dehydration, and, ultimately damage to the colon. Using laxatives too often also promotes dependence. Lifestyle changes such as getting regular exercise and eating a high-fiber diet are better ways to avoid constipation.
Avoid harsh laxatives and cathartics, such as Epsom salts. The best laxatives are bulk-formers, such as bran, psyllium, polycarbophil and methulcellulose. Laxative pills or castor oil are not recommended for the treatment of constipation during pregnancy because they may stimulate uterine contractions. Mineral oil is not advised, either, because it substantially reduces nutrient absorption.
Your health care provider will usually examine your abdomen for any sign of hardened mass and may conduct a rectal exam. Blood samples may be taken.
If constipation is more than an occasional problem, the possibility of a cancer or other obstruction in the lower bowel should not be dismissed unless a proctoscopic examination (sigmoidoscope or a colonscope, a flexible tube with a magnifying viewer, which is inserted into the rectum) or a barium enema (which coats the intestinal lining so it can be seen on an X-ray) has shown that there is no blockage. Other symptoms of colon cancer include the presence of blood in the feces; severe cramping; a tender, distended abdomen; and markedly narrowed stools. However, cancer may be present even without these symptoms. Consult your health care provider if you have concerns about your bowel habits or exhibit any symptoms.
TYPES OF LAXATIVES
Laxatives are substances that are used to promote bowel movement. There are four basic types of laxatives:
- Bulk-forming agents.
- Stool softeners.
- Osmotic agents.
- Stimulants.
The following are basic descriptions of the way the different laxatives work to achieve their effects:
Bulk-Forming Agents increase the bulk and water content of the stools. They are the only type of laxatives that can be safe to take on a daily basis. Examples include bran (both in foods and in supplement form), psyllium, and methylcellulose.
Stool Softeners, such as mineral oil and docusate sodium, soften fecal matter so that it passes through the intestines more easily. They should not be used on a regular basis, because they can have other effects on the body. Mineral oil can damage the lungs if inhaled, and it reduces the absorption of fat-soluble vitamins. Docusate sodium (found in Colace and Dialose) may increase the toxicity of other drugs taken at the same time, and may cause liver damage to occur.
Osmotic Agents contain salts or carbohydrates that promote secretion of water into the colon, initiating bowel movement. They are among the safest laxatives for occasional use, but if they are used more than occasionally, dependency can result. Examples include lactulose (a prescription medication sold under the brand names Cephulac and Chronulac), sorbitol (which is cheaper than lactulose but just as effective), milk of magnesia, citrate of magnesia, and Epsom salts.
Stimulant Laxatives irritate the intestinal wall, stimulating peristalsis. They can damage the bowels with habitual use, and can lead to dependency. Examples include bisacodyl (found in Dulcolax), casanthranol (Peri-Colace), cascara sagrada, castor oil, phenolphthalein (Dialose Plus), and senna (Perdiem, Senokot).
HOLISTIC TREATMENT RECOMMENDATIONS
Increasing your activity level with moderate exercise is important if you lead a sedentary lifestyle.
Take adequate time for moving your bowels. Set aside a regular time each day for bowel movements. The best time is often within 1 hour after breakfast. Do not try to hurry. Relax. Sit at least 10 minutes, whether or not a bowel movement occurs. Stress tightens the muscles, and can often cause constipation. Many people find reading helpful as a way to relax. Never repress the urge to defecate.
Keep the bowel clean.
Drinking hot water, tea, or coffee may help stimulate bowel. For quick relief of constipation, drink a large glass of water every ten minutes for half an hour. This can work wonders to flush out toxins and relieve constipation.
Fecal impaction is a more serious form of constipation that sometimes affects the elderly and disabled. To release hardened material in the rectum, you or your health care provider may have to insert a gloved finger into the rectum and manually break up the solidified stool. If constipation persists for 3 or 4 days, use a gentle warm water or mineral oil enema. Non-prescription, disposable enemas may be used for temporary relief. If you prefer not to use a commercial enema preparation, you may give yourself a cleansing enema as follows: 1. Spread a bath mat on the bathroom floor or in the tub.
2. Fill an enema bag with lukewarm water.
3. Hang the enema bag no higher than 30 inches from the floor.
4. Lie on your left side on the mat.
5. Insert the nozzle gently inside the rectum.
6. Let the water flow a little at a time. If it hurts, stop the flow until the pain subsides. Then start the flow again.
7. Use the entire quart of water.
8. Hold the fluid inside until you are uncomfortable. Then sit on the toilet for a bowel movement.
If added natural fiber and herbal laxatives do not improve constipation, you may have a problem with muscle coordination. Normally, the upper muscles in the bowel contract as the lower ones relax. Problems occur if the lower muscle tightens and goes into spasm instead of relaxing.
Foul-smelling stools and a burning feeling at the anus may be signs of acidosis.
If added natural fiber and herbal laxatives do not improve constipation, you may have a problem with muscle coordination. Normally, the upper muscles in the bowel contract as the lower ones relax. Problems occur when the lower muscles tightens and goes into a spasm instead of relaxing.
Alternating constipation and diarrhea may be a sign of irritable bowel syndrome. While this disorder is chronic and unpleasant, it is not considered dangerous. Other common symptoms are cramps, gassiness, and variation in the consistency of the stool. The cause of irritable bowel syndrome is not known, but many experts believe it is stress-related.
ACTIVITY
Exercise and good physical fitness helps maintain healthy bowel patterns. Get some exercise. Physical activity speeds the movement of waste through the intestines. A 20 minute walk can often relieve constipation. Regular exercise is also important for preventing constipation in the first place.
Alternating constipation and diarrhea may be a sign of irritable bowel syndrome. While this disorder is chronic and unpleasant, it is not dangerous. Other common symptoms are cramp pains, gassiness, and variation in the consistency of the stool. The cause of irritable bowel syndrome is not known, but many experts believe it is stress related. It you have this problem, reduce excess stress as much as possible. Use relaxation and meditation methods to lower anxiety levels.
DIET
Eat high fiber foods such as fresh fruits, raw green leafy vegetables, and brown rice daily. Also eat asparagus, beans, Brussels sprouts, cabbage, carrots, garlic, kale, okra, peas, sweet potatoes, and whole grains. Foods that contain high levels of soluble fiber are adzuki beans, barley, dried beans, oats, and some fruits, especially apples, apricots, bananas, blackberries, blueberries, cranberries, figs, grapes, peaches, and prunes. Foods high in insoluble fiber are cereals, seeds, wheat bran, whole grains, and the skins of many fruits and vegetables.
Drink more water. Drink at least 8 glasses of water each day. This is important when adding fiber to the diet. Drink water whether you are thirsty or not. For a quick relief of constipation, drink a large glass of water every 10 minutes for half an hour. This works wonders to flush out toxins and relieve constipation.
Consume plenty of foods that are high in pectin, such as apples, carrots, beets, bananas, cabbage, citrus fruits, dried peas, and okra. Pectin is also available in supplement form.
Follow a low-fat diet. Eat no fried foods.
Avoid foods that stimulate secretions by the mucous membranes, such as dairy products, fats, and spicy foods.
Do not consume dairy products, soft drinks, meat, white flour, highly processed foods, salt, coffee, alcohol, or sugar. These foods are difficult to digest and have little or no fiber.
Eat prunes or figs. These are the best natural laxatives.
Eat smaller portions - no large, heavy meals or high-fat foods.
Consume barley juice, Green Magma from Green Foods Corporation, Kyo-Green from Wakunaga, or wheatgrass for chlorophyll.
Herbal Remedies: Barley Grass Powder, Whole Leaf Bulk, Nature's Way, 100% Pure, 9 oz.
Herbal Remedies: Barley Grass Powder, 100% Organic, Vegetarian, NOW Foods, 2 lbs.
Herbal Remedies: Barley Grass Greens, Gluten Free, Nature's Way, 500 mg, 100 Caps
Herbal Remedies: Kyo Green Barley Grass Supplement, Powdered Drink Mix, Energy, Vegetarian, Kyolic, 10 oz.
Herbal Remedies: Barley Grass Supplements & Products
Herbal Remedies: Wheat Grass Powder, Organic, 8.5 oz.
Herbal Remedies: Wheat Grass Powder, Single Serving Packets, 15 Packets
Herbal Remedies: Wheat Grass, Organic, 1,000 mg, 200 Tabs
Herbal Remedies: Wheat Grass Supplements & Products
Herbal Remedies: Super Green Energy Food SuperFood Supplement, Nature's Secret, 300 Tabs (20 Day Packs)
Herbal Remedies: Vital Greens, Vital Earth, 180 Caps
Herbal Remedies: Earthrise Green Blends Cleansing Supplement, 240 Caplets
Herbal Remedies: Spirulina Green Blends, Cleansing Formula Powder, 7.4 oz.
Herbal Remedies: Super Veggie Powder, Truman's Best, 3.5 oz.
Do not consume products containing mineral oil, which can interfere with the absorption of fat-soluble vitamins. Also avoid taking Epsom salts, milk of magnesia, and citrate of magnesia, Which draw volumes of fluid into the intestines and wash out minerals from the body.
If you use laxatives, especially if you are a heavy laxative user, you should take acidophilus to replace the "friendly" bacteria. The continued use of laxatives cleans out the intestinal bacteria and leads to chronic constipation.
Herbal Remedies: Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.
Herbal Remedies: Acidophilus & Bifidus, NOW Foods, 8 Billion, 60 Caps
Herbal Remedies: Culturelle With Lactobacillus GG, Natural Probiotic Supplement, Amerifit, 30 Caps
Herbal Remedies: Ultimate Probiotic Supplement, 4 Billion, Nature's Secret, 45 Tabs
Herbal Remedies: Probiotic Defense, NOW Foods, 90 Caps
Herbal Remedies: Gr8-Dophilus Probiotic, NOW Foods, 60 VCaps
Herbal Remedies: Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk
Herbal Remedies: Acidophilus, 3 Billion, NOW Foods, 90 Tabs
Herbal Remedies: Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps
Psyllium seed is helpful for constipation. If you take psyllium seed, be sure to take it with a full glass of water.
Herbal Remedies: Psyllium Husk, Nature's Way, 525 mg, 180 Caps
Herbal Remedies: Psyllium Seed, Nature's Way, 610 mg, 100 Caps
Herbal Remedies: Whole Psyllium Husks, Vegetarian, NOW Foods, 24 oz.
Herbal Remedies: Complete Cleansing & Anti-Toxin System, Part 1 of 2
Herbal Remedies: Complete Cleansing & Anti-Toxin System (With Psyllium), Part 2 of 2
Flaxseed oil or freshly ground flaxseeds help to soften stools. Freshly ground flaxseeds have a pleasant, nutty taste and can be sprinkled over cereals, salads, and other foods.
Herbal Remedies: Forti-Flax, 100% Certified Organic, Ground Flaxseed, Barlean's, 16 oz.
Herbal Remedies: Flax Seed Meal, Cold Pressed, NOW Foods, Certified Organic, 12 oz.
Herbal Remedies: Oat Bran Extract, Standardized 54% Beta Glucan, Vegetarian, Nature's Way, 60 VCaps
It can help to do a dietary fast periodically.
Kombucha tea which has detoxifying and immune-boosting properties, may be beneficial for relieving constipation and other digestive disorders.
Herbal Remedies: Preparing Kombucha Tea, Instructions & Supplies
Herbal Remedies: Kombucha Information
Herbal Remedies: Kombucha Supplements & Products
HERBAL RECOMMENDATIONS
Alfalfa extract contains chlorophyll, which aids in detoxifying the body and cleansing the breath.
Herbal Remedies: Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps
Herbal Remedies: Alfalfa Powder, Whole Food Supplement, NOW Foods, 1 lb.
Herbal Remedies: Alfalfa Leaves, Nature's Way, 405 mg, 100 Caps
Herbal Remedies: Alfalfa, NOW Foods, 650 mg, 500 Tabs
Herbal Remedies: Alfalfa Leaf Root Powder (Medicago Sativa), Kosher, 4 oz. Bulk
Herbal Remedies: Alfalfa / Medicago Sativa Supplements & Products
Fennel Seed tea also is good for freshening the breath.
Herbal Remedies: Fennel Seed Powder (Foeniculum Vulgare), 4 oz. Bulk
Herbal Remedies: Heather's Tummy Tea, Organic Fennel, Heather's Tummy Care, 45 Tea Bags
Herbal Remedies: Fennel Seed Supplement, Nature's Way, 480 mg, 100 Caps
Herbal Remedies: Fennel Extract Tincture, Herbal Remedies USA, 2 fl. oz.
Herbal Remedies: Fennel Supplements & Products
Aloe Vera has a healing and cleansing effect on the digestive tract, and aids in forming soft stools. Drink 1/2 cup of aloe vera juice in the morning and at night. George's Aloe Vera Juice from Warren Laboratories is good. It can be mixed with a cup of herbal tea if you wish.
Herbal Remedies: Aloe Vera Juice, Herbal Aloe Force, Organically Grown, Unprocessed Whole Raw Aloe Vera, 33.8 fl. oz.
Herbal Remedies: Aloe Vera Gel, NOW Foods, 32 oz.
Herbal Remedies: Aloe Vera Gel, NOW Foods, 1 gallon
Ginger stimulates the digestive system and eases passage of foods through the intestines. Sabinsa Corporation has Ginger Dry Extract and Ginger Soft Extract.
Herbal Remedies: Crystallized Ginger Slices, NOW Foods, 12 oz.
Herbal Remedies: Ginger Root, Nature's Way, 550 mg, 180 Caps
Herbal Remedies: Ginger Root Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Ginger Root Powder (Zingiber Officinale), 4 oz. Bulk
Herbal Remedies: Ginger Tea, 20 Tea Bags
Use Milk Thistle to aid liver function and to enhance bile output to soften stools.
Herbal Remedies: Milk Thistle Seed Powder (Silybum Marianum), 4 oz. Bulk
Herbal Remedies: Thisilyn, Milk Thistle Extract, Vegetarian, Nature's Way, 175 mg, 100 VCaps
Herbal Remedies: Milk Thistle Seed Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Milk Thistle Extract, Standardized, Nature's Way, 175 mg, 60 VCaps
Herbal Remedies: Silymarin, NOW Foods, Vegetarian, 150 mg, 60 VCaps
Herbal Remedies: Milk Thistle Supplements & Products
Naturalax 2 from Nature's Way is an herbal formula that is good for constipation.
Herbal Remedies: Naturalax 3, Natural Herbal Laxative, Nature's Way, 430 mg, 100 Caps
Herbal Remedies: Naturalax 2, Herbal Laxative, Nature's Way, 445 mg, 100 Caps
Triphala Internal Cleanser from Planetary Formulas is an herbal product that aids in the formation of odor-free, firm, and healthy stools.
Herbal Remedies: Triphala, Planetary Herbals, 1,000 mg, 90 Tabs
Herbal Remedies: Triphala, Planetary Herbals, 1,000 mg, 180 Tabs
Other herbs that are helpful for constipation include Cascara Sagrada, Goldenseal, Rhubarb Root, Senna Leaves, and Yerba Mate. If you take yerba mate, take 2 to 3 teaspoons in 16 ounces of hot water on an empty stomach.
CAUTION! Do not take goldenseal on a daily basis for more than one week at a time, and DO NOT USE IT DURING PREGNANCY. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.
Herbal Remedies: Cascara Sagrada, Aged Bark, Nature's Way, 425 mg, 180 Caps
Herbal Remedies: Cascara Sagrada Supplements & Products
Herbal Remedies: Goldenseal Root, Nature's Way, 570 mg, 100 Caps
Herbal Remedies: Goldenseal Supplements & Products
Herbal Remedies: Rhubarb Root Powder (Turkey Rhubarb - Rheum Palmatum), 4 oz. Bulk
Herbal Remedies: Rhubarb Supplements & Products
Herbal Remedies: Senna Leaves, 450 mg, 100 VCaps
Herbal Remedies: Senna Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Herbal Remedies: Senna Leaf Supplements & Products
Herbal Remedies: Yerba Mate Supplements & Products
SUPPLEMENT RECOMMENDATIONS
Unless otherwise specified, the dosages recommended below are for adults. For children between the ages of 12 and 17, reduce the dose to 3/4 of the recommended amount. For a child between 6 and 12, use 1/2 the recommended amount. For a child between under the age of 6, it is suggested that 1/4 the recommended amount be used.
CONSTIPATION SUPPLEMENTAL PRODUCTS
Supplements and information for help Information with constipation, the difficulty of passing stools from the body.
Agar Agar Seaweed Extract Tincture, Kelp Supplement, 100% Organic, 2 fl. oz.
Agar Agar, kelp supplement, is a gelatinous substance obtained from several varieties of seaweed and used as a bulk laxative and as a treatment for hyperthyroidism.Aloelax Maximum Strength (Constipation), Nature's Way, 350 mg, 100 Caps
Aloelax is now in vegetarian capsules (VCaps). This is a proprietary blend containing 530mg per capsule of Aloe Vera (latex, leaf) and Fennel Seed. Aloelax is an all natural remedy for constipation.AloeMaxLax, All Natural Remedy for Constipation, Nature's Way, 445 mg, 100 VCaps
AloeMaxLax is specially formulated for those with tough constipation. It delivers relief of occasional constipation and irregularity. It is an excellent all natural constipation remedy. This product generally produces bowel movement in 6 to 12 hours.Aloe Vera Latex & Leaf, All Natural Laxative, Nature's Way, 550 mg, 100 VCaps
Aloe Vera Latex & Leaf is an all natural laxative that offers healing benefits to the digestive system.Aloe Vera Whole Leaf Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter
Nature's Way Aloe Vera Whole Leaf Juice offers you the rich benefits of the most potent part of the aloe plant.Amalaki (Dhatri), 100% Natural, 450 mg, 120 VCaps
Amalaki is an Ayurvedic effective against allergies, anemia, cold & flu, constipation, diabetes, digestive disorders, and liver problems.Avipattikar Churna Powder, 100% Organic, 8 oz. Bulk
Avipattikar Churna Powder is useful in acidity, heartburn, loss of appetite, constipation, and hyper-activity. Traditional Indian blend of trikatu, musta, vidanga, cardamom, cinnamon, cloves, raw.Bibitaki Powder (Terminalia Belerica), 100% Organic, 8 oz. Bulk
Known to the scientific world as Terminalia belerica is a large deciduous tree traditionally called as Baheda or Bibitaki. It is a natural laxative.Bilwa Powder (Aegle Marmelos), 100% Organic, 8 oz. Bulk
Bilwa is used as a remedy for a number of ailments and is especially useful in treating symptoms such as constipation and diarrhea caused by Irritable Bowel Syndrome.Cascara Sagrada Aged Bark, Nature's Way, 425 mg, 180 Caps
Cascara sagrada is used to help the body relieve constipation. However, it is reputed not to be habit-forming and also nutritionally supports the stomach, liver, pancreas, and gallbladder. It is cleansing, as well as nourishing, to the colon. It is also known to assist with digestion, and help the body to eliminate worms and parasites.Cascara Sagrada Bark Powder (Rhamnus Purshiana), 4 oz. Bulk
Cascara Sagrada is a mild laxative, acting principally on the large intestine. It is considered suitable for delicate and elderly persons, and may with advantage be given in chronic constipation, being generally administered in the form of the fluid extract. It acts also as a stomachic tonic and bitter, in small doses, promoting gastric digestion and appetite.Castor Oil, Expeller Pressed, NOW Foods, 100% Pure, 16 fl. oz.
Castor Oil can be taken internally for its laxative effect or be applied to the skin as a softener. Our oil is USP food grade and is basically tasteless and odorless Castor Oil is a natural emollient to the skin.Castor Oil (Natural Laxative), NOW Foods, 650 mg, 120 Softgels
Castor oil has long been recognized as a powerful laxative which may be used for the relief of occasional constipation.Colon & Liver Cleanser, Organic, 16 fl. oz.
CAC liquid is a colon and liver cleanser and detoxifier as well as a blood cleanser that serves to regulate the bowel movements so that the stool is so soft it breaks up into a cloud.Colon & Liver Cleanser, Truman's CAC Tea, Loose Leaf, 1/2 lb.
Use of this cleansing tea has many additional benefits: improves overall digestion; strengthens the immunity; helps to prevent cancer; makes the skin more emollient and flexible: clears the eyes; and provides an overall tonic effect on the body.Colon Health The Key To A Vibrant Life, By Dr. Norman W. Walker
Presents a complete program for rejuvenating the entire body and for reviving ailing health through colon cleansing and nourishment.Easy Move & Colon Clean, TCM Formula, Maren Runchang, 100% Natural, 60 caps
Easy Move & Colon Clean is made of hemp seed, bitter apricot seed, medicinal rhubarb, costus root, tangerine peel and common peony root, colon cleanse herbs.Erand Powder (Ricinus Communis), 100% Organic, 8 oz. Bulk
Also known as Castor plant; the oil is used externally to relieve various inflammatory conditions of the skin and mucus membrane. Small quantities of castor seed are used as a mild laxative for children.Golden Flax Seeds, NOW Foods, Whole Bulk, 16 oz.
Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid. It contains protein, mucilage, phytosterols and lignans, which are naturally included at 100 times the level of the next best source, wheat bran.Grapefruit Fiber, 100% Pure Powder, NOW Foods, 1lb.
Pure Grapefruit Fiber is a good source of Dietary Fiber. Food surveys have shown that the fiber content of the American diet is typically half of government recommended levels. Grapefruit fiber powder can be a convenient way to increase the intake of fiber.Herbal Detox / Flush One Hour Formula, Orange, 16 fl. oz.
This high potency combination makes Daily Herbal Detox and flush a perfect supplement for any detoxification program so you can pass your drug test.Herbal Detox / Flush One Hour Formula, Wild Berry, 16 fl. oz.
This high potency combination makes Daily Herbal Detox and flush a perfect supplement for any detoxification program so you can pass your drug test.Kombucha Miracle Fungus, Kombucha Tea Benefit's, By Harald Tietze - Paperback
One time best seller, Kombucha Miracle Fungus is all about synergy and Kombucha Tea Benefit's it is an easy read for those interested in the synergy Kombucha offers or Kombucha benefit's.Kombucha 2000, Concentrated Kombucha Capsule, 30 caps
Concentrated Kombucha Capsules are new to the market, but Kombucha 2000 is one of the very first successful kombucha tea producers in the United States.Naturalax 2, Nature's Way, 445 mg, 100 Caps Herbal Laxative
Naturalax 2, an herbal laxative, is also known as the lower bowel formula it is used for relief of occasional constipation. This product generally produces bowel movement in 6 to 12 hours.Naturalax 3, Nature's Way, 430 mg, 100 Caps
Naturalax 3 is an extra strength laxative used for relief of occasional constipation.Natural Fiber Supplement (Trumans), 12 oz.
Truman's Natural Fiber Supplement formula helps to give bulk to the stool and to check diarrhea; thus, creating balance in the bowel movements.Psyllium Husk, 525 mg, 180 Caps
When immersed in the intestines, psyllium husk increases in volume and swells the amount of intestinal matter. This stimulates and lubricates the bowels and helps move waste through the colon.Psyllium Husk Powder (Plantago Asiatica), NOW Foods, 100% Pure, Vegetarian, 12 oz. Bulk
Psyllium Husk Powder can be a convenient way to increase the intake of dietary fiber.Psyllium Seed, 610 mg, 100 Caps
Psyllium seed is useful in support of constipation or irregularity. It generally produces bowel movements in 12 to 72 hours. It is an all natural laxative.Rose Petals Tincture, 100% Organic, 2 fl oz.
Rose Petals are an astringent and stomachic.Senna Leaves, 450 mg, 100 VCaps
Senna Leaves assist in expelling waste from the intestines and killing worms. Senna Leaves are well known as a natural laxative.Senna Tea, Caffeine Free, 30 Tea Bags
Senna Tea is a natural laxative that is prepared like ordinary tea.Super CKL Colon Detox, 90 Caps
Herbal Colon Cleanser, Helps Eliminate Toxic Build-Up from Colon, Detoxifies Kidney, Liver, & Spleen, Promotes RegularityVitamin C 1000 with Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
Occasional constipation does not justify a visit to your health care provider, but you should seek professional advice for a persistent problem.
Constipation persists, despite self-care especially if the constipation represents a change in your normal bowel patterns. (Changes in bowel patterns, such as passing pencil-thin stools, may be an early sign of colorectal cancer.)
Constipation is accompanied by fever or severe abdominal cramping and pain, and your stools are thin or loose; these symptoms may be an indication of diverticulitis.
You have blood in your stools. This may be from a fissure or hemorrhoid but could also be a sign of colorectal cancer.
Your constipation develops after start a new prescription drug or take a vitamin or mineral supplements. You may need to discontinue the medication or change dosage.
You or your child has been constipated for 2 to 3 weeks, with recurrent abdominal pain, this could be a sign of lead poisoning or other serious ailment.
You are elderly or disabled and have been constipated for a week or more, you may have an impacted stool.
You are losing weight even though you are not dieting.
You have severe pain with bowel movements.
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HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
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