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Elderly Constipation: Causes and Treatments

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Nearly everyone becomes constipated at one time or another. Older people are more likely than younger people to become constipated, but most of the time it is not serious.

Constipation is a symptom, not a disease. Your senior loved one may be constipated if he/she is having fewer bowel movements than usual, it takes a long time to pass stools, and they are hard.

People often worry too much about having a bowel movement every day. There is no right number of daily or weekly bowel movements. Being regular is different for each person. For some people, it can mean bowel movements twice a day. For others, movements just three times a week are normal.

Questions to Ask

Some doctors suggest asking these questions to decide if your elderly parent is constipated:

  • Do they often have fewer than three bowel movements a week?
  • Do they often have a hard time passing stools?
  • Are stools often lumpy or hard?
  • Do they have a feeling of being blocked or of not having fully emptied your bowel?
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Jennie said
May 17, 2010

A mixture of equal parts of applesauce, prune juice, and oat bran is an excellent preventative for constipation. Two tablespoons a day will do it. Keep it in the fridge after you mix it up. Let it sit overnight before use. Cinnamon applesauce makes it a bit better tasting, but really it has very little taste at all. It is non-habit-forming and good for you. And cheap. What more could you ask?

CallMeIshmael said
May 17, 2010

Yes, I think we can all agree that constipation is the #2 problem affecting the elderly.

But seriously, it seems to me that for the elderly with limited mobility, ie, using a walker or worse, going to the bathroom can be a difficult undertaking. There might be a natural tendency to drink less just to cut down on the number of bathroom trips.

This can lead to a lot of problems including dehydration and constipation.

Here is a quote on the subject:

** Dehydration is one of the most frequent causes of hospitalization among people over the age of 65.

An article in Nurse Practitioner concluded that "Dehydration is the most common fluid and electrolyte disturbance among the elderly population today." **

And here is a interesting quote I found re fiber as an easy fix:

**However, if the problem is poor intestinal movement and/or inadequate water intake, extra fiber can worsen the situation. Many elderly and dying patients take in little water orally. When psyllium and other fiber products are taken with inadequate water, they turn into something like half-dried oatmeal or partially dried cement. This is difficult for the intestine to move. Sometimes large volumes of stool build up and inhibit intestinal movement. The colon dilates and, in effect, goes "on strike." **

So even thought this article covers fluid intake, the understandable aversion that the elderly might have to it suggests that the caregiver might face a neverending need for guidance and friendly reminders.

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