CONSTIPATION

Some people wonder if, in order to be regarded as regular, they need to have at least one bowel movement every day. The number and frequency of normal bowel movements is widely varied. Normal can range anywhere from three a day to three each week. In fact, what is deemed normal for one person may not be considered regular for someone else. And so, for those who are left wondering, daily fecal excretion is not considered to be a requirement of regularity. However, if you are trying to pass dry hard stools three times a week or less, most likely, you are constipated. In some cases, constipation may also cause you to feel uncomfortable, sluggish, bloated, or for some, tenderness and pain.

Constipation can be caused by a number of things such as a deficient dietary intake of fiber, dehydration, age, pregnancy, inattention to bowel habits, illness, stress, depression, or lack of physical activity.

Constipation can also be caused by certain medications, such as those used to treat depression, high blood pressure, and Parkinson’s disease. Many of the narcotics used as pain killers can also cause constipation as can continued or over-use of aggravates and laxatives.

Although uncommon, constipation, in rare cases, may indicate a serious medical condition, such as electrolyte or hormonal imbalances, or colorectal cancer.

Nutritional supplements that may help with constipation

One of the safest ways to manage constipation may be through a change in lifestyle. Fiber supplements are safe enough to use every day and can help make stools softer and easier to pass. Drinking sufficient amounts of water or other fluids on a daily basis will also help remedy the problem, and are especially important for those taking fiber, which can actually worsen constipation if adequate amounts of fluid are not consumed. In order to steer clear of gas troubles, add fiber to your diet gradually.

Taken from knjac root, glucomannan provides a water-soluble source of dietary fiber. Like many other fiber sources, including fenugreek and psyllium, glucomannan is identified as a bulk-forming laxative. Several clinical research studies have shown glucomannan, given in doses of 3-4 grams each day, to be successful as a laxative. Glucomanan and other bulk-forming laxatives usually help relieve constipation by generating a bowel movement in as little as 12-24 hours.

Herbal supplements that may help with constipation

Most of the commonly used laxatives are derived from a variety of plants. Herbal laxatives can be either stimulating or bulk-forming. For people who need long-term constipation relief, mild, bulk-forming, plant-derived laxatives are most highly recommended. These laxatives, including fenugreek, flaxseed, and psyllium, contain high levels of mucilage and fiber that expand in the presence of water; and work to stimulate the bowels by increasing in volume, which triggers a muscular reflex.

Supporting Literature

Passaretti S, Franzoni M, Comin U, et al. Action of glucomannans on complaints in patients affected with chronic constipation: a multicentric clinical evaluation. Ital J Gastroenterol 1991;23:421–5.
Marzio L, Del Bianco R, Donne M, et al. Mouth-to-cecum transit time in patients affected by chronic constipation: effect of glucomannan. Am J Gastroenterol 1989;84:888–90.
Marsicano LJ, Berrizbeitia ML, Mondelo A. Use of glucomannan dietary fiber in changes in intestinal habit. G E N 1995;49:7–14.
Signorelli P, Croce P, Dede A. A clinical study of the use of a combination of glucomannan with lactulose in the constipation of pregnancy. Minerva Ginecol 1996;48:577–82.
Staianno A, Simeone D, Giudice ED, et al. Effect of the dietary fiber glucomannan on chronic constipation in neurologically impaired children. J Pediatr 2000;136:41–5.



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