10 Tips on Constipation and Incontinence of Stool

1. Despite widespread belief, constipation is not necessarily a part of growing older.

2. Bowel habits are similar in both younger and older healthy people.

3. Constipation is defined as stools that are:

Too small

Too hard

Too difficult to pass

Infrequent (less than 3 per week)

4. Constipation is caused by:

Not enough dietary fiber or fluids

Medication side effects

Emotional or physical stress

Misconception about normal bowel habits

Lack of activity

Medical problems

5. How to manage mild-to-moderate constipation:

Gradually add dietary fiber from variou sources

Increase fluids (water, soup, broth, juices)

Eat meals on a regular schedule

Chew your food well

Gradually increase daily exercise

Respond to urges to move your bowels

Avoid straining See your doctor if these measures don't work

6. Dietary therapy (increased fiber and fluids) and fiber supplements are the preferred treatment for chronic constipation.

7. In some cases, your doctor may recommend the use of stool softeners.

8. Use of mineral oil or stimulant laxatives regularly, consult your doctor to make sure what you are using is right for you.

9. Incontinence of stool or fecal soiling is most often due to leakage around a fecal impaction. Removing the impaction will usually restore continence.

10. Incontinence of stool in healthy older people deserves full education and treatment. Treatment options include:

Adjustment in dietary fiber to reduce amount of stool

Medications to decrease stool frequency

Prescribed use of enemas (not soap enemas)

Biofeedback training