💊 Let’s Address Constipation in the Elderly: A Common Concern

By AB Consulting PharmD

💊 Let’s Address Constipation in the Elderly: A Common Concern

Constipation is a common concern in older adults, but that doesn’t mean it should be ignored or accepted as normal. As we age, changes in diet, mobility, medications, and underlying health conditions can all affect bowel habits. Understanding how to prevent and treat constipation is key to maintaining comfort, safety, and quality of life.

🚫 What Causes Constipation in Seniors?

  • Medications: Opioids, anticholinergics, calcium channel blockers, iron supplements, and certain antacids can slow down the gut.
  • Dietary habits: Low fiber intake and inadequate hydration are frequent contributors.
  • Medical conditions: Diabetes, hypothyroidism, Parkinson’s disease, and stroke can impair bowel function.
  • Decreased mobility: Reduced physical activity weakens the muscles that help move stool.

Best Ways to Address Constipation

  1. Hydration First: Aim for 6–8 glasses of water a day unless on fluid restrictions.
  2. Increase Fiber Gradually: Soluble fiber (like oats, fruits, and psyllium) is often better tolerated. Insoluble fiber (bran, raw veggies) can sometimes cause bloating.
  3. Stay Active: Walking or light stretching daily can stimulate digestion.
  4. Review Medications: Ask your pharmacist to review your prescriptions for constipating effects. A medication adjustment may help.
  5. Over-the-Counter Options:
    • Bulk-forming agents (e.g., Metamucil): Start low and go slow. Drink plenty of fluids.
    • Osmotic laxatives (e.g., polyethylene glycol/Miralax): Generally safe for routine use.
    • Stool softeners (e.g., docusate): Useful if straining is an issue.
    • Stimulant laxatives (e.g., senna, bisacodyl): Occasional use is okay but avoid daily use unless directed by your provider.

⚠️ When to Call Your Doctor

Don’t ignore these warning signs:

  • No bowel movement for more than 3 days despite using laxatives
  • Severe abdominal pain, cramping, or bloating
  • Nausea or vomiting Blood in the stool or black, tarry stools
  • Unexplained weight loss Sudden change in bowel habits

Constipation can be a sign of something more serious like a bowel obstruction, impaction, or even colorectal cancer. Always advocate for yourself and talk to your healthcare team if something doesn’t feel right.

Need help reviewing your medications for constipation risk?
📧 Anne@abconsultingpharmd.com
📞 847-828-9926
🌐 www.abconsultingpharmd.com