[Constipation].

Abstract

Constipation is a symptom of various diseases that must be differentiated in the diagnostic work-up of the patient. Most frequently however, no structural abnormalities can be identified and constipation is part of the irritable colon syndrome. A diet deficient in bulk is the main cause of constipation in western countries. As the complaints usually last for years before a physician is consulted many patients are chronically abusing laxatives. Therefore treatment is difficult and behavioral modifications of the patient are not easily achieved. He should learn that laxatives do not "clean" the bowel and that it functions normally even if there is not "one stool a day". Although there are many laxatives that can be prescribed usefully for a short time, for long term treatment only bulk forming agents and dietary fiber supplementation are recommended.