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Yang
Rui-Min
HOWTO
MANAGE
CONSTIPATION
IN
THE
ELDEBLY
ln
USA,
400 million
US dollars
were spenl on laxatives during
1993;
30%
of
the elderly
have
constipation.
Mismanagement leads
to
much
more
serious consequences.
Relevant
factors
are:
lack
of
exercise and
fibre
in the
food, insensitive anus and the weak-
ness
of
muscles involved
with
defoecation. With time, the faeces lose
water, harden, are impacted and
finally,
obstruct
the
intestine. Piles
or
haemorrhoids
are
much aggravated.
Fibre
would retain moisture,
increase
the bulk and soften the stool to sustain
stimulation
for
the
bowel. Even for the
very
elderly, walking for
0.5
Km (2 bus
stops)
daily
is required
to
prevent con-
stipation. Many medications cause con-
stipation in the elderly
-
consult your
doctor.
For medical treatment,
prepa-
rations
like
lactulose can
be
considered
-
taken
orally,
the
mixture is untouched
by
digestion and reaches the other end
to retain water
in
the faeces;
bulkjorm-
ing
laxatives
must be taken
with enough
water. Laxatives stimulating
the
bowel,
e.9., glycerine
or
liquid paraffin are usu-
ally not recommended for
the
elderly.
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