How to resolve constipation in the elderly

Sep 13, 2024 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
In general, multiple factors such as aging, poor dietary habits, high psychological stress, irritable bowel syndrome, and diabetes may contribute to constipation in the elderly. To address constipation in older adults, it is important to engage in moderate physical activity, maintain a positive mood, follow healthy eating habits, and ensure adequate intake of dietary fiber. If discomfort or symptoms occur, prompt medical consultation is recommended.

Generally, constipation in the elderly may be caused by various factors such as aging, poor lifestyle habits, high psychological stress, irritable bowel syndrome (IBS), and diabetes. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analysis is as follows:

1. Aging

With advancing age, the digestive system function in older adults declines, leading to reduced small intestine absorption and slowed intestinal motility, which can result in constipation. Regular moderate exercise is recommended to promote gastrointestinal peristalsis.

2. Poor Lifestyle Habits

Sedentary behavior, irregular daily routines, and a monotonous diet may contribute to indigestion and decreased intestinal motility in the elderly, thereby causing constipation. It is important to increase dietary fiber intake by consuming high-fiber foods such as whole grains and fruits, including corn, bananas, mung beans, etc.

3. High Psychological Stress

After retirement, elderly individuals may experience a monotonous lifestyle and lack of companionship from children, which can lead to mental tension and emotional anxiety, subsequently contributing to constipation. Relaxation techniques such as meditation, listening to music, or participating in square dancing can help relieve psychological stress and improve overall well-being.

4. Irritable Bowel Syndrome (IBS)

IBS may be triggered by emotional anxiety, unhealthy eating habits, or endocrine imbalances. Dysfunction of the autonomic nervous system in the gut can lead to uncoordinated and slowed intestinal movement, resulting in constipation in older adults. Maintaining a balanced diet and managing psychological stress are essential. Treatment may include lactulose oral solution, Xiaoshi Jianpi Pills, or Jianpi Lichang Tablets, used as directed by a physician.

5. Diabetes

Poor lifestyle habits such as chronic sleep deprivation, excessive consumption of high-sugar foods, smoking, and alcohol use are major contributors to diabetes. Elevated blood glucose levels can induce a hyperosmolar state, leading to intestinal neuropathy in the elderly, dull intestinal responses, and subsequent constipation. It is crucial to limit intake of tobacco, alcohol, and high-sugar foods and maintain healthy lifestyle habits. Medications such as Liuwei Dihuang Pills, Yiqi Jianpi Oral Liquid, or Shenshu Jianpi Pills may be used under medical supervision.

For elderly individuals with constipation, it is important to engage in moderate physical activity, maintain a positive mood, uphold healthy eating habits, and ensure adequate dietary fiber intake.

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