What medication works fastest for constipation in the elderly?

Apr 27, 2025 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
In general, constipation in the elderly may be caused by improper diet, reduced physical activity, intestinal flora imbalance, irritable bowel syndrome, hypothyroidism, and other factors. It is recommended to seek medical attention promptly and, under a doctor's guidance, use medications such as Bifidobacterium Quadruple Live Bacteria Tablets, Bacillus Licheniformis Live Bacteria Capsules, Lactulose Oral Solution, Pinaverium Bromide Tablets, and Methimazole Tablets for treatment.

Generally speaking, there is no specific medication that can relieve constipation in the elderly most quickly. Constipation in the elderly may be caused by improper diet, reduced physical activity, intestinal flora imbalance, irritable bowel syndrome, hypothyroidism, and other factors. It is recommended to seek timely medical attention and use medications such as Bifidobacterium Quadruple Live Tablets, Bacillus Licheniformis Live Capsules, Lactulose Oral Solution, Pinaverium Bromide Tablets, and Methimazole Tablets under a doctor's guidance. Detailed explanations are as follows:

1. Improper Diet

As people age, food intake often decreases and insufficient dietary fiber intake leads to small volumes of food residue in the intestines, which cannot effectively stimulate intestinal peristalsis. After water is absorbed, stools become dry and hard, potentially causing constipation. Medication is generally not required. It is recommended that elderly individuals consume sufficient dietary fiber daily, including more vegetables, fruits, and whole grains.

2. Reduced Physical Activity

With aging, physical function declines and physical activity significantly decreases, leading to slower gastrointestinal motility. Food remains in the gastrointestinal tract for prolonged periods, resulting in excessive water absorption and constipation. Medication is generally not required. Elderly individuals are advised to increase physical activity appropriately based on their health status, such as walking or practicing Tai Chi, for at least 30 minutes daily.

3. Intestinal Flora Imbalance

Intestinal flora imbalance is often caused by long-term antibiotic use or intestinal infections. A reduction in beneficial bacteria and an increase in harmful bacteria disrupt the balance of gut flora, affecting normal digestive and motility functions of the intestine, which may lead to constipation. Symptoms such as bloating and abdominal pain may also occur. Patients can use medications such as Bifidobacterium Quadruple Live Tablets, Bacillus Licheniformis Live Capsules, and Bacillus Subtilis Live Bacteria Granules under a doctor's guidance.

4. Irritable Bowel Syndrome

Irritable bowel syndrome may be related to abnormal gastrointestinal motility, visceral hypersensitivity, and psychological factors. Intestinal dysfunction under stress and other factors can lead to excessive colonic motility, resulting in constipation. Symptoms such as nausea and vomiting may also occur. Patients can use medications such as Lactulose Oral Solution, Pinaverium Bromide Tablets, and Trimebutine Maleate Tablets as directed by a physician.

5. Hypothyroidism

Hypothyroidism is caused by insufficient secretion or impaired action of thyroid hormones. Thyroid hormones promote metabolic processes in the body; when metabolism slows down due to hypothyroidism, gastrointestinal motility decreases, potentially causing delayed gastric emptying and constipation. Symptoms such as fatigue and cold intolerance may also occur. Patients can use medications such as Methimazole Tablets, Levothyroxine Sodium Tablets, and Propranolol Hydrochloride Tablets under a doctor's advice.

In daily life, the elderly should also maintain a cheerful mood and avoid long-term stress and anxiety, which may affect gastrointestinal function. Additionally, regular medical check-ups to detect and treat underlying diseases promptly can help prevent constipation.

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