
Treating constiption- The daily dietary fiber intake should be increased and bulking agents like Ispaghula [psyllium], methyl cellulose, bran, karaya gum.
Lactulose, sorbitol, and lactilol have minimum known side effects and are considered safe in pregnancy and in children and to the elderly patients.
Senna, bisacodyl, sodium picosulphate, and magnesium salts should be used with caution. Low doses of polyethylene glycol and sodium phosphate could be used for intermittent lavage of the bowel.
Drugs like Cisapride, Mosapride, Itiopride, and Docusates can also be used.
Long-term use of Liquid paraffin could lead to reduced absorption of fat-soluble vitamins. Spontaneous leak of liquid paraffin from the rectum and soiling has been reported.
For patients with intractable constipation behavioral techniques to modify pelvic floor and intestinal function are now being considered as the mainstay of therapy.
Combination of bowel training, dietary management, and regular exercise are also helpful.