What works and what’s harmful when it comes to chronic constipation.
According to the American College of Gastroenterology, Americans make at least 2.5 million visits to the doctor for constipation each year. Because constipation is so ubiquitous and has been noted since ancient times, there are many widely held beliefs and myths about its treatments and consequences -- beliefs that have persisted, despite the absence of medical evidence to prove they are true.
In an article published in the American Journal of Gastroenterology, digestive disease experts reviewed these long-held beliefs and revealed the current evidence for and against them.
They note that there is no data to show that when stools remain in the body for a long time, which occurs when you’re constipated, that they poison the colon. Likewise, there’s no evidence to prove that cleansing the colon regularly can reverse the symptoms.
(For a discussion of colon cleansing, go to Colonics: How Risky Are They? )
The reviewers also state that although increasing fiber intake undoubtedly makes stools bulkier and easier to pass, and increases the frequency of bowel movements, the role of fiber in the treatment of constipation has been exaggerated. Indeed, there are no studies to show that a lack of dietary fiber is responsible for chronic constipation. And too much fiber may actually make symptoms worse for some people with constipation.
Likewise, it’s been suggested that a low intake of fluids may lead to constipation, and that drinking more fluids may soften and enlarge hard, small stools, making them easier to expel. But there’s no scientific evidence for this either, and it appears that increasing fluid intake won’t help constipation unless you’re severely dehydrated.
One idea that does hold scientific weight is the link between physical activity and constipation. In elderly and sedentary people, increasing exercise may relieve some of the symptoms of mild constipation. Still, it is unlikely that stepping up activity will have much effect on severe cases of constipation.
Finally, the reviewers note that a number of misconceptions exist about the use of laxatives to relieve constipation. Urban legend says that you can get addicted to laxatives and that frequent use increases the risk of colorectal cancer and nerve damage, but the data show otherwise. When used at recommended doses, laxatives are safe and nonaddicting. Still, if you need to take laxatives for more than a week at a time, you should see your doctor for further advice.
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