Do people experience occasional constipation more frequently as they get older?
Constipation is a common complaint and challenge for older adults. As we age, our bodies go through several changes which can lead to certain discomforts. Occasional constipation is one of the most frequently reported bowel symptoms in the elderly and it can have considerable impact on quality of life. The aim of managing occasional constipation in the elderly is to restore normal bowel habits to improve the quality of life.
Aging – What to expect
Everybody ages and with age, comes new opportunities and challenges. We all know that as we get older, we may have more gray hairs and wrinkles, but did you know that getting older can also affect your digestive health? Constipation increases as people age, especially after the age of 65.
Contributing factors of constipation in elderly patients may include inactivity, inappropriate diet, certain medications, and disorders which affect the nerves responsible for stimulating the bowel muscles.
Your body is changing
As we get older, the time it takes to get relief increases as the bowel needs more time to move food through the digestive system, which can trigger constipation.
Taking medication
Medication usage is common amongst seniors and some of these medications can cause constipation as a side effect. If you’re experiencing constipation due to your medication, please talk to your doctor or pharmacist.
You should never change or stop prescribed medications without talking it through with a healthcare professional first.
New lifestyle habits
“Aging” and “regular exercise routine” don’t often go hand in hand. As we get older, we tend to exercise less, and our dietary habits change. These changes can have an impact on our digestive system, leading to occasional constipation.
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What happens to your body as you age?
There are a number of changes that are to be expected as you continue aging. As you get older, you can expect changes to your cardiovascular system, your bones, joints, muscles, bladder and to your digestive system. Age-related structural changes in the large intestine can also contribute to the higher rate of constipation in the elderly. To help prevent constipation, there are a few things you can do:
Changing body
Your digestive system is a series of muscles that need to contract to process and move food through your stomach and intestines. This process slows down as you age, resulting in more infrequent bowel movements. The reduced ability of nerves to stimulate proper and coordinated bowel muscle contractions causes a longer stool transit time which in turn results in more absorption of water. This makes the stool harder and dryer and the passing of stool more difficult, painful and less frequent.
Medication habits
Medication usage is more common in older people. There are several types of medication that are known to slow down the digestive process and thus could be triggering constipation symptoms. These include some drugs used to treat depression, antacids containing aluminum or calcium, iron supplements, some allergy medicines (antihistamines), certain painkillers (like opioids), some drugs for high blood pressure, including diuretics, and some drugs used to treat Parkinson’s disease. If you’re taking any new medication and start experiencing constipation, consult your doctor or pharmacist.
You should never change or stop prescribed medications without talking it through with a healthcare professional first.
Dietary habits
Nutrition has a direct impact on how often you go. Eating a lot of high-fat meats, processed food, dairy products and eggs, or rich desserts and sugary sweets, while not eating enough high-fiber foods like vegetables, fruits, and whole grains may contribute to occasional constipation.
Physical exercise
As we get older, we tend to exercise less and our bodies tend to relax more, making muscle stimulation more difficult, including the muscle stimulation of our digestive system. Modest physical activity may help individuals with occasional constipation while prolonged physical inactivity in those who are normally physically active, especially in the elderly, can reduce colonic transit. Prolonged physical inactivity in those who are normally physically active, especially in the elderly, can increase the time it takes for the stool to pass through the colon. Therefore, incorporating modest physical activity into your day may help individuals with occasional constipation.
Tips and tricks to get relief
We have listed a series of simple measures you can consider and try at any stage of your life in order to help prevent occasional constipation:
1. Adapt your diet habits
If you’re experiencing occasional constipation, start adding more fiber in your diet (whole wheat bread, brown rice, nuts, pumpkin seeds…). Fresh fruits (apples, raisins, prunes…) and vegetables (sweet potatoes, spinach, lentils...) will also help prevent occasional constipation. Fiber intake should be increased gradually
2. Weekly physical activity
Physical inactivity, especially in the elderly, can slow down the movement in the large intestine, therefore increasing the time needed for the stool to move through the colon. While moderate increased activity does not change bowel function in healthy people, modest physical activity may help people with occasional constipation.
3. Create a bathroom schedule and routine
Many people find that going to the bathroom at a specific time each day can help their body create a new routine. The famous “toilet sitting position” – leaning forward, with a straight back and with feet supported – can help you get relief.
4. Talk to your doctor about the medication you’re taking
Medications used to treat depression, antacids containing aluminum or calcium, iron supplements, some allergy medicines (antihistamines), certain painkillers, some drugs for high blood pressure, including diuretics, and some drugs used to treat Parkinson’s disease can cause constipation. If you suffer from constipation related to medication usage, please talk to your doctor or pharmacist.
You should never change or stop prescribed medications without consulting a healthcare professional first.
5. Get discomfort treated
Although most cases of occasional constipation can be treated with at-home or over the counter remedies, some cases may require some additional help. If your occasional constipation is causing complications, like swollen veins in your anus (hemorrhoids), stool that can't be expelled (fecal impaction), or even parts of the intestine protruding from the anus (rectal prolapse), consult your doctor. If you are experiencing nausea, vomiting, abdominal pain, fever or rectal bleeding, please talk to your doctor or pharmacist before using any over the counter medication.
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Sources
- Gandell D., et al. Treatment of constipation in older people. CMAJ. 2013 May 14;185(8):663-70.
- Müller-Lissner SA., et al. Myths and misconceptions about chronic constipation. Am J Gastroenterol. 2005 Jan;100(1):232-42.
- De Giorgio R., et al. Chronic constipation in the elderly: a primer for the gastroenterologist. BMC Gastroenterol. 2015 Oct 14; 15:130
- Mayo Clinic. Aging: What to expect. November 19th, 2020. Available at: https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/aging/art-20046070
- Cleveland Clinic. Constipation: Symptoms, Causes, Treatment & Prevention. July 11th, 2019. Available at: https://my.clevelandclinic.org/health/diseases/4059-constipation
- Canadian Digestive Health Foundation. Understanding the Prevalence and Impact of Constipation in Canada A Special Report from the CDHF. February 2014