Senna, for example, is available in teas, remedies, and pharmaceutical preparations. However, doctors usually only recommend taking senna for occasional constipation. Also, aloe vera is a traditional ingredient in constipation remedies. However, these are no longer sold over the counter in the United States, because their safety and effectiveness are uncertain. Speak to a doctor before taking an herbal remedy, because some remedies can interfere with medications.
Doctors often prescribe opioid medications for people with cancer, especially when the disease is in later stages. In , researchers published the results of an investigation into how types and dosages of opioid prescriptions changed over a 6-year period for people with cancer. The researchers studied relevant U.
Their findings suggest that pain affects:. According to research from , almost 90 percent of people with moderate or severe chronic pain use opioids as treatment. Results of various studies suggest that opioid-induced constipation affects 41—81 percent of people with chronic pain that does not result from cancer.
As a result, the U. Anyone who is using opioid medication for pain relief should be aware that constipation is a common side effect. Drinking plenty of water, eating high-fiber foods, and keeping active, where possible, can help reduce the impact. Eating foods such as yogurt, pulses, wheat bran, and…. Constipation develops when stool becomes hard and difficult to pass. Reasons include a blockage and a low fiber diet. Learn more about the causes and…. Aim for 30 minutes of exercise most days of the week.
Talk with your doctor before starting a new exercise routine. Drink plenty of fluid. Dehydration makes it difficult to have a bowel movement. Drink glasses of fluid per day. Stick to:. Eat more fiber. Increase fiber intake naturally to normalize bowel activity. Add fruits, vegetables, and whole grains to your diet. Excellent sources of fiber include:. Too much fiber can cause diarrhea and abdominal cramping.
Slowly increase your intake. Use ice or heat therapy. Constipation can cause bloating and abdominal pain. Apply a warm or cold compress to your pelvic area to relieve discomfort. Eliminate trigger foods from your diet.
Fatty and processed foods are difficult to digest and may make OIC worse. Limit your intake of trigger foods, such as fast foods and junk foods. Constipation medications are available in over-the-counter and prescription versions. Find out which options might work well for you. Constipation is a common problem after surgery, but there are ways to manage or prevent it. Get some tips here on precautions and treatment.
Obstipation is when a person cannot pass stool or gas, usually due to an obstruction or blockage of hard, difficult-to-pass stool. Here are 5 herbal remedies to ease your symptoms. The list of opioids is long. Learn their forms, factors used in choosing them, and tips for taking them safely. A new survey by Orlando Health finds that most people would rather use alternatives to opioid pain medications if better options were available. The Hulu series "Dopesick" uses fact and fiction to detail the rise of OxyContin and how the Purdue Pharma drug ignited the opioid epidemic.
Experts say healthcare professionals need to be aware of a person's risk of opioid addiction before surgery is performed. Fiber Supplements: Fiber can be added into the diet but it can also be taken as a supplement.
Some people will need to try different supplements and determine which type of fiber will work the best to relieve constipation. For example, bulk-forming fiber supplements like psyllium may not be recommended as they could worsen symptoms. Hydration: Drinking enough water and other liquids every day can also help in dealing with constipation.
Stools are easier to pass when there is enough liquid drawn into the bowel to make them softer. Exercise: Exercise is another factor that can help relieve constipation. However, even walking can make a difference when it comes to moving the bowels on a regular basis. Physicians can recommend the best form of exercise and if necessary, a referral to a physical therapist may help in developing an overall plan that takes any other health conditions into account.
Laxatives that counteract the constipating effects of opioids may be needed in most cases and might be prescribed at the same time as the opioid. Osmotic Laxatives: Osmotic laxatives are those that draw more water into the intestine, which has the effect of making stools softer and easier to pass.
Certain osmotic laxatives are available over the counter while others are by prescription, and some of the different types include Miralax, lactulose, and milk of magnesia which is not prescribed as often.
Stimulant Laxatives: Stimulant laxatives are also available over the counter and include bisacodyl, sodium bicarbonate with potassium bitartrate, senna, and castor oil. This type of laxative works by increasing the movement of the muscles in the digestive system peristalsis.
They are not usually recommended for long-term use because of potential side effects, and tolerance may vary which means it may stop working after a while. In some cases, removing impacted stool might be necessary. This could be done with an enema or colonic irrigation water or another liquid inserted through the anus and into the rectum , suppositories, or manual evacuation.
Glycerin suppositories might be the first step in moving stool, followed by an enema, irrigation, or manual evacuation inserting a gloved finger into the rectum to break up the stool and remove it. There are prescription medications available for the treatment of opioid-induced constipation. Relistor and Movantik are two such drugs. These medications work by blocking the effects that opioids have on slowing down the bowel. These medications may help in bringing on a bowel movement a short time after taking or receiving them.
Some of the potential side effects of these medications can include nausea, diarrhea, abdominal pain, and gas. Opioid-induced constipation is a common problem for people that are receiving opioids for the treatment of pain, and in particular, for chronic pain. In addition, there are treatments available that are safe and effective and can reduce the symptoms of constipation and thereby avoid potential complications.
Gas pain? Stool issues? Sign up for the best tips to take care of your stomach. The burden of opioid-induced constipation: Discordance between patient and health care provider reports.
J Manag Care Spec Pharm. Sizar O, Gupta M. Opioid induced constipation. In: StatPearls [Internet]. Galligan JJ, Sternini C. Insights into the role of opioid receptors in the GI tract: Experimental evidence and therapeutic relevance.
Handb Exp Pharmacol.
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