Osmotic laxatives such as polyethylene glycol (brand name Miralax) are well-tolerated by most older adults, and can be used daily.
Polyethylene glycol (Miralax) is preferred over lactulose for the treatment of constipation because it is more effective and has fewer adverse effects. Linaclotide (Linzess) and lubiprostone (Amitiza) are more effective than placebo for chronic constipation.
Fresh and dried fruit. Nuts. High-fiber foods. Water — softens stool and stimulates the bowel. 6 effective home remedies for relieving constipation in seniors
Stimulant laxatives are the fastest-acting, such as include aloe, cascara (Nature’s Remedy), senna compounds (Ex-Lax, Senokot), bisacodyl (Dulcolax, Correctol), and castor oil. Saline laxatives or enemas such as Fleet Phospho-Soda, milk of magnesia, and magnesium citrate.
Lactulose, lactitol and macrogol are the most commonly and safest compounds used in the elderly [55, 57, 64]. Lactulose and lactitol are both synthetic, non-digestible disaccharides that are fermented by colonic bacteria to increase stool water content and soften the stool .
In patients experiencing fluid loss where Page 3 dehydration may be harmful (for example, kidney problems, elderly patients) DULCOLAX should be stopped and only restarted under medical supervision. Long-term and excessive use may also cause the bowel to become dependent on DULCOLAX for it to produce a bowel motion.
Dulcolax (Bisacodyl) works fast and the suppositories work even faster to relieve your constipation, as long as you’re okay with it “cramping” your style a bit. Relieves occasional constipation. Senokot (senna) is gentle and effective for occasional constipation, but it can’t be used as a long-term treatment.
In general, bulk-forming laxatives, also referred to as fiber supplements, are the gentlest on your body and safest to use long term. Metamucil and Citrucel fall into this category.
Most people over the age of 6 can safely take milk of magnesia. For children under 6, speak with your child’s doctor first. Check with your doctor before taking milk of magnesia if you: have kidney disease.
If the conservative route doesn’t work, Dr. Wolf recommends the osmotic laxative MiraLAX or a generic version. These hold water in stool to soften it and increase bowel movements.
The following quick treatments can help induce a bowel movement in a few hours.
Here are 13 natural home remedies to relieve constipation.
Magnesium citrate is a powerful natural laxative. Magnesium citrate has been shown to be more bioavailable and better absorbed in the body than other forms of magnesium, such as magnesium oxide ( 40 ). Magnesium citrate increases the amount of water in the intestinal tract, which causes a bowel movement ( 41 ).
MiraLAX is an osmotic laxative. That means it draws water into the colon, which softens the stool and may naturally stimulate the colon to contract. These actions help ease bowel movements. Dulocolax (bisacodyl) is a stimulant laxative.
This article reviews two cases where severe constipation was an important factor in the patients’ deaths. In the elderly, constipation can present not only with mechanical complications, such as perforation and obstruction, but with delirium and failure to thrive as well.
Causes of constipation in the elderly Some of the reasons for this propensity include poor diet, lack of adequate fluids in diet, lack of exercise, the use of certain drugs to treat other medical conditions, and poor bowel habits.