(Foreword/Disclaimer: All writing here is supplied on an informational basis, with no endorsement of any of the particular products that may be mentioned. In addition, any interested party should seek the knowledge of a board-certified physician. The writer here is not and does not represent himself as a physician. All research provided here has been gathered from other written sources.)
A very recent study done by the drug company Boehringer Ingelheim has established the fraction of people worldwide affected by constipation to be 12%. A total of 13,000 people were surveyed. Other studies quote lower figures (as low as 2%!) but nevertheless even at this low figure, most of the medical establishment would agree that constipation is a widespread affliction.
One of the problems associated with statistical surveying of constipation is that it’s a poorly defined condition. This translates into an impact on diagnosis and treatment. For example, one physician might believe that having a bowel movement every three days is ok, but another physician would be alarmed at the low frequency. The source of the inconsistent opinions is that bowel movement frequency is itself highly variable from person to person. This difficulty in definition is compounded by differences in patient-reported symptoms such as difficulty or pain in passing stool, or excessive time spend on the toilet.
After diagnosis, the patient and the physician must still face the task of trying to determine the fundamental cause of constipation. For some, the constellation of symptoms might suggest something such as irritable bowel syndrome (IBS). For others, incomplete control of muscles in the rectum due to trauma or injury can be a source of constipation. Yet for the largest group, there is no clear cause. This last group are classified into the “idiopathic” group.
With idiopathic and chronic constipation, one of the first things a physician will do with his or her patient is inquire about dietary and personal bowel habits. The physician wishes to rule out the simplest causes. Dietary shortage of insolube fiber can be fixed by increasing uptake of fiber, either through food intake modification or addition of supplements. This type of natural treatment has the advantage of both provide diagnosis and treatment, if successful.
There are several other natural remedies which are not fiber-related, examples of which are anthraquinone herbs such as senna. However, one should never succumb to the idea that a natural treatment is a safe one automatically. The Federal Drug Agency (FDA) recently forced some natural remedies off the market for safety reasons. As a result, manufacturers can no longer market aloe vera and cascara medications as constipation remedies. Nevertheless, other remedies are available.
Physician-prescribed constipation pharmaceuticals are another option. These include conventional laxatives as well as advanced chemicals that have specific effects on certain functions of the colonic tract. More recently, novel and interesting therapies such as biofeedback training have been investigated for efficacy in medical studies. The state of the art is expected to evolve quickly.
Additional articles on constipation remedy can be found at the site. Some of this information was generously granted by a site on constipation amitiza.
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