Constipation in the Elderly Geriatric Care What is constipation? Constipation is difficulty in passing stools. Signs of constipation • Passing hard or dry stools • Fewer bowel movements than usual • Need to strain more to pas motion • Feeling of incomplete emptying, sometimes with watery stools What problems constipation cause? • Bloating • Discomfort • Pain in abdomen • Pain from excessive straining during bowel movements • Confusion and infections in frail elderly
Why do elderly persons develop constipation? 1. Lack of fibre and water in diet. 2. Not enough physical activity or exercise. 3. Changes in the environment that cause changes in routine of food and drink intake for example staying in a hospital or travelling overseas. 4. Certain medications that can cause constipation, for example some painkillers, blood pressure medication, iron and calcium supplements, and require the use of mild laxatives. 5. Ignoring the natural urge to have a bowel movement suppresses the natural function of muscles and nerves of the back passage. 6. Medical conditions, such as thyroid disease, diabetes, spinal cord injuries, growth of tumours or cancers that block the colon.