{"id":60653,"date":"2023-10-11T09:30:55","date_gmt":"2023-10-11T13:30:55","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=60653"},"modified":"2026-04-08T11:16:56","modified_gmt":"2026-04-08T15:16:56","slug":"counseling-patients-with-constipation","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/counseling-patients-with-constipation\/","title":{"rendered":"How to counsel patients with constipation"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Constipation is a common ailment that often prompts patients to stop by the pharmacy for a quick remedy. Although constipation can affect adults, it is especially prevalent among children, with <\/span><span style=\"font-weight: 400;\">around 30%<\/span><span style=\"font-weight: 400;\"> experiencing constipation worldwide. As a pharmacist, you likely have countless opportunities to counsel patients on constipation, whether they\u2019re seeking relief for themselves or their children. For example, you might offer guidance on proper dietary habits, lifestyle changes, and suitable medications.\u00a0<\/span><\/p>\n<h2 id=\"how-to-counsel-patients-with-constipation\"><span style=\"font-weight: 400;\">How to counsel patients with constipation<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Pharmacists can help patients manage their constipation at home with the right strategies. In some cases, pharmacists can also be the guiding voice to advise patients to consult their healthcare provider for medical advice. Read on for some key points to remember when counseling patients on constipation.\u00a0\u00a0<\/span><\/p>\n<h3 id=\"identify-the-potential-causes\"><span style=\"font-weight: 400;\">Identify the potential causes.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A patient may be experiencing constipation due to various factors, such as lifestyle, diet, medications, or medical conditions. A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3748072\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">sedentary lifestyle<\/span><\/a><span style=\"font-weight: 400;\"> and inadequate intake of fiber-rich foods may contribute to constipation. Dehydration also slows the digestive process, making it difficult for stools to pass through the colon.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Certain <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medications-that-cause-constipation\/\"><span style=\"font-weight: 400;\">medications can cause constipation<\/span><\/a><span style=\"font-weight: 400;\">, such as narcotic pain relievers, antacids with aluminum hydroxide, calcium channel blockers, diuretics, and some Parkinson&#8217;s medications. <\/span><a href=\"https:\/\/www.health.harvard.edu\/diseases-and-conditions\/common-causes-of-constipation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Medical conditions<\/span><\/a><span style=\"font-weight: 400;\"> can also lead to constipation due to hormonal imbalances or other causes. Patients with the following might have a higher risk of constipation than others:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Underactive thyroid<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Conditions that cause blockages in the colon or rectum, such as tumors or scar tissue, can also lead to constipation. In addition, patients with slow transit problems, where stool doesn\u2019t move through the digestive tract quickly enough, may experience constipation.<\/span><\/p>\n<h3 id=\"consider-the-patient-s-age\"><span style=\"font-weight: 400;\">Consider the patient\u2019s age.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Treatment options and recommendations can vary based on the patient\u2019s age. Constipation in elderly patients over the age of 65 may often occur due to decreased mobility, dietary changes, and medications affecting bowel function. For these patients, you might consider recommending an increase in dietary fiber and physical activity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some medications used to treat constipation may not be appropriate for younger patients, particularly children. For example, while mineral oil may be an appropriate lubricant laxative for some children, it is not recommended in infants due to the risk of <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8007206\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">lipoid pneumonia<\/span><\/a><span style=\"font-weight: 400;\">. You can discuss age-specific treatment options and strategies with patients and their caregivers.<\/span><\/p>\n<h3 id=\"reinforce-dietary-and-lifestyle-changes\"><span style=\"font-weight: 400;\">Reinforce dietary and lifestyle changes.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When counseling patients on constipation, you can help them find immediate relief and help prevent future issues. If constipation is a recurring problem for them, emphasize dietary and lifestyle changes, such as increasing fiber intake. Consuming fiber-rich foods such as fruits, vegetables, whole grains, and nuts can help improve bowel movements and relieve constipation. Encourage patients to swap out low-fiber options for <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/patientinstructions\/000193.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">high-fiber alternatives<\/span><\/a><span style=\"font-weight: 400;\">, like choosing whole wheat bread over white bread or incorporating more beans and legumes into their daily meals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Adequate hydration is another factor in preventing constipation. Remind patients to drink plenty of fluids daily and limit their consumption of dehydrating beverages like coffee and alcohol.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Regular physical activity can also help keep stool moving through the colon. You might recommend patients engage in a moderate exercise routine, such as walking, swimming, or yoga, to maintain consistent bowel movements.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s also a good idea to stress establishing a routine when it comes to bowel habits. Encourage patients to listen to their body&#8217;s natural signals and avoid delaying bowel movements when they feel the urge. Creating a consistent schedule and allotting enough time for bathroom visits can help patients better manage their constipation.\u00a0<\/span><\/p>\n<h3 id=\"recommend-over-the-counter-treatments\"><span style=\"font-weight: 400;\">Recommend over-the-counter treatments.<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If lifestyle changes aren\u2019t sufficient, you can recommend appropriate <\/span><a href=\"https:\/\/gi.org\/topics\/constipation-and-defection-problems\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">over-the-counter (OTC) treatments<\/span><\/a><span style=\"font-weight: 400;\">\u2014such as fiber supplements, stool softeners, and laxatives\u2014to alleviate constipation. <\/span><span style=\"font-weight: 400;\">When recommending the most suitable <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/constipation-treatment-and-medications\"><span style=\"font-weight: 400;\">OTC treatment<\/span><\/a><span style=\"font-weight: 400;\"> option, consider each patient&#8217;s specific needs and medical history.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Fiber supplements:<\/b> <a href=\"https:\/\/www.singlecare.com\/prescription\/metamucil#coupons\"><span style=\"font-weight: 400;\">Metamucil<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/psyllium-fiber\"><span style=\"font-weight: 400;\">psyllium<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/methylcellulose\"><span style=\"font-weight: 400;\">methylcellulose<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fibercon\"><span style=\"font-weight: 400;\">Fibercon<\/span><\/a><span style=\"font-weight: 400;\"> (calcium polycarbophil) are popular options that increase bulk in the stool, making it easier to pass. These supplements should be taken with plenty of water to prevent worsening constipation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stool softeners:<\/b> <a href=\"https:\/\/www.singlecare.com\/prescription\/colace\"><span style=\"font-weight: 400;\">Colace<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/docusate-sodium\"><span style=\"font-weight: 400;\">docusate sodium<\/span><\/a><span style=\"font-weight: 400;\">), an emollient laxative, allows water to penetrate the stool, making it softer and easier to pass. This treatment is generally considered gentle and safe for short-term use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Osmotic laxatives<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/constulose#coupons\"><span style=\"font-weight: 400;\">Constulose<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lactulose\"><span style=\"font-weight: 400;\">lactulose<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/polyethylene-glycol\"><span style=\"font-weight: 400;\">polyethylene glycol<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/magnesium-hydroxide\"><span style=\"font-weight: 400;\">magnesium hydroxide<\/span><\/a><span style=\"font-weight: 400;\"> retain water in the intestines, soften the stool, and stimulate bowel movements. These agents can cause electrolyte imbalances if not properly monitored.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stimulant laxatives<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/dulcolax#coupons\"><span style=\"font-weight: 400;\">Dulcolax<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/bisacodyl\"><span style=\"font-weight: 400;\">bisacodyl<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/senna-laxative\"><span style=\"font-weight: 400;\">senna<\/span><\/a><span style=\"font-weight: 400;\"> speed up bowel movements and are commonly used for short-term constipation relief. Long-term use is discouraged due to the adverse effects these laxatives have on the colon&#8217;s nerves and muscles.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Before dispensing an OTC treatment, be sure to counsel patients on the proper use, dosage, and possible <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">. You can also remind patients that OTC treatments are intended for short-term use, and they should consult their healthcare provider if constipation becomes chronic or worsens.<\/span><\/p>\n<h2 id=\"when-to-refer-patients-to-a-doctor\"><span style=\"font-weight: 400;\">When to refer patients to a doctor<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In some cases, you may need to refer patients to their healthcare provider for further evaluation and treatment. Pharmacists should be aware of the following situations that can warrant a referral:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The patient has a serious underlying medical condition (e.g., Parkinson&#8217;s disease, diabetes, etc.).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The patient is a possible <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20687617\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">laxative abuser<\/span><\/a><span style=\"font-weight: 400;\"> or misuser.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation has lasted longer than seven days, even with OTC treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The patient also complains of abdominal pain.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Patients should seek immediate medical attention if they experience any of the following symptoms along with constipation:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Altered level of consciousness, such as fainting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Black, bloody, or very dark brown and viscous stool<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">As a pharmacist, you can play an important role in educating patients about the appropriate use of over-the-counter laxatives and other constipation treatments. It can also be critical to recognize when it\u2019s necessary to refer your patient to a healthcare provider. Help ensure patients receive the proper care for their constipation by increasing your awareness of potentially serious situations and providing clear guidance on treatments and solutions.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Constipation is a common ailment that often prompts patients to stop by the pharmacy for a quick remedy. Although constipation can affect adults, it is especially prevalent among children, with around 30% experiencing constipation worldwide. As a pharmacist, you likely have countless opportunities to counsel patients on constipation, whether they\u2019re seeking relief for themselves or [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":60583,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9340],"tags":[20947,16414,11278],"coauthors":[8669],"class_list":["post-60653","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-the-checkout","tag-constipation","tag-digestive-health","tag-singlecare-for-seniors","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to counsel patients with constipation<\/title>\n<meta name=\"description\" content=\"Counseling patients with constipation should include identifying the cause, considering age, and recommending treatment. 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