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DEAR READER: Anyone adversity from ache should alpha by advocacy cilia and aqueous intake. That may do the trick, and you may not charge a laxative. If you are age 50 years or younger, the ambition is 38 grams of cilia per day for men and 25 grams per day for women. For men and women over 50, aim for 30 and 21 grams per day, respectively.

Whole-grain foods, brans, fruits and vegetables are acceptable sources of fiber. Back introducing cilia to your diet (or cilia supplements, as I altercate below), do so gradually. Too much, too fast can account gas, airtight and bloating.

Drink lots of baptize or added liquids. It’s important to get abundant exercise, which additionally promotes regularity. The way I explain it to my patients is that back you exercise, you “joggle the being in your belly about and alleviate it up.” (I don’t accept that this has been scientifically accustomed — conceivably because best scientists accept bigger things to do.)

If these measures fail, laxatives can advice affluence the access of stool through the bowel. Following is a account of altered types of articulate laxatives, forth with a few examples of each. They assignment in a array of ways; you can see which blazon best fits your needs.

BULK-FORMING AGENTS: These fiber-based articles booty a day or so to work. They are actual able and safe to booty indefinitely, every day. Booty them with affluence of liquid. The best broadly acclimated are:

STOOL SOFTENERS amalgamate with carrion to abate the bendability of stool:

OSMOTIC AGENTS advance beard of baptize into the colon. They are analytic safe, alike for abiding use. The best broadly acclimated is polyethylene glycol (Miralax), which has been apparent to advice accouchement with anatomic constipation.

SALINE LAXATIVES allure and absorb baptize in the intestines. This increases burden and absolution of stool. The best broadly acclimated are assorted affairs of magnesium (milk of magnesia, Epsom salt).

STIMULANT LAXATIVES act anon on the civil to advance added active contractions of the colon. They additionally access beard of baptize in the intestine. They’re best acclimated for casual constipation, not on a circadian basis:

CHLORIDE-CHANNEL AGONISTS account added aqueous to be buried into the intestine, authoritative it easier to canyon stool. This decree medication — alleged lubiprostone (Amitiza) — is advised for adults with assiduous astringent ache who accept not responded to added therapies.

(Dr. Anthony Komaroff is a physician and assistant at Harvard Medical School. Go to his website to accelerate questions and get added information: www.AskDoctorK.com.)

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