Regular walking and abdominal muscle exercises.More roughage in diet e.g. Green vegetables, Fruits, Raw Bananas.Drink more water – 1.5 to 2 litres/ day.Avoid tobacco chewing, Mawa and smoking.If drugs like anti-hypertensives, antacids, Iron and NSAID’s are causing constipation, change the drug.Use Laxatives if and when required. First preference for Isabgol preparations or Tab. Dulcolax/ Laxicon. Do not give same laxative for long time.Triphala churna, Kayam churn, Ayurvedic preparations are very useful.Tab. Mosa 5mg. tds x 1-2 months, if habitual constipation.If patient has pain at anus, Do per rectal examination and look for fissure, anal stricture or growth.If patient has bleeding or intermittent diarrhea,Ask for sigmoidoscopy or colonoscopy to rule out malignancy in rectum and colon.In Bedridden patients with constipation, give Enema or Glycerin syringe on alternate mornings.Rotate the Laxatives. Avoid use of same laxative for months.
