A CLINICAL INVESTIGATION OF FECAL pH IN GERIATRIC CONSTIPATION: CORRECTIVE THERAPY

Calloway, N. O.

doi:10.1111/j.1532-5415.1964.tb06845.x

Cited by 5 publications

(3 citation statements)

References 7 publications

(9 reference statements)

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“…Provision of carbohydrate promotes the colonisation of the colon by lactobacilli, the production of organic anions and an acid pH in the lumen (Calloway, 1964), all of which stimulate motility. In infants, the absorptive capacity of carbohydrates such as lactose in the small intestine is so limited that its malabsorption may result in osmotic diarrhoea.…”

Section: Dietmentioning

confidence: 99%

Mild dehydration: a risk factor of constipation?

Arnaud

2003

Eur J Clin Nutr

108

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Constipation defined as changes in the frequency, volume, weight, consistency and ease of passage of the stool occurs in any age group. The most important factors known to promote constipation are reduced physical activity and inadequate dietary intake of fibres, carbohydrates and fluids. Fluid losses induced by diarrhoea and febrile illness alter water balance and promote constipation. When children increase their water consumption above their usual intake, no change in stool frequency and consistency was observed. The improvement of constipation by increasing water intake, therefore, may be effective in children only when voluntary fluid consumption is lower-than-normal for the child's age and activity level. In the elderly, low fluid intake, which may be indicative of hypohydration, was a cause of constipation and a significant relationship between liquid deprivation from 2500 to 500 ml per day and constipation was reported. Dehydration is also observed when saline laxatives are used for the treatment of constipation if fluid replacement is not maintained and may affect the efficacy of the treatment. While sulphate in drinking water does not appear to have a significant laxative effect, fluid intake and magnesium sulphate-rich mineral waters were shown to improve constipation in healthy infants. In conclusion, fluid loss and fluid restriction and thus de-or hypohydration increase constipation. It is thus important to maintain euhydration as a prevention of constipation.

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Section: Dietmentioning

confidence: 99%

Mild dehydration: a risk factor of constipation?

Arnaud

2003

Eur J Clin Nutr

108

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“…Removal of hard stool in fecal impaction was attempted via enema with 4 g of carmellose sodium (Bulkose R ) in 400 mL of water a day [31] and oral administration of magnesium oxide and casanthranol/dioctyl sodium sulfosuccinate (Vemas Combination Tab R ). Since beneficial bacteria are known to be a laxative [32,33], probiotics, including two capsules of Bificolon R (Nishin-Kyorin, Tokyo) a day and 400-500 g/day of plain yogurt, were also given. One capsule of Bificolon contains 2 x 10 9 Bifidobacterium longum, and the capsule can deliver viable bacteria to the colon.…”

Section: Medication For Constipationmentioning

confidence: 99%

Efficacy of a Plant-based Diet (Semi-lacto-ovo-vegetarian Diet) for Treating Constipation

Chiba¹,

Tsuda²,

Tozawa³

2021

RPN

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A modern lifestyle, including dietary westernization, has increased the prevalence of constipation. The authors developed a plant-based diet for inflammatory bowel disease. This study investigated whether a diet containing a high amount of dietary fiber is also effective for constipation. Consecutive patients with constipation were recruited in this study from April 2003 to March 2004. Their constipation was unresponsive to a conventional laxative. The patients were provided a plant-based diet during hospitalization for around two weeks. The plant-based diet was a semi-lacto-ovo-vegetarian diet: unrefined whole brown rice, fish once a week, and meat once every two weeks. The diet contained 29.9±1.9 g of dietary fiber/1,700 kcal. The plant-based diet score, where a higher score indicates greater adherence to the plant-based diet, was 35. A diet of 30 kcal/kg of standard body weight was provided. Defecation within two days with the diet alone or in combination with laxatives was regarded as highly effective and effective, respectively. Eleven patients (three men and eight women, 16 to 92 years old; median age: 70 years) were included; seven patients had no complications of constipation, but the remaining four patients had complications that included fecal impaction, megabowel, colonic pseudo-obstruction, and abdominal distention. Among the seven patients with uncomplicated constipation, the diet was highly effective in six patients and ineffective in one patient. It was effective in all four patients with complicated constipation. There were no adverse effects of the diet. The mean plant-based diet score before hospitalization in nine cases was 18.0. A clinical path of 13 days of hospitalization for the management of uncomplicated constipation was designed. The plant-based diet was safe and highly effective for uncomplicated constipation and effective for complicated constipation. A plant-based diet can be introduced as a special meal in a hospital setting for patients suffering from serious constipation.

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“…This causes acidification of the colonic contents, with resulting stimulation of peristaltic activity and a fourfold increase in osmotic activity, which preserves adequate stool water (3). Complex carbohydrates and their derivatives previously have been used to aid laxation (4, 5). Various difficulties have prevented wider use, e.g., absorption that caused metabolic disturbances in diabetic patients, increased obesity, and aggravated glucose‐sensitivity states.…”

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confidence: 99%

Lactulose Syrup Assessed in a Double‐Blind Study of Elderly Constipated Patients

Sanders

1978

J American Geriatrics Society

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The laxative effects of 50% lactulose syrup and 50% glucose syrup were compared in a 12-week, double-blind study of 47 elderly constipated patients living in a nursing home. The dosage was 30 ml daily taken at bedtime; it was reduced to 15 ml if the initial dosage produced two or more bowel movements daily. The number of bowel movements during treatment in comparison to pretreatment was significantly increased in the 42 patients (19 lactulose, 23 glucose) who completed at least 8 weeks of the study. Laculose was superior to glucose in the mean number of bowel movements per day (p less than 0.02) and in the percentage of days in which at least one bowel movement occurred (p less than 0.05). Reduction in the severity of each 5 symptoms (cramping, griping, flatulence, tenesmus, bloating) was greater with lactulose. For relief of all 5 symptoms, lactulose was significantly more effective than glucose (p less than 0.04). The striking reduction in the number of fecal impactions (only 6 in the lactulose patients vs 66 in the controls) was highly significant (p less than 0.015). The lactulose patients needed fewer enemas than did the controls. No abnormal values were observed in laboratory tests.

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A CLINICAL INVESTIGATION OF FECAL pH IN GERIATRIC CONSTIPATION: CORRECTIVE THERAPY

Cited by 5 publications

References 7 publications

Mild dehydration: a risk factor of constipation?

Mild dehydration: a risk factor of constipation?

Efficacy of a Plant-based Diet (Semi-lacto-ovo-vegetarian Diet) for Treating Constipation

Lactulose Syrup Assessed in a Double‐Blind Study of Elderly Constipated Patients

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