Traitement de la constipation : 8 idées fausses à combattre

Abstract

La constipation chronique est un symptôme fré-quent. Les traitements disponibles, en vente libre ou sur prescription médiale, sont nombreux mais satisfont de manière insuffisante de nombreux patients. De nombreuses idées fausses persistent dans l'esprit des patients mais aussi de nombreux médecins pouvant conduire à des recommandations thérapeutiques inefficaces allant contre la médecine basée sur les preuves. Pour citer cette revue : Colon Rectum 5 (2011). Mots clés Constipation · Dolichocôlon · Fibres · Laxatif irritantAbstract Chronic constipation is common in the general population. Many treatments, OTC or after medical prescription, are available, but these do not meet all the needs. Several myths and misconceptions still persist in the minds of not only patients but also physicians, leading to therapeutic recommendations that are not efficient and evidence based. To cite this journal: Colon Rectum 5 (2011).

Preventing constipation: a review of the laxative potential of food ingredients

“…From 1995 to 2007, diet of Australian children was higher in fibre and lower in fat or sugar (Rangan et al ., ). Eating more and more fibre may not necessarily be the universal solution for the prevention of constipation: 15–20 per day might be acceptable while very low intake of fibre (7 g day −1 ) would be insufficient (Dukas et al ., ; Coffin, ). Major differences in gastrointestinal responses of individuals might appear beyond a minimal dose of dietary fibre.…”

“…The laxative potential of sugar alcohols such as sorbitol, mannitol, lactitol and rare sugar alcohols is well known. When eaten in large amounts, sugar alcohols are likely to provoke bloating problems and diarrhoea because of intestinal malabsorption and increased colonic osmolarity (Patil et al ., ; Oosaka, ; Coffin, ). Sorbitol is more laxative than maltitol, isomalt or lactitol (Livesey, ).…”