10 Tips on Constipation and Incontinence of Stool

1. Despite widespread belief, constipation is not necessarily a part of growing older.
2. Bowel habits are similar in both younger and older healthy people.
3. Constipation is defined as stools that are:
   • Too small
   • Too hard
   • Too difficult to pass
   • Infrequent (less than 3 per week)
4. Constipation is caused by:
   • Not enough dietary fiber or fluids
   • Medication side effects
   • Emotional or physical stress
   • Misconception about normal bowel habits
   • Lack of activity
   • Medical problems
5. How to manage mild-to-moderate constipation:
   • Gradually add dietary fiber from variou sources
   • Increase fluids (water, soup, broth, juices)
   • Eat meals on a regular schedule
   • Chew your food well
   • Gradually increase daily exercise
   • Respond to urges to move your bowels
   • Avoid straining
   See your doctor if these measures don't work
6. Dietary therapy (increased fiber and fluids) and fiber supplements are the preferred treatment for chronic constipation.
7. In some cases, your doctor may recommend the use of stool softeners.
8. Use of mineral oil or stimulant laxatives regularly, consult your doctor to make sure what you are using is right for you.
9. Incontinence of stool or fecal soiling is most often due to leakage around a fecal impaction. Removing the impaction will usually restore continence.
10. Incontinence of stool in healthy older people deserves full education and treatment. Treatment options include:
    • Adjustment in dietary fiber to reduce amount of stool
    • Medications to decrease stool frequency
    • Prescribed use of enemas (not soap enemas)
    • Biofeedback training