Constipation in Elderly
Constipation in elderly people can cause injuries or painfully swollen veins in the anal area.
As an elderly person, your digestive system is active to break down food and provide energy for healthy living. The waste generated from this process must be excreted/ expelled to keep the body free of toxins.
Constipation and the Colon: Video
However, there are times when bowel movement reduces, causing stool to become difficult to pass out. Your bowel pattern depends on your individual diet and body process. But, when it becomes impossible to poop comfortably at your regular pace/ routine and the stools are harder than usual, this is undoubtedly constipation.
In the elderly, constipation happens quite frequently. According to research, it has been notably discovered that the risk of frequent constipation increases with age. Elderly people are at a vulnerable age for frequent constipation, which could be caused by many reasons.
Causes of Constipation in the Elderly
Usually, the cause of constipation is linked to one’s diet and water consumption, and movement/ exercise.
Common causes of constipation in the elderly are linked to metabolic and gastrointestinal disorders. Gastrointestinal disorders in the elderly may include; irritable bowel syndrome, megacolon, pelvic floor dysfunction and even rectoceles.
Being an elderly person, it is vital that your diet includes adequate fibre and water/ hydration – a lack of which can frequently lead to constipation.
So, foods rich in fibre for the elderly include fruits, cereals and nuts. Foods such as Apples, Bananas, Broccoli, Barley, Avocados, Citrus fruit, Beans/ Lentils, Oat bran, Berries, Peas, Pistachios…
For hydration, your teas, juice and fluids, in general, all count.
Also, the loneliness, anxiety and depression often faced in old age, could also lead to poor eating habits and constipation in the elderly.
Chronic Constipation – Causes and Treatment: Video
Now, one uncommon reason for constipation in elderly is cancer. For older adults with colorectal cancer, or cases where there is tumour compression of the large intestine, constipation might occur. Regular use of cancer drugs without proper hydration might also lead to constipation.
Other causes of constipation can range from endocrine problems (such as hormonal changes, and diabetes), to neurological causes (including Parkinson disease, Dementia, stroke, and multiple sclerosis) and neurogenic bowel/ constipation.
Signs and Symptoms of Constipation in the Elderly
Understanding the signs and symptoms of constipation will help avoid future health complications. Some common signs include:
- Much-reduced bowel movements than usual
- Dry and hard stools
- Frequent straining, and
- Forced stools
The symptoms experienced during constipation could include;
- Bloated feeling
- Nausea
- Ache or pain felt in the belly
- Lack of appetite from feeling full
Effects of Constipation in the Elderly
Without being able to pass out the waste products from digestion, complications are bound to happen. The effects of constipation in the elderly are usually tricky to manage.
Prolonged constipation might lead to the following effects:
Faecal Impaction
Faecal impaction happens when stool is stuck in the rectum for too long. The stool hardens into a dry mass making it uncomfortable and difficult to use the toilet.
It causes a lot of pain in elderly patients. This faecal impaction if not noticed or treated immediately could further lead to anorexia.
Anal Fissure
As a result of trying to excrete a hard mass of dried stool, the anus might sustain some injuries. This is referred to as anal fissure. An anal fissure is accompanied by a lot of pain and discomfort.
Haemorrhoids
Having swollen veins in your anus region. Constipation can be a symptom of an underlying condition, and haemorrhoids often make constipation worse. Sometimes, certain conditions can make it more difficult to pass bowel movements, which can lead to more haemorrhoids developing.
Although many elderly people experience recurrent episodes of haemorrhoids, it is rare to develop an acute case. The majority of cases occur over time and are related to diet, lifestyle, or underlying conditions. The good news is that nearly all issues can be treated, and many will go away on their own.
Rectal Prolapse
Rectal prolapse is another effect of constipation. It feels like a lump of flesh just below the rectal area, and happens when one’s anus appears downwards from its anal sphincter.
A prolapse happens because of various reasons, including constipation. The protrusion can then become distended, and the resulting lump may start bulging out from the rectum wall. When this occurs, bowel movements may appear to be difficult or even impossible.
Living with constipation can considerably affect your quality of life and social functioning. If not dealt with, over time constipation can lead to anxiety over going out if you haven’t ‘been’. Or even depression. Plus physical discomfort.
Preventing Constipation in Elderly
Understanding how to prevent constipation in elderly will help avoid complications that could become more severe health problems. The foremost medical advice to prevent constipation in the elderly, is proper hydration, getting enough exercise, and high fibre intake.
Also, medications and their side effects can be hard on the system, especially if one has a sickly or weakened immune system. Again, it is essential you drink water and other fluids as frequently as possible. We can’t emphasise that often enough 😊
Constipation – Easing the Strain: Video
As an older adult looking for natural ways of preventing constipation in elderly people, you are not alone. Improper diet, lack of activity, even emotional stress can all be contributors to constipation.
However, there is a natural way to overcome this problem. And that is by making changes to your diet. Choosing healthy, fibre-rich food options. It is essential you eat plenty of fruits and vegetables – low in fat, sugar, and salt. On the other hand, avoid processed/ highly refined foods, alcohol and other unhealthy habits.
Next, if you don’t already do this, check how you sit on the toilet. Try raising your feet on an Adult Toilet Squatting Stool, to encourage squatting. You may find it helps make having a bowel movement easier. Squatting encourages faster, smoother bowel movements.
One thing to remember about frequent constipation is that it is sometimes the result of a weakened colon.
Many things cause a weakened colon. Things such as poor/ limited diets, obesity, high use of laxatives, medications, diseases and more.
So, to help you fight constipation, it is vital that you strengthen your colon. One of the best ways to do this naturally is to eat a wide and varied diet.
Although if you prefer, there are also lots of dietary supplements available that contain natural ingredients. For example, there is cod liver oil, available at many health food stores.
For more information on preventing constipation in elderly people, you should discuss it with your GP or Pharmacist.
Constipation in Elderly Treatment, Treatment for Severe Constipation in Elderly
Treating severe constipation in the elderly is usually straightforward in most cases. The following methods are often used:
Hydration and Dietary Improvement
Fibre is essential to increase bowel movement and ensure easier, regular stooling. It is also crucial that you take in more fluids and liquids.
However, eating more fibre has to follow drinking more water/ fluids/ hydration, to balance and treat constipation. Also, avoiding refined carbohydrates – such as baking flour and white rice – helps.
Restriction of Drug Usage
Some drugs cause a higher risk for elderly people to have frequent constipation.
So, assuming there is no change in your diet, and your diet is fibre-rich, and if there is consistent hydration, finding the drug responsible for constipation is necessary. Such drugs usually contain Iron.
Visiting a doctor at this stage is advisable. to guide the treatment needed to deal with your constipation.
Exercise/ Movement
Exercise and movement help in the process of relieving the pain associated with constipation. Exercise and constipation diets can be an excellent way to help improve constipation.
Physical Therapy Exercises for Relieving Constipation: Video
Indeed, while exercise will provide some benefit in and of itself, it is also important to realise that you need to combine it with a high fibre diet. It is essential to continue with the exercise daily, for as long as your constipation persists.
Laxatives
Laxatives – which could be commonly found in drug stores – are effective in recovering regular bowel movements. If you find yourself suffering from chronic constipation, you may want to consider stool softeners and/or laxatives.
However, other preventative solutions should be considered first. Massaging your tummy can sometimes be as effective as laxatives in the treatment of constipation.
Best Foods for Constipation in Elderly, Diet for Constipation in Elderly
The best foods for constipation in the elderly are high-fibre foods.
Apart from foods rich in fibre such as beans, fresh vegetables and dried fruits, nuts and whole grains are some of the most effective foods for constipation in the elderly. Refined grains such as white rice must be avoided during constipation.
Constipation Foods: 6 Ways to Prevent Constipation Naturally
Does Constipation Cause Confusion In The Elderly?
In the elderly, the pain and discomfort caused by constipation lead to increased levels of confusion in people with dementia. Constipated elderly people with dementia-related diseases, may become aggressive and irritable.
Furthermore, dehydration – a significant cause of constipation – also leads to confusion. That is either directly, or from underlying conditions such as Urinary Tract Infections (UTI’s).
Medications That Cause Constipation in the Elderly
The ingredients in certain drugs lead to a side effect of constipation. Some of these drugs include:
- Antacids (with calcium and/or aluminium)
- Strong pain medication (including codeine, oxycodone and hydromorphone)
- Blood pressure medication (calcium blockers, and beta-blockers)
- Nonsteroidal anti-inflammatory drugs
- Iron supplements
- Antihistamines
In addition, some prescription drugs for diseases in elderly people can also cause constipation. Medications that cause constipation in the elderly include some:
- Medicines for Parkinson’s disease
- Antidepressants
- Seizure medications (phenytoin and gabapentin)
- Opioids
- Anticholinergics
- Antipsychotics
Is Constipation Dangerous In the Elderly?
Usually, constipation is easily treated in the mentally alert elderly, who can speak up at the start of this discomforting condition. But, in older people with dementia, Alzheimer’s disease and other related mental disorders, speaking out on their discomfort will not be easy. And their confusion is bound to increase.
A simple case of constipation could lead to chronic constipation. Chronic constipation is dangerous in the elderly. This is mainly because the longer the stool stays in the rectum, the more water from the waste product is re-absorbed back into the body. That causes the stool to become increasingly dry and hard.
Natural Constipation Relief in 3 Easy Steps: Video
Natural Constipation Relief in 3 Easy Steps
Hard and dry stool blocking the rectum (faecal impaction) could lead to many serious illnesses. The pelvic floor muscles can become damaged, diverticulitis may develop and anal fissures causing pain may also occur.
As you can see, it is vital you do all in your power to prevent constipation. Or at the very least, to see your doctor as soon as possible if it continues for up to 3 days.
Home Remedies for Severe Constipation in Elderly
Home remedies for severe constipation in the elderly are advised to supplement a doctor’s prescription. Home remedies for elderly constipation include a combination of dietary foods. These are;
- Increased daily water/ fluid consumption
- Avoiding caffeine or dehydrating liquids like alcohol
- Avoid dairy foods, including milk and cheese. Or replace with a plant-based alternative like soy or almond milk
- Increase in the intake of fibre-rich foods such as cereal and bran
- Exercising
- Use of mild laxative
Constipation can be avoided in the elderly. Suppose you are a carer to an elderly loved one with dementia or Alzheimer’s. In that case, you need to monitor the frequency of their toilet usage. You also want to watch out for changes in their attitude – aggression, irritation and confusion.
Preventing constipation is best with proper hydration and a balanced diet. Some medications necessary to manage the quality of life can sometimes be the cause of constipation. Therefore, following your doctor’s advice regarding diet is strongly encouraged.
Also, as an elderly person, regular exercise and a fibre-rich diet go a long way in preventing constipation and improving your quality of life.
And – of course – see your doctor if your constipation persists for longer than 3 days. Or if there’s blood in your stool, extreme pain when you poop, or weight loss even though you’re eating normally.
Regular bowel movements are crucial to eliminating waste, and constipation must not be left untreated.
Conclusion
So here we have it… Everything you need to live a less constipated life! What is your favourite food for keeping constipation at bay? And did you try that simple exercise to encourage bowel movements?
Do Share 🙂
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325863/#:~:text=The%20prevalence%20of%20constipation…
https://www.tandfonline.com/doi/full/10.3402/qhw.v11.30732
https://www.alzscot.org/our-work/dementia-support/information-sheets/constipation-and-feacal-impaction#:~:text=Constipation%20in%20people%20with%20dementia,over%2Dthe%2Dcounter%20medicine.
https://my.clevelandclinic.org/health/diseases/4059-constipationhttps://ilcuk.org.uk/wp-content/uploads/2018/11/Burden-of-constipation-report.pdf