Nutritional care of the patient with constipation
Abstract
Chronic constipation is defined as a symptom-based disorder based on the presence for at least 3 months in the last year of unsatisfactory defecation characterized by infrequent stools, difficult stool passage, or both. On the other hand, the presence of clinically important abdominal discomfort or pain associated with constipation defines irritable bowel syndrome (IBS) with constipation. Intake of dietary fibre and bulking agents (psyllium) may be effective in alleviating chronic constipation in patients without slow colonic transit or disordered constipation. On the other hand, fibre may improve stool consistency in patients with IBS with constipation, but it is considered to be not effective in improving abdominal pain, distension or bloating. Probiotics may be effective in relieving constipation; however, the effect of lactic acid bacteria ingestion may be dependent on the bacterial strain used and the population being studied. Lactulose, which is a substrate for lactic acid bacteria (prebiotic), is effective to treat patients with chronic constipation.
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Probiotics may be effective in subjects with mild to moderate constipation.
“Thus, probiotics may be effective in subjects with mild to moderate constipation and controlled and well-designed studies in this type of subjects are warranted [34] .”
From Effect of a fermented milk containing Bifidobacterium lactis DN-173010 on Chinese constipated women (2008) · cites this paper as [34]
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References 53 · Cited by 65
- Authors
- Fernández-Bañares, F.
- Venue
- Best Practice & Research Clinical Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 20
- Issue
- 3
- Pages
- 575-587
- ISSN
- 1521-6918 (ISSN-L)
- OpenAlex
- W2049054039
- Cited by
- 65
- References
- 53
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 5 · 2012: 1
- FWCI
- 5.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Keywords
- chronic constipation, dietary management, dietary fiber, psyllium, bulking agents, irritable bowel syndrome with constipation, probiotics, lactic acid bacteria, lactulose, prebiotics, abdominal pain, stool consistency
- MeSH terms
- Chronic Disease, Constipation, Dietary Fiber, Humans, Nutritional Support, Dietary Supplements
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