|Causes||Food Reactions, Lack of movement, Posture, Stress, Prescription Medications|
|See Also||Digestive Conditions, Diarrhea|
|Books||Books on Digestive and Liver Conditions|
|Articles||Articles on Digestive Conditions|
Constipation is defined as having 3 or less bowel movements per week. It typically is not chronic nor serious but can be. The causes of and effective treatments for constipation can vary based on age and activity level.
- 1 Naturopathic Assessment
- 2 Naturopathic Treatment
- 3 References
In order to stimulate the innate ability of the body to heal the causes of disease must be identified and addressed. Constipation may be a symptom of another condition or it may be caused by a variety of factors with lifestyle factors being prominent. A detailed assessment is required to determine which factors are contributing to constipation.
- The dietary factors most commonly associated with constipation include:
- Lack of exercise and a sedentary lifestyle can contribute to the problem.
- Poor posture can impact the movement of the stool through the colon.
- Emotional stress, especially anxiety or holding in of emotions can contribute to constipation.
- Breathing dysfunction can impact bowel function.
- Quitting smoking can contribute to constipation.
- Prescription Medications
- * Medications that can cause constipation include: pain medications, antacids, calcium channel blockers, antiparkinson drugs, antispasmodics, antidepressants, diuretics, anticonvulsants.
- Natural Health Products
- Calcium and iron supplementation can constipate, particularly if taken in a poorly absorbed form or if taken in a dose in excess of what the body can absorb. Mineral chelates (gluconate, picolinate, glycinate) are generally more absorbable than the sulfate or oxide forms.
- Chronic laxative use can suppress the body's natural peristalsis, leading to significant rebound constipation when the laxatives are discontinued.
- Insufficient production or release of digestive secretions can cause constipation.
- How many times per week do you have a bowel movement?
- When was the last time you had a bowel movement?
- Is it difficult to pass?
- Do you strain?
- Does the movement feel complete?
- What are the stools like?
- Constipation is diagnosed by taking the case history.
- In chronic cases a colonoscopy may be used to rule out any underlying condition.
Related Symptoms and Conditions
Constipation is associated with a number of conditions including:
- Other Digestive Conditions:
- Intestinal obstruction
- Chronic Intestinal Pseudo-Obstruction
- Other Conditions
|Article||Management of Opioid-Induced Constipation, NDNR; 2013 January|
The goal of naturopathic treatment is to support and work in tandem with the healing power of the body and to address the causal factors of disease with individual treatment strategies. Constipation is typically an acute condition that can be treated effectively.
It is always advisable to work with a naturopathic doctor before engaging in any treatment plan.
The following may help to re-establish bowel regularity.
- Never repress an urge to defecate.
- Sit on the toilet at the same time every day (even when the urge to defecate is not present) preferably immediately after breakfast or exercise.
Lifestyle recommendations include:
- In middle-aged inactive individuals with symptoms of chronic constipation, regular physical activity can improve and promote more normal bowel movements.
- Addressing any postural issues may assist with improved bowel function.
- Proper lower abdominal breathing can decrease the severity and frequency of chronic constipation.
- Addressing any underlying sleep disorders can result in improved bowel function. Sleeping the first part of the night on the right side, and later half on the left may be beneficial.
- Relaxation is an important factor with respect to normal bowel function.
Naturopathic Therapies for constipation include:
- Fruits such as banana, coconut, fig, papaya, pear, loquat, muskmelon
- Nuts and seeds such as walnut, apricot seed, sunflower seed, black sesame seed.
- Vegetables, Roots, Nuts & Gourds such as carrot, white fungus, green onion (white part), taro, spinach, tomato, button mushroom, yam.
- Legumes such as castor bean.
- Fats & Oils such as sesame oil
- Meats such as pork
- Other foods such as maltose, salt, white sugar, sugarcane
- Clinical Nutritional Supplementation includes
- Vitamins such as Vitamin C, Folic Acid
- Minerals such as Magnesium
- Other supplements such as digestive enzymes, probiotics, bile acid, or betaine HCL, Flax Seed Oil, Fibre, Psyllium.
- Note: Consult a doctor before using any laxatives or enemas.
- Botanical remedies such as Aloe (Aloe vera), Bilberry (Vaccinium myrtillus), Boneset (Eupatorium perfoliatum), Centaury (Centaurium erythraea),Dandelion (Taraxacum officinale), Dong Quai (Angelica sinensis), Gentiana (Gentiana lutea), Horse Chestnut (Aesculus hippocastanum), Licorice (Glycyrrhiza glabra), Marshmallow root, Olive (Olea europaea).,  Slippery Elm (Ulmus rubra)
- Bitter herbs stimulate flow of digestive juices. Consult a naturopathic doctor before using stimulant laxative herbs. (E.g. cascara sagrada, cassia senna, turkey rhubarb, yellow dock). Be aware that these herbs are often present in over the counter "colon cleanse" products. Inappropriate long term use of stimulant laxatives can worsen chronic constipation and damage the lining of the colon.
- Herbs that may be beneficial as a tea include: Peppermint (Mentha piperita), Chamomile (Matricaria recutita), Fennel (Foeniculum vulgare)
- Homeopathic remedies such as Alumina, Aloe, Bryonia, Calcarea carbonica, Lycopodium, Nat mur, Nux vomica, Sepia, Silica, Sulphur., 
- Constitutional hydrotherapy can be effective for chronic constipation.
- Osteopathic treatments can be very helpful in the treatment of chronic constipation.
- Other Therapies
- Biofeedback is an effective treatment for chronic constipation.
Specialized Naturopathic Therapies
Specialized therapies that are used to treat constipation include:
- Colon Therapy can be an effective treatment for chronic constipation.
Reviewed by Iva Lloyd, BScH, RPE, ND 
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