Managing Constipation During Dieting: Tips for Relief and Recovery - Gastroenterology and Hepatology

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Dieting has led to constipation, with bowel movements occurring every 2-3 days. There is difficulty in passing stool, and the stools are small, only 2-3 pellets?


Hello, doctor.
Recently, I have been dieting, which has led to severe constipation.
However, I am still eating 2 apples, 1 banana, and steamed leafy greens daily, yet I am still experiencing constipation.
I also jog for about an hour almost every day.
I would like to ask the doctor, if this is just a short-term diet and I want to improve my constipation, should I take a stool softener, use an enema, or use both at the same time?

Yang Mie Mie, 20~29 year old female. Ask Date: 2015/11/23

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: You can take a stool softener for a short period with a physician's prescription.
Additionally, if you are eating less, there will be less food residue, and if you do not experience bloating, it may not be necessary to take medication.
It is advisable to restore a normal balanced diet as soon as possible.
I recommend using a calorie counting method for weight loss, as it is healthier.
Once you lose weight, having established a correct understanding of nutrition will make it less likely for you to regain it.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/11/23

More Info


Managing constipation during dieting can be a challenging issue, especially when you are trying to maintain a healthy lifestyle while restricting your calorie intake. Constipation can occur for various reasons, including inadequate fiber intake, dehydration, and changes in physical activity levels. Even though you are consuming fruits and vegetables, it is essential to ensure that your overall diet is balanced and that you are getting enough fiber and fluids to support healthy digestion.

First, let's discuss the dietary aspects. While apples and bananas are good sources of fiber, it's crucial to ensure that you are consuming a variety of fiber-rich foods. Aim for a mix of soluble and insoluble fiber. Soluble fiber, found in foods like oats, beans, and fruits, can help soften stool, while insoluble fiber, found in whole grains, nuts, and vegetables, adds bulk to the stool and helps it move through the digestive tract.
In addition to fruits and vegetables, consider incorporating whole grains such as brown rice, quinoa, and whole-wheat bread into your diet. These foods can provide additional fiber that may help alleviate constipation. It's also important to consume adequate amounts of fluids, as dehydration can lead to harder stools that are more difficult to pass. Aim for at least 8-10 cups of water daily, and consider drinking warm fluids, such as herbal teas or warm water with lemon, which can stimulate digestion.

Physical activity is another crucial factor in managing constipation. While you mentioned that you are jogging for an hour almost every day, consider incorporating other forms of movement, such as walking, stretching, or yoga, which can also promote bowel movements. Engaging in regular physical activity can help stimulate the muscles in your intestines, making it easier for stool to pass.

If dietary changes and increased physical activity do not provide relief, you may consider using over-the-counter remedies. Stool softeners can be helpful in making stool easier to pass, while laxatives can stimulate bowel movements. However, it's essential to use these products cautiously and not rely on them long-term, as they can lead to dependency. If you choose to use a stool softener or laxative, it's advisable to start with the lowest effective dose and monitor your body's response.

In some cases, an enema may be appropriate for immediate relief, especially if you are experiencing significant discomfort. However, this should not be a regular practice, as frequent use of enemas can disrupt your body's natural bowel function.

Ultimately, if your constipation persists despite these measures, or if you experience severe pain, blood in your stool, or other concerning symptoms, it is essential to consult with a healthcare professional. They can help identify any underlying issues and provide personalized recommendations based on your specific situation.

In summary, managing constipation during dieting involves a combination of dietary adjustments, adequate hydration, regular physical activity, and, if necessary, the use of over-the-counter remedies. By taking a holistic approach, you can improve your digestive health and alleviate constipation effectively.

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