Constipation commonly occurs with age. For reasons not understood bowel transit times decrease and motions become harder, less frequent and more difficult to pass with increasing age. Occasionally, constipation is a sign of more sinister conditions of the large bowel. Medical investigation is appropriate where the change has been sudden and not explicable in terms of dietary modification. Sometimes constipation is a variation on the Irritable Bowel Syndrome.
Because constipation is so common, there is no end to the preparations on sale for the provision of a soft, gentle and altogether regular bowel motion. The three rules of medicine in the management of constipation are fibre, fibre and more fibre.
Home Remedies
Dietitians recommend an intake of fibre exceeding 30 grams a day. Most people eat far less than this amount. When supplementation of dietary fibre is indicated the p-roper fibre base line before adding over the counter laxatives is six tablespoons of unprocessed bran fibre every day. It is difficult to advise how six tablespoons of bran can be consumed palatably every morning. None the less, such consumption remains the corner stone in the management of intractable constipation.
People looking to the pantry for a once only purgative experience will find that a tea spoon of Epsom salts in a glass of water every two hours invariably produces a loose watery motion within 12 to 24 hours. For gentle regulation of constipation over and above the use of fibre it is necessary to add over the counter preparations to the daily anti constipation ritual.

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