Constipation is a disease of civilization.
Constipation is a widespread condition. Around 20-30% of all people suffer from constipation problems. It occurs more frequently in older people, and women are affected more often than men. Laxatives are often prescribed to provide relief.
Benötigen Sie eine persönliche Beratung?
Unsere medizinisch-wissenschaftliche Abteilung steht Ihnen für fachliche Fragen gerne zur Verfügung. Sie erhalten eine individuelle, kostenfreie Beratung durch unser geschultes Fachpersonal – per E-Mail, über die Chat-Funktion auf unserer Website oder telefonisch über unsere Hotline.
Causes of Constipation
The causes of constipation are diverse. In addition to a low-fiber diet, insufficient fluid intake, and lack of exercise, conditions such as irritable bowel syndrome, electrolyte imbalances, and neurological or hormonal disorders can play a role. Medications can also exacerbate constipation.
Symptoms
Constipation is diagnosed if, within the last six months, at least two of the following criteria are met in three months:
- Straining during bowel movements
- Lumpy or hard stool
- Feeling of incomplete evacuation
- Feeling unable to pass stool
- Fewer than 3 bowel movements per week
- Soft, unformed stool only under laxative therapy
- Insufficient criteria for irritable bowel syndrome
Differences Between Laxatives
There are many types of laxatives: bulking agents, stool softeners and lubricants, motility-influencing, and anti-absorptive agents. Most work by binding water to the stool and increasing water content in the intestine. Bulking agents also increase stool volume, making it softer and easier to pass.
Long-term Use of Laxatives Leads to Dependence
Laxatives, whether chemical or plant-based, stimulate bowel movements but long-term use can create a dependence effect. The bowel becomes lax and requires external stimuli to function. Gradual discontinuation, dietary adjustments, and increased physical activity can help reactivate the bowel.
Side Effects
Besides dependence, laxatives can cause bloating, abdominal pain, or nausea. Diarrhea indicates overuse. Long-term use can lead to excessive electrolyte and water loss, which may cause low blood pressure, heart rhythm disturbances, reflex failures, muscle weakness, or vomiting.
Plant-Based Alternative to Laxatives
To counter chronic constipation, synbiotics—combinations of probiotics and prebiotics—are recommended. The bacterial strain Bifidobacterium animalis lactis supports natural bowel function. Clinical studies show that bifidobacteria are reduced in constipation. Combined with fructooligosaccharides and psyllium husks, a synbiotic is formed that has been clinically shown to alleviate symptoms.
In addition to synbiotics, dietary fiber intake should be increased. Fresh fruits and vegetables promote softer stool and enhance bowel movements. Regular exercise further supports digestion.
Conclusion
Constipation is a modern lifestyle disease affecting many people. Laxatives can provide short-term relief but may lead to dependence and side effects. With synbiotics, a high-fiber diet, and regular exercise, digestion can be sustainably supported.
For acute constipation, we recommend: Casa Sana FreeLaxan