Fluid and fiber. Soluble fiber is more important than insoluble in treating constipation. Increase fluid intake to several glasses per day. Stool softeners and lubricants. Avoid products that combine stool softeners with irritant laxatives unless specifically indicated.
Mineral oil is an alternative that works as a lubricant.
Usual starting dose is 1 tablespoon QHS and the dose can be increased as needed to a maximum of 4 tablespoons per day. Mineral oil may interfere with the absorption of fat-soluble vitamins. Be cautious in the elderly or those with swallowing problems because of the danger of aspiration. Mainstay of therapy for chronic constipation. Examples include nonabsorbable sugars such as lactulose or sorbitol.