A close ally of bowel obsession. Very difficult to treat. Be Certain of the Diagnosis Especially in frail elders, a rectal exam needs to be performed at some point before extensive therapy is undertaken to detect impaction or mass. Distinctions must be made between the syndromes of bowel obsession, serious infrequency, and painful or difficult bowel movements before extensive therapy is initiated. The need for large and adequate sources of undigestible substance in the diet can't be over-emphasized.
Many people have difficulty with flatulence when fiber is increased.
The walk after dinner to allow socially acceptable passage and some exercise may help. Fluid Most old people don't drink enough water. Then doctors sometimes put them on fluid restriction and make matters worse. If you use artificial sources of fiber and don't have adequate fluid, the fiber can be constipating, defeating your purpose. Exercise Fiber supplements Don't give up if one doesn't work.