Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Question: After taking laxatives, when can you expect a bowel movement? === The answer to the above question is
OPTIONS:
- not enough information
- within a few hours
- within a few minutes
- within a few days
within a few days

With the growth of the Internet and the ease of publishing content, more and more creative minds are coming online to share videos, music, software, products, services, opinions, and more. While the technology has empowered a generation to build new audiences and share interesting things, an unfortunate side-effect has been a culture in which some consumers of this content have provided feedback in a form that is personalized, mean-spirited, disrespectful, and in some cases, malicious. We have all seen itthe trolls, the haters, the comment boxes filled with venom and vitriol, typically pointed at people just trying to do good and interesting things. Unfortunately, this conduct can be jarring for many people, with some going as far to give up sharing their creative endeavours so as not to deal with the "wrath of the Internet". As some of you will know, this has been bothering me for a while now. While there is no silver bullet for solving these issues, one thing I have learned over the years is how to put negative, anti-social, and non-constructive comments and feedback into perspective. To help others with this I have written a free book called Dealing With Disrespect. Dealing With Disrespect is a short, simple to read, free book that provides a straight-forward guide for handling this kind of challenging feedback, picking out the legitimate criticism to learn from, and how to not just ignore the haters, but how to manage them. The book helps put all communication, whether on or offline, into perspective and helps you to become a better communicator yourself. My goal with the book is that when someone reads something anti-social that demotivates them, a friend can recommend 'Dealing With Disrespect' as something that can help put things in perspective. Question: What is the most probably reason by the author wrote the book? === The answer to the above question is
OPTIONS:
- not enough information
- to provide feedback
- growth of creative minds
- to help someone put things in perspective when they read negative remarks online

Answer: to help someone put things in perspective when they read negative remarks online

Eating less food at night time is sensible advice for someone trying to lose weight. The reason often given is that if eat you too much food at night, the body will store all those excess kilojoules as fat because we're inactive until the next day. The reason sounds plausible, but if it was one hundred percent true then world hunger could be solved by just feeding people one meal at night time. What really matters is how much is eaten over days and weeks for weight gain or weight loss, not so much when it is eaten. There is merit though in advice to eat less at night time as it can help a person to cut back on the total quantity of food eaten. Eating lots of food in the evening can also be a marker for unhealthy dietary habits, especially if much of that extra food is going to fuel couch surfing exploits. So even though advice to eat less at night time seems logical, it hasn't actually been well tested by science to see how effective it can be for losing weight. Filling this gap, a short-term study involving 29 healthy men looked at how 2 weeks of restricted night time eating fared against 2 weeks of 'normal' evening eating. Advice on restricting night eating was very clear: avoid any food or drink containing kilojoules between the hours of 7 pm and 6 am the next morning. No other changes to the participants' diet or lifestyle was required so each person was free to eat whatever they wished during the day time hours until early evening. Twenty seven of the twenty nine people complied with following this advice for 2 weeks as well as the 2 week control period. Eating at night a waistline hazard So did people eat less when restricting night time eating? Yes, equal to 1000 kilojoules (about 250 Calories) per day less than during their normal eating pattern. This small energy difference was enough to see the men lose 0.4 kg over the 2 week restriction period, and gain 0.6 kg over the 2 week control period. Question: What amount of calories did the participants in the study probably usually eat per day? === The answer to the above question is
OPTIONS:
- probably they ate about 1200 calories per day
- not enough information
- probably they ate about 2000 calories per day
- probably they ate about 4000 calories per day
not enough information