What would you first advise a constipated patient to do?

The recommendation to increase fluid and fiber intake is pivotal for managing constipation. This approach addresses the underlying causes of constipation by promoting regular bowel movements. Fiber adds bulk to the stool, which helps to stimulate the intestines and enhance peristalsis—the process that moves food through the digestive system. Soluble fiber, found in foods like fruits, vegetables, and whole grains, absorbs water and forms a gel-like substance, which can also soften the stools.

Additionally, adequate fluid intake is crucial because it helps to keep the stools hydrated, making them easier to pass. Without sufficient hydration, even high-fiber diets may not alleviate constipation effectively. This combination of increased fiber and fluids can help to restore regular bowel function naturally.

In contrast, increasing dairy products may exacerbate constipation for some individuals, as dairy can be binding for people who are sensitive to lactose. Taking over-the-counter laxatives can provide temporary relief but does not address dietary habits and may lead to dependency if used frequently. Lastly, while protein is an important macronutrient, it doesn’t play a direct role in alleviating constipation and therefore is not a suitable first step in managing this condition.