What are the recommended first-line treatments for adults with chronic constipation in primary care?

Offer a bulk-forming laxative, such as ispaghula, as the first-line treatment for adults with chronic constipation in primary care ¹.

Encourage lifestyle measures including increased dietary fibre intake, adequate fluid intake, and regular activity ¹.

Advise a regular, unhurried toileting routine and responding promptly to the sensation of needing to defecate ¹.

Key References

• CKS - Constipation
• CG99 - Constipation in children and young people: diagnosis and management