Advise patients with constipation to manage their symptoms by giving advice on eating a healthy, balanced diet that includes whole grains, fruits high in sorbitol, and vegetables, with fibre intake gradually increased to about 30 g per day to minimize flatulence and bloating NICE CKS.
Encourage adequate fluid intake, especially if there is a risk of dehydration, with at least 1.5 liters per day if appropriate, to support bowel function NICE CKS.
Promote increased activity and exercise levels if these are below the recommended levels, as physical activity may help prevent constipation NICE CKS.
Recommend helpful toileting routines, such as responding immediately to the sensation of needing to defecate, maintaining a regular, unhurried toilet routine, and ensuring access to privacy and support if mobility is limited NICE CKS.
Advise on a regular, unhurried toilet routine, giving time to ensure complete defecation, and responding immediately to the sensation of needing to defecate NICE CKS.
Ensure access to supported seating and appropriate help for those with limited mobility, and promote privacy during toileting NICE CKS.
In cases where lifestyle measures are ineffective, consider a stepped approach with oral laxatives, starting with bulk-forming laxatives such as ispaghula NICE CKS.