$Unique_ID{BRK00951} $Pretitle{} $Title{Are Laxatives Not Being Made as Strong as They Used to Be?} $Subject{constipation medication medications aging age aged Digestive colon laxatives older old elderly elder geriatric diet fiber drink fluid exercise} $Volume{T-12} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Are Laxatives Not Being Made as Strong as They Used to Be? ------------------------------------------------------------------------------ QUESTION: Although it seems to be worse lately, I have had to use a laxative for most of my adult life to keep regular. However, I think it has never been as bad as now, and I wonder if my medicine isn't being made as strong as they used to? I am sure there are many others who would like a word from you about caring for their constipation. ------------------------------------------------------------------------------ ANSWER: Your question is one that is asked quite frequently and so I am happy to discuss it for you. The word "constipation" has an interesting origin, in that it comes from the Latin meaning "to crowd together". More than $250 million is spent each year for laxatives in this country alone, so there must be many people who feel they need help. That may not always be so, for many who use laxatives would normally have five to seven normal movements a week, which is really all that is necessary to maintain health. However as we grow older our bodies do change the way they function, it is harder to move around (which helps the process of digestion), and new diets may fail to contain enough bulk. When chronic and severe constipation is the complaint, a good medical evaluation is necessary to determine if there are any underlying medical problems that might yield to treatment. However, many times a change in diet, which adds additional fiber and encourages you to drink six to eight glasses of fluid daily, may help remedy the situation. If you can add a bit of exercise, perhaps long daily walk, to your schedule of activity, you may achieve your goals. If your current laxatives seem less than effective, try choosing one that is a bulk forming preparation that contains materials which absorb water, forming a larger mass which can stimulate the bowel's actions. Since there are many other types of laxatives, with different actions on your system, your own physician is the best source of advice for you special situation. However, I don't think that they have reduced the amount of active ingredients in your current medication. It's just that you have been changing bit by bit over all these years, and your needs are now different. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.