I have constipation My bowel movements are regular but have

Patient

Q: I have constipation. My bowel movements are regular but have difficulty passing stools everyday as it is hard. As long as i take prune juice everyday, its fine but as soon as i stop taking prune juice it again starts. What should i do? Is taking prune juice eveyday safe?

Doctor

A:   Hello,
Welcome to ATD. Thank you for the query.

Prunes act as a natural laxative and they contain fiber so including prunes or prune juice in your diet may help to manage constipation. Everyone responds to dietary changes differently so you may need to experiment with how much you need to get relief. Prunes are not a high-fiber food, but two medium prunes do contain about 2 grams of fiber and a ½ cup of prune juice has about 2.6 grams. There are other foods high in fiber, such as whole grain cereals which can have between eight and 20 grams of fiber per ¾ cup. A ½ cup of beans can provide four to almost 10 grams of fiber and a ½ cup of raspberries has about eight grams of fiber. Since prunes and prune juice are low in fiber you would need to eat 20 to 35 prunes or drink four to seven cups of prune juice every day to meet your fiber needs.
Just drinking prune juice alone may not be enough to manage your constipation. You must also adopt other healthy habits, such as drinking at least 1½ to 2 quarts of water and other fluids a day, since dehydration can contribute to constipation. Also, ignoring the need to have a bowel movement may eventually cause you to no longer feel the need to go which can then lead to constipation. Getting plenty of exercise on a regular basis and eating a a wide variety of fruits, vegetables and whole grains are other ways to help keep your bowels working properly.
As food passes through your intestines, your colon absorbs the water from the food and forms waste products and stools. The muscles of the colon then contract to push the solid stools out to be eliminated. A lack of fiber in the diet, especially the soluble kind, is a leading cause of constipation. Soluble fiber dissolves in water and takes on a soft, gel-like texture in the intestines. This can help to soften the stools, making them easier to pass. Insoluble fiber passes through the intestines almost unchanged but it helps to keep the intestinal muscles strong, as the intestinal muscles must work to push it through. To help avoid or treat constipation, you should consume 20 to 35 grams of fiber each day, and getting a mix of soluble and insoluble.

Hope this helps. Take care.

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