Book Appointment Now
Bowel health is an important but often overlooked topic in older adults. Many people believe that having fewer bowel movements is automatically a problem, or that taking laxatives is always necessary. However, constipation and changes in bowel habits are common with age and can often be managed with simple lifestyle adjustments.
As a geriatrician, I want to share five key facts and five common myths about constipation and bowel health in older adults.
5 Facts About Bowel Health and Constipation in Older Adults
- Bowel Habits Naturally Change with Age
As people age, digestion slows down, and the muscles in the intestines become weaker. This can lead to less frequent bowel movements, but it doesn’t always mean constipation.
- Constipation Can Have Many Causes
Common causes of constipation in older adults include:
✔ Low fiber intake (not enough fruits, vegetables, or whole grains)
✔ Dehydration (not drinking enough water)
✔ Medications (painkillers, blood pressure drugs, and some antidepressants)
✔ Lack of physical activity
✔ Underlying medical conditions (such as diabetes or thyroid problems)
- Regular Bowel Movements Can Vary from Person to Person
There is no “normal” number of bowel movements per week. Some people go once a day, while others go three times a week—both can be healthy. What matters most is how easy and comfortable the bowel movements are.
- Chronic Constipation Should Not Be Ignored
Long-term constipation can lead to complications such as hemorrhoids, anal fissures, or even bowel obstruction. If constipation lasts more than a few weeks, or is accompanied by pain, blood in the stool, or weight loss, a doctor should be consulted.
- Lifestyle Changes Are the Best Long-Term Solution
The best way to prevent and manage constipation is by:
✔ Eating more fiber-rich foods (fruits, vegetables, whole grains, and nuts)
✔ Drinking enough water daily
✔ Staying physically active
✔ Going to the toilet when you feel the urge (delaying can worsen constipation)
✔ Using laxatives only when necessary and under medical advice
🔻 5 Common Myths About Bowel Movements and Constipation
- “You Must Have a Bowel Movement Every Day”
❌ Myth: Not going to the toilet every day means you are constipated.
✅ Truth: Everyone’s bowel habits are different. If there is no discomfort or straining, less frequent bowel movements are not a problem.
- “Laxatives Are the Best Way to Treat Constipation”
❌ Myth: Taking laxatives regularly is a good way to stay regular.
✅ Truth: Overuse of laxatives can make the bowel dependent on them and lead to worsening constipation. They should be used only when needed and under medical supervision.
- “Drinking Less Water Won’t Affect Bowel Movements”
❌ Myth: You don’t need to drink much water to keep your bowels moving.
✅ Truth: Dehydration is a major cause of constipation. Drinking at least 6–8 glasses of water daily helps soften stools and makes them easier to pass.
- “Only Older Adults Get Constipated”
❌ Myth: Constipation is just a normal part of aging.
✅ Truth: While constipation is more common in older adults, it is not a natural or inevitable part of aging. It is usually caused by diet, lifestyle, medications, or medical conditions.
- “Eating More Fiber Always Fixes Constipation”
❌ Myth: If you’re constipated, just eat more fiber.
✅ Truth: Fiber helps prevent constipation, but too much fiber without enough water can actually worsen constipation. It’s important to increase fiber gradually while also drinking plenty of fluids.
Final Thoughts: Keep Your Bowels Healthy!
Good bowel health is essential for comfort and overall well-being. To maintain regular and healthy bowel movements:
✔ Eat a balanced, fiber-rich diet
✔ Drink plenty of water
✔ Stay physically active
✔ Avoid overusing laxatives
✔ See a doctor if constipation becomes severe or persistent
By taking these simple steps, older adults can maintain a healthy digestive system and enjoy a more comfortable life.
