Understanding Constipation in Renal Patients
You're constipated when you have two or fewer bowel movements in a week, have hard stools over 25 percent of the time or strain to move your bowels more than 25 percent of the time, according to the American Association of Kidney Patients. A low-fiber diet is one of the most common causes of constipation in renal patients. Many high-fiber foods are high in phosphorous and potassium, however, and thus not renal-friendly. Getting adequate fiber by choosing renal-friendly fiber foods may help relieve constipation.
When Dietary Change Isn't Enough
Increasing your fiber intake with renal-friendly foods isn't always enough to prevent or relieve constipation. Medications that some renal patients take, such as phosphate binders, cause constipation also. Adding a fiber supplement may help with constipation, and there are some options that don't affect your fluid intake. If you're still having problems with constipation, talk to your doctor about prescribing a stool softener. It's not a long-term solution, it but can bring temporary relief.
Points for You to Consider
Talk to your doctor to determine how much fiber you need to relieve constipation. Your physician will provide you with individualized dietary instructions outlining your goal range for potassium and phosphorous, as well as fluids. The goal is to get enough fiber while remaining within this range. Increase your fiber intake slowly; a sudden increase may cause gas, bloating or abdominal discomfort. Increasing fiber won't work for all patients, but it's a good starting point.
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