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Constipation
To understand what causes constipation, it helps to know how the large intestine
works. The large intestine removes most of the water from stool and changes it to a
solid waste. The large intestine then moves the stool through the rectum and anus as
a bowel movement.

Constipation occurs when stool passes through the large intestine too slowly. When
stool stays in the large intestine too long, the intestine removes too much water, and
the stool becomes hard and dry.

Some lifestyle habits that may cause constipation include:

    -   changing your normal diet, exercise, or travel habits
    -   ignoring the urge to have a bowel movement
    -   feeling a lot of stress
    -   eating a low-fibre diet
    -   not drinking enough liquids
    -   taking calcium or iron supplements
    -   taking medicines such as painkillers with codeine; diuretics, also known as
        water pills; medicine for depression; and some antacids


Some medical conditions that may cause constipation include:

    -   problems with the muscles and nerves in the intestine, rectum, or anus
    -   irritable bowel syndrome, a condition in which the nerves that control the
        muscles in the intestine don’t function correctly; the intestine becomes
        sensitive to food, stool, gas, and stress
    -   diabetes, a condition in which a person has high blood sugar, also called
        hyperglycaemia, because the body cannot use blood glucose, or blood
        sugar, for energy
    -   hypothyroidism, a condition in which the thyroid gland does not produce
        enough hormone to meet the body’s needs and many of the body’s
        functions slow down




Constipation                        Food & Nutrition                                 1
What can I do about constipation?

You can take several steps to prevent and relieve constipation:


1. Eat more fibre

    Fibre helps form soft, bulky stools and is found in many vegetables,
    fruits, and grains. Be sure to add fibre to your diet a little at a time
    so your body gets used to it. Limit foods that have little or no fibre
    such as pizza, ice cream, cheese, meat, snacks like chips, and
    processed foods such as instant mashed potatoes or frozen
    dinners. Some people have gas and bloating when they first
    start eating more fibre.
    Increasing your fibre dose will automatically improve your
    intestine muscle and nerve movements and increase the
    involved hormone levels.


2. Drink plenty of water and other liquids

    Liquids have an effect on stool form; drinking enough fluids
    is important because dehydration can cause
    constipation. Try not to drink liquids that contain caffeine,
    sugar or alcohol if you feel thirsty or dehydrated.
    Water or tea, not to cold would be the best choice.


3. Get enough exercise

    Regular exercise helps your digestive system stay active and
    healthy. Just walking 20 to 30 minutes every can already stimulate
    your digestive system.



4. Allow yourself enough time to relax.

    Sometimes people feel so hurried that they don’t pay attention to
    their body’s needs. Make sure you visit the restroom when you
    feel the urge to have a bowel movement. Reading a book or
    magazine in the restroom can help you relax.




Constipation                         Food & Nutrition                          2
High Fiber Food Chart


Category A (more than 7 grams per serving)
Food                        Amount                     Total fibre (grams)
Avocado                     1 medium                            11.84
Black beans, cooked         1 cup                               14.92
Bran cereal                 1 cup                               19.94
Broccoli, cooked            1 cup                                 4.5
Green peas, cooked          1 cup                                8.84
Kale, cooked                1 cup                                7.20
Kidney beans, cooked        1 cup                               13.33
Lentils, cooked             1 cup                               15.64
Lima beans, cooked          1 cup                               13.16
Navy beans, cooked          1 cup                               11.65
Oats, dry                   1 cup                               12.00
Pinto beans, cooked         1 cup                               14.71
Split peas, cooked          1 cup                               16.27
Raspberries                 1 cup                                8.34
Rice, brown, uncooked       1 cup                                7.98
Soybeans, cooked            1 cup                                7.62



Category B (more than 3 grams per serving)
Food                        Amount                     Total fibre (grams)
Almonds                     1 oz.                                4.22
Apples, w/skin              1 medium                             5.00
Banana                      1 medium                             3.92
Blueberries                 1 cup                                4.18
Cabbage, cooked             1 cup                                4.20
Cauliflower, cooked         1 cup                                3.43
Corn, sweet                 1 cup                                4.66
Figs, dried                 2 medium                             3.74
Flax seeds                  3 tsp                                6.97
Grapefruit                  1/2 medium                           6.12



Constipation                        Food & Nutrition                         3
Food                         Amount                     Total Fibre (grams)
Green beans, cooked          1 cup                                3.95
Olives                       1 cup                                4.30
Oranges                      1 medium                             3.40
Papaya                       1 each                               5.47
Pasta, whole wheat           1 cup                                6.34
Peach, dried                 3 pcs.                               3.18
Pear                         1 medium                             5.08
Pistachio nuts               1 oz                                 3.10
Potato, baked w/ skin        1 medium                             4.80
Prunes                       1/4 cup                              3.02
Pumpkin seeds                1/4 cup                              4.12
Sesame seeds                 1/4 cup                              4.24
Spinach, cooked              1 cup                                4.32
Strawberries                 1 cup                                3.98
Sweet Potato, cooked         1 cup                                5.94
Turnip greens, cooked        1 cup                                5.04



Category C (less than 3 grams per serving)
Food                         Amount                     Total fibre (grams)
Apricot                      3 medium                             0.98
Apricots, dried              5 pieces                             2.89
Asparagus, cooked            1 cup                                2.88
Beets, cooked                1 cup                                2.85
Bread, whole wheat           1 slice                              2.00
Brussels sprouts, cooked     1 cup                                2.84
Cantaloupe, cubes            1 cup                                1.28
Carrots, raw                 1 medium                             2.00
Cashews                      1 oz.                                1.00
Celery                       1 stalk                              1.02
Collard greens, cooked       1 cup                                2.58




Constipation                         Food & Nutrition                         4
Food                           Amount                       Total fibre (grams)
Cranberries                    1/2 cup                                 1.99
Cucumber, sliced w/ peel       1 cup                                   0.83
Eggplant, cooked cubes         1 cup                                   2.48
Kiwifruit                      1 each                                  2.58
Mushrooms, raw                 1 cup                                   1.36
Onions, raw                    1 cup                                   2.88
Peanuts                        1 oz                                    2.30
Peach                          1 medium                                2.00
Peppers, sweet                 1 cup                                   2.62
Pineapple                      1 cup                                   1.86
Plum                           1 medium                                1.00
Raisins                        1.5 oz box                              1.60
Romaine lettuce                1 cup                                   0.95
Summer squash, cooked          1 cup                                   2.52
Sunflower seeds                1/4 cup                                 3.00
Tomato                         1 medium                                1.00
Walnuts                        1 oz.                                   2.98
Zucchini, cooked               1 cup                                   2.63

Try to stay away from:

- White bread, white noodles and rice, sticky rice
  (Carrefour, Tops, Villa and Tesco have a range of whole grain, noodles and bread)
- eat 3-5 portions of fruits and vegetables a day. Fruits if possible with skin, vegetables
  raw as salad or just cut in sticks or rounds to snack.




Constipation                           Food & Nutrition                               5

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Constipation

  • 1. Constipation To understand what causes constipation, it helps to know how the large intestine works. The large intestine removes most of the water from stool and changes it to a solid waste. The large intestine then moves the stool through the rectum and anus as a bowel movement. Constipation occurs when stool passes through the large intestine too slowly. When stool stays in the large intestine too long, the intestine removes too much water, and the stool becomes hard and dry. Some lifestyle habits that may cause constipation include: - changing your normal diet, exercise, or travel habits - ignoring the urge to have a bowel movement - feeling a lot of stress - eating a low-fibre diet - not drinking enough liquids - taking calcium or iron supplements - taking medicines such as painkillers with codeine; diuretics, also known as water pills; medicine for depression; and some antacids Some medical conditions that may cause constipation include: - problems with the muscles and nerves in the intestine, rectum, or anus - irritable bowel syndrome, a condition in which the nerves that control the muscles in the intestine don’t function correctly; the intestine becomes sensitive to food, stool, gas, and stress - diabetes, a condition in which a person has high blood sugar, also called hyperglycaemia, because the body cannot use blood glucose, or blood sugar, for energy - hypothyroidism, a condition in which the thyroid gland does not produce enough hormone to meet the body’s needs and many of the body’s functions slow down Constipation Food & Nutrition 1
  • 2. What can I do about constipation? You can take several steps to prevent and relieve constipation: 1. Eat more fibre Fibre helps form soft, bulky stools and is found in many vegetables, fruits, and grains. Be sure to add fibre to your diet a little at a time so your body gets used to it. Limit foods that have little or no fibre such as pizza, ice cream, cheese, meat, snacks like chips, and processed foods such as instant mashed potatoes or frozen dinners. Some people have gas and bloating when they first start eating more fibre. Increasing your fibre dose will automatically improve your intestine muscle and nerve movements and increase the involved hormone levels. 2. Drink plenty of water and other liquids Liquids have an effect on stool form; drinking enough fluids is important because dehydration can cause constipation. Try not to drink liquids that contain caffeine, sugar or alcohol if you feel thirsty or dehydrated. Water or tea, not to cold would be the best choice. 3. Get enough exercise Regular exercise helps your digestive system stay active and healthy. Just walking 20 to 30 minutes every can already stimulate your digestive system. 4. Allow yourself enough time to relax. Sometimes people feel so hurried that they don’t pay attention to their body’s needs. Make sure you visit the restroom when you feel the urge to have a bowel movement. Reading a book or magazine in the restroom can help you relax. Constipation Food & Nutrition 2
  • 3. High Fiber Food Chart Category A (more than 7 grams per serving) Food Amount Total fibre (grams) Avocado 1 medium 11.84 Black beans, cooked 1 cup 14.92 Bran cereal 1 cup 19.94 Broccoli, cooked 1 cup 4.5 Green peas, cooked 1 cup 8.84 Kale, cooked 1 cup 7.20 Kidney beans, cooked 1 cup 13.33 Lentils, cooked 1 cup 15.64 Lima beans, cooked 1 cup 13.16 Navy beans, cooked 1 cup 11.65 Oats, dry 1 cup 12.00 Pinto beans, cooked 1 cup 14.71 Split peas, cooked 1 cup 16.27 Raspberries 1 cup 8.34 Rice, brown, uncooked 1 cup 7.98 Soybeans, cooked 1 cup 7.62 Category B (more than 3 grams per serving) Food Amount Total fibre (grams) Almonds 1 oz. 4.22 Apples, w/skin 1 medium 5.00 Banana 1 medium 3.92 Blueberries 1 cup 4.18 Cabbage, cooked 1 cup 4.20 Cauliflower, cooked 1 cup 3.43 Corn, sweet 1 cup 4.66 Figs, dried 2 medium 3.74 Flax seeds 3 tsp 6.97 Grapefruit 1/2 medium 6.12 Constipation Food & Nutrition 3
  • 4. Food Amount Total Fibre (grams) Green beans, cooked 1 cup 3.95 Olives 1 cup 4.30 Oranges 1 medium 3.40 Papaya 1 each 5.47 Pasta, whole wheat 1 cup 6.34 Peach, dried 3 pcs. 3.18 Pear 1 medium 5.08 Pistachio nuts 1 oz 3.10 Potato, baked w/ skin 1 medium 4.80 Prunes 1/4 cup 3.02 Pumpkin seeds 1/4 cup 4.12 Sesame seeds 1/4 cup 4.24 Spinach, cooked 1 cup 4.32 Strawberries 1 cup 3.98 Sweet Potato, cooked 1 cup 5.94 Turnip greens, cooked 1 cup 5.04 Category C (less than 3 grams per serving) Food Amount Total fibre (grams) Apricot 3 medium 0.98 Apricots, dried 5 pieces 2.89 Asparagus, cooked 1 cup 2.88 Beets, cooked 1 cup 2.85 Bread, whole wheat 1 slice 2.00 Brussels sprouts, cooked 1 cup 2.84 Cantaloupe, cubes 1 cup 1.28 Carrots, raw 1 medium 2.00 Cashews 1 oz. 1.00 Celery 1 stalk 1.02 Collard greens, cooked 1 cup 2.58 Constipation Food & Nutrition 4
  • 5. Food Amount Total fibre (grams) Cranberries 1/2 cup 1.99 Cucumber, sliced w/ peel 1 cup 0.83 Eggplant, cooked cubes 1 cup 2.48 Kiwifruit 1 each 2.58 Mushrooms, raw 1 cup 1.36 Onions, raw 1 cup 2.88 Peanuts 1 oz 2.30 Peach 1 medium 2.00 Peppers, sweet 1 cup 2.62 Pineapple 1 cup 1.86 Plum 1 medium 1.00 Raisins 1.5 oz box 1.60 Romaine lettuce 1 cup 0.95 Summer squash, cooked 1 cup 2.52 Sunflower seeds 1/4 cup 3.00 Tomato 1 medium 1.00 Walnuts 1 oz. 2.98 Zucchini, cooked 1 cup 2.63 Try to stay away from: - White bread, white noodles and rice, sticky rice (Carrefour, Tops, Villa and Tesco have a range of whole grain, noodles and bread) - eat 3-5 portions of fruits and vegetables a day. Fruits if possible with skin, vegetables raw as salad or just cut in sticks or rounds to snack. Constipation Food & Nutrition 5