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Increase fluid intake |
Increase dietary soluble fiber (avoid if severely debilitated or bowel obstruction is suspected) |
Encourage mobility |
Ensure comfort and privacy for defecation |
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Intermittent use of a rectal therapy, either a suppository such as bisacodyl or glycerin, or mineral oil and/or sodium phosphate enema |
Intermittent use (every 2 to 3 days) of an osmotic laxative, such as polyethylene glycol, magnesium hydroxide, or magnesium citrate |
Trial of a daily softening agent (docusate) for patients who describe hard, dry stools |
Intermittent use (every 2 to 3 days) of a contact cathartic, such as senna or bisacodyl |
Daily use of polyethylene glycol |
Daily use of lactulose (unless lactose-intolerant) or sorbitol |
Daily use of a contact cathartic |
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