What medicine should middle-aged and elderly people take for constipation? 10-day network hotspot analysis and solutions
Recently, the problem of constipation among middle-aged and elderly people has become a hot topic on social platforms and health media. With the improvement of health awareness, how to scientifically relieve constipation has attracted much attention. This article combines hot data from the entire Internet in the past 10 days to provide constipation medication guidelines and precautions for middle-aged and elderly people.
1. Analysis of hot topics across the entire network (last 10 days)

| keywords | Search popularity | Main discussion platform |
|---|---|---|
| Constipation in middle-aged and elderly people | ★★★★☆ | WeChat, Toutiao |
| Diet therapy for constipation | ★★★☆☆ | Xiaohongshu, Douyin |
| Laxative side effects | ★★★☆☆ | Zhihu, Baidu Tieba |
| Probiotic conditioning | ★★★★☆ | JD Health, Lilac Doctor |
2. Comparison of commonly used drugs for constipation in middle-aged and elderly people
| drug type | Representative medicine | Applicable situations | Things to note |
|---|---|---|---|
| volumetric laxatives | Wheat cellulose granules | Mild constipation | Requires a lot of drinking water, slow onset of effects |
| Osmotic laxatives | Lactulose oral liquid | chronic constipation | Use with caution for diabetes |
| Stimulant laxatives | Senna, rhubarb | acute constipation | Not for long-term use |
| probiotic preparations | Bifidobacterium triple live bacteria | Intestinal flora imbalance | Need to be kept refrigerated |
3. Medication misunderstandings in hot discussions
1.Dependence on stimulant laxatives:Recently, many popular science articles have pointed out that long-term use of senna and other drugs may cause colon melanosis.
2.Ignore lifestyle habits:Douyin health blogger @阳生李师 emphasized that simply taking medication without adjusting the dietary structure (such as increasing dietary fiber) will have limited effect.
3.Confusing health supplements with pharmaceuticals:JD.com’s best-selling “colon cleansing tea” products actually contain laxative ingredients, so you need to choose carefully.
4. Step-by-step treatment plan recommended by experts
1.Basic conditioning:Drink 1500-2000ml of water every day and consume 30g of dietary fiber (such as oats, dragon fruit).
2.Medication options:Prioritize the use of osmotic laxatives such as lactulose, and in severe cases, use Kaiselu in combination for a short period of time.
3.Combination treatment:The latest research from Peking Union Medical College Hospital shows that the effectiveness of the combination of lactulose + probiotics can reach 82%.
5. Special precautions
• Constipation accompanied by abdominal pain and blood in the stool require immediate medical attention
• Patients with hypertension should use laxatives with high sodium content with caution
• People who are bedridden for a long time need to cooperate with abdominal massage
Based on the recent trend of health science popularization, it is recommended that middle-aged and elderly people establish a three-in-one management plan of "diet-exercise-drugs" and develop a personalized treatment plan under the guidance of a doctor when necessary.
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