I am 64 year old with constipation problem for last more than 5 years. My thyroid test is ok and I take one tablet of 100mcg eltroxin daily. Also I take one tab each of covomlo and riometod500 to keep my blood pressure and sugar level in range. I am vegetarian, teetotaler and non-smoker. I also take fibre rich food in my meals daily. I have found 'Kayam" helpful in getting the bowel movement but do not want to be dependent on it for life. I have tried Softovac and it was also helpful in removing the constipation so long as I take it. What other measure or medicine you suggest for permanently curing me from constipation. I live a active life with morning and evening walk and moving during the day for the work.

Dr. Surabhi M.R.General Physician47yrs exp

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If anybody wants CURE for their problems ,we have to identify the root causes, till then temporary measures as you tried some causes of constipation in the age group above 60yrs Factors that predispose older adults to constipation are not a direct consequence of normal aging, though are often closely associated with it. A majority of people over age 65 take one or more medications that affect nerve conduction and smooth muscle function, such as opioids, anticholinergics, NSAIDs, calcium-channel antagonists and calcium supplements. Other factors that increase the risk of constipation in older patients include low-fiber diets, limited fluid intake, impaired mobility and cognitive disorders. Studies have also shown that distinct physiological changes affecting colonic motility can occur in older people. They include myenteric dysfunction, increased collagen deposits in the left colon, reduced inhibitory nerve input to the colon's muscle layer and increased binding of plasma endorphins to intestinal receptors. Diminished anal sphincter pressure or degeneration of the internal anal sphincter, loss of rectal wall elasticity, and, in older women, an increased degree of perineal descent also are well documented. 

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