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MICHAEL J. ARNOLD, MD, MHPE

Am Fam Physician. 2026;113(4):404-406

 This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.
• Increasing fluid and dietary fiber intake can improve symptoms in 85% of patients who do not have identified underlying pathology.
• Osmotic laxatives, including polyethylene glycol and magnesium salts, are recommended over stimulant laxatives when medications are required
• Electromyography biofeedback therapy provided by a pelvic floor physical therapist is an effective treatment for constipation related to pelvic floor dysfunction.
• Before considering surgery for anatomic abnormalities in chronic constipation, all functional causes should be ruled out.
From the AFP Editors

Constipation is one of the most common gastrointestinal disorders, with a worldwide prevalence of 15%. Risk factors include inactivity, low socioeconomic status, low-fiber diet, female sex, age older than 65 years, and non-White race. The American Society of Colon and Rectal Surgeons published guidelines for the management of chronic constipation.

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, MHPE, Assistant Medical Editor.

A collection of Practice Guidelines published in AFP is available at https://www.aafp.org/afp/practguide.

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