How can I prevent constipation during my treatment?

Constipation, can be a side effect of chemotherapy or other medications prescribed during treatment, such as certain pain medications and drugs that relieve nausea and vomiting.

If you suffer from constipation during treatment the first thing you should do is talk to your doctor who may prescribe a laxative or suppository to help with the constipation. If your doctor recommends an over-the-counter laxative, be sure to follow their advice about how often to take it.

There are a variety of things that you can do to prevent or minimize constipation. Some suggestions are as follows:

• Increase your intake of foods containing fibre such as fresh raw vegetables and fruits, preferably with skin left on (apples, pears, plums), whole grains and cereals including bran and seeds, dried fruits, especially dates, prunes and apricots, and prune juice. Before increasing the fibre in your diet, talk to your doctor as some patients should not have increased fibre, such as those who have had a bowel obstruction.
• Try to drink at least two litres of fluid each day. Suitable fluids include water, fruit juices (except apple juice) and warm liquids. Avoid drinks that contain caffeine, such as soft drinks and coffee, and alcohol, because they can cause dehydration, which may worsen constipation.
• Avoid foods that can cause worsen constipation such as cheese, chocolate and eggs.
• Physical activity is also important during treatment. Even short walks will help alleviate constipation. It is important, however, that the level of activity does not cause you to become overly tired or physically exhausted.