Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 516

Bulking agents commonly used include wheat or oat bran, psyllium (ispaghula), calcium polycarbophil, carboxymethylcellulose, and partially hydrolysed guar gum. A recent systematic review showed fibre supplementation to be beneficial in mild to moderate chronic constipation and in IBS.⁴³ Whilst taking fibre supplements, ensure that patients are drinking an adequate amount of water to avoid hard and bulky stools. In patients with faecal impaction, those who are bedbound, or with minimal fluid intake, fibre supplements should be avoided.⁴³ Side effects of fibre supplements include bloating and increased flatulence.