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What are the recommended first-line treatments for adults with chronic constipation in primary care?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 14 August 2025

Offer a bulk-forming laxative, such as ispaghula, as the first-line treatment for adults with chronic constipation in primary care 1.

Encourage lifestyle measures including increased dietary fibre intake, adequate fluid intake, and regular activity 1.

Advise a regular, unhurried toileting routine and responding promptly to the sensation of needing to defecate 1.

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