• Everyday Comfort and Gentle Support
  
  • .Stay hydrated: Encourage small, regular sips of water, diluted squash, fruit juice, or comforting drinks like porridge, if suitable.
  • Offer fibre-rich foods if possible: fruits, vegetables, pulses, wholegrain cereals—but only if it feels okay for the person.
  • Ease toilet access: Ensure the person can get to the toilet or commode safely, with privacy and dignity. A routine or gentle reminders might help.
  • Encourage gentle movement: Simple movement like sitting up, shifts in position, or a short stroll (if safe) can help the bowel.
  • Light abdominal massage: Massaging the tummy in a gentle, circular motion may bring comfort and stimulate bowel activity.
  • Mindful toileting posture: Sitting slightly forward with feet on a small stool and forearms resting on thighs can help. Allow time, and be supportive.

If constipation is severe and needs quicker relief:

• Suppositories or enemas may be used, especially if oral tablets aren’t possible or practical.
• In complex cases—like when opioids are causing persistent constipation—a specialist may consider newer treatments like methylnaltrexone or naloxegol. These are used carefully, as they may affect pain control and are only prescribed by specialist teams.

• Knowing When to Ask for Help
  Let your healthcare team know if:
  • Bowel movements are painful, very infrequent, or completely absent.
  • There’s bloating or tummy discomfort.
  • You feel your current efforts aren’t helping.

Your nurse or GP can review the plan, check whether adjustments are needed, and refer to specialist palliative care if appropriate.

Constipation is common and treatable. Through a combination of everyday care—hydration, nutrition, movement, privacy—and, when needed, medication, it is usually possible to bring relief. The goal: comfort, dignity, and support for both the person and those caring for them. You’re not alone—help is always available.