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If the diagnosis is secondary constipation, efforts should be made to treat the cause (eg, an underlying medical condition or medication side effect), but it may still be helpful for these patients to increase dietary fiber and fluids and to engage in regular physical activity (Rao 2014)

Have a light meal or snack an hour or two prior to your appointment

Take between meals or at bedtime with at least 8 oz

Because of several limitations in the existing literature, future research should focus on large-scale clinical trials with adequate design, sample size, elimination of biases, reporting of adverse events, and standardization of treatment outcomes