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The physician who sees a patient with constipation may suggest a first-line treatment that has no medicines. This treatment is known as high fiber therapy, involving increased consumption of fiber rich supplements and foods. Psyllium and bran are two examples of excellent seed-sources of fiber.

A good number of people will also have come across manufactured products such as Metamucil. Metamucil is made by Procter and Gamble, and has high psyllium fiber in crushed form that can be taken with water. One question one might ask is whether there are natural high sources of fiber? The answer is yes. A prime example is the prune. But more interestingly, the prune contains another ingredient that has excellent laxative properties.

Plums have been a part of mankind’s food source for many millennia. Archaeologist evidence shows large number of pits in waste sites that go back to ancient times. Then as now, the process for manufacturing prunes has probably changed relatively little. The plum fruit is harvested from the plant and then arranged in a cool oven structure. The plums are dehydrated at 180 degrees Fahrenheit for a little under 20 hours. The resulting prunes are collected for further processing.

The chemical composition of a prune is actually quite complicated which is what makes it an ideal food that acts as a natural laxative. Even though we can analyze its chemical composition, our understanding of how each chemical acts in relieving constipation is somewhat unclear.

The main fact that is well-known and undisputed is that prunes contain a large amount of fiber. A less well-known but established fact is that prune juice has almost no fiber, yet still is able to provide constipation relief to people who drink it. The reason is due to its sorbitol content. Sorbitol acts as a bulk laxative, and acts synergistically with fiber.

On top of ingredients with laxative properties, prunes are a high energy source. The high energy is derived from its mix of both simple and complex sugars such as glucose and fructose. People who eat prunes get a quick energy boost as well as a sustained one from digestion of complex sugars.

There are many other compounds in prunes that we don’t fully understand but believe to be of benefit to health. For example, phenolic compounds might synergize with the natural laxative action. Potassium in prunes and prune juice are hypothesized to be good for heart health. Prunes seem certainly like a wonder food.

Although there’s no need to prepare the prunes in a special way before eating, a commercial food preparer in the United Kingdom stumbled upon a home recipe for treating constipation that involves blending prunes with other fruits and vegetables. The recipe, known by the name Beverley-Travis, has become famous and even studied for its efficacy in improving digestive health.

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In late 2002, the U.S. Federal Drug Administration decided to restrict the sale of aloe and cascara products which were being marketed for laxative purposes. After this, senna became the sole surviving class of herbal laxatives being sold on large scale in the U.S. The plant has its origins in the East African region and Middle East, but can also be found in more temperate locations.

Of interest to readers may be the fact that the word senna comes from Arabic and Hebrew words, a fact that is consistent with what’s known about senna’s geophysical origins. Cassia is another common name. The ingredient that is responsible for its anti-constipation properties is the anthraquinone compound. More broadly speaking, anthraquinones have been established to be an active agent in other laxatives.

It’s quite plausible given what we know about senna’s etymological and geographical origins that its use actually goes back centuries. It was used in an unprocessed, essentially raw, form in times past. Nowadays, advanced manufacturing processes allow the herb to be bought in capsule or tablet form. Consumers can also opt for the tea formulation.

Despite its categorization as a natural laxative, all consumers must remain sensitive to the quality standards of the manufacturing company or producer. In the hands of an unscrupulous company, herbal treatments can become dangerous. Furthermore, even if companies take pains to maintain high quality, taking could have side effects and consequences because of its unregulated status. There’s no reason that a natural laxative can have dangers too. Although allergic responses have not been reported frequently, it’s still something to be aware of.

For additional safety, all buyers of senna should be well-informed of the warnings related to taking the senna herb. Medical and scientific studies have indicated that those who have a history of problems with heart disease, and those with hypertensive tendencies may react poorly to senna. The bottom line is that anyone who wants to try a new kind of laxative treatment, whether its natural or not, should ask for information from his personal physician.

Though it originally was taken as an herb, modern day formulations of senna are quite varied. A senna tea is available for people who wish to brew it and drink it. It’s possible that the usage of senna in antiquity was based largely on the tea form. Some nutritional and supplement stores carry it in a tablet or capsule form. The capsules might have other types of minerals or supplements to give it additional bulk and health value such as calcium.

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(Foreword: The following information is provided as is, and should not be construed as an endorsement of any kind of the items mentioned. Furthermore, all readers should ask for the advice of a doctor when making choices concerning health. The writer is not a doctor and is providing the article from research obtained from third party sources.)

Numerous statistical figures have quoted that the impact of constipation to be as low as 2% to as high as 30%. A large recent 2006 survey conducted by the famous pharmaceutical company Boehringer Ingelheim pinpoints the number to be at 12% worldwide. Even at 2% though, most people would agree that constipation seems to be a problem afflicting a broad segment of the population.

One of the problems associated with statistical surveying of constipation is that it’s a poorly defined condition. This translates into an impact on diagnosis and treatment. For example, one physician might believe that having a bowel movement every three days is ok, but another physician would be alarmed at the low frequency. The source of the inconsistent opinions is that bowel movement frequency is itself highly variable from person to person. This difficulty in definition is compounded by differences in patient-reported symptoms such as difficulty or pain in passing stool, or excessive time spend on the toilet.

After diagnosis, the patient and the physician must still face the task of trying to determine the fundamental cause of constipation. For some, the constellation of symptoms might suggest something such as irritable bowel syndrome (IBS). For others, incomplete control of muscles in the rectum due to trauma or injury can be a source of constipation. Yet for the largest group, there is no clear cause. This last group are classified into the “idiopathic” group.

The first step a patient diagnosed with idiopathic constipation might take is high fiber therapy, whether or not the patient’s self-reported intake of fiber seems to be sufficient. The reason for this is that high fiber therapy is accessible and gentle on the patient. There are two ways to carry out the treatment, one by increasing intake of foods high in insoluble fiber, the other by dosing with specific amounts of fiber supplements. The advantage of high fiber therapy is that the success of the therapy also confirms the diagnosis.

There are several other natural remedies which are not fiber-related, examples of which are anthraquinone herbs such as senna. However, one should never succumb to the idea that a natural treatment is a safe one automatically. The Federal Drug Agency (FDA) recently forced some natural remedies off the market for safety reasons. As a result, manufacturers can no longer market aloe vera and cascara medications as constipation remedies. Nevertheless, other remedies are available.

There are also a number of prescription-only constipation medications available. Some of these act as laxatives, whereas others are special compounds that modulate the functional properties of the gastrointestinal tract. In recent times, exciting therapies such as biofeedback have also risen to prominence. Expect treatments for constipation to advanced greatly in the next few years.

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