Are Concepts About Constipation and Dietary Fiber Changing?

After reading in detail the valuable review article by Korgh et al regarding chronic constipation management, we would like to mention some new points about chronic constipation which were not considered in this review. A high fiber diet was mentioned as a component of lifestyle modification and a main part of slow transit constipation therapy. Recently, a new concept has suggested that a high fiber diet is an aggravator of not only constipation, but also other colorectal disorders such as diverticulosis. It has been reported that reducing or eliminating fiber from one’s diet can alleviate chronic constipation and its associated symptoms. The oral consumption of probiotics is reported to reduce chronic constipation severity.