Patient was educated on the common causes of constipation as follows:

1. Lack of physical activity

• Lack of physical activity slows down the bowels.
• Consequently, more water is absorbed from the feces in the large intestine and the stool becomes hard.
• Having a regular exercise schedule helps move the bowel easily and thereby, offer relief to constipation.

2. Pain killers

• Use of pain killers, such as, Norco can result in extremely slow bowel movements and constipation, as a side effect of the pain killer.
• Constipation is a frequent occurrence in patients with chronic use of pain killers.

3. Increased soluble fiber in the diet

• Increased amounts of soluble fiber in the diet can absorb water from the feces and make it hard and difficult to pass.

4. Abuse of laxatives

• Abuse of laxatives overtime can result in dehydration, electrolyte imbalances and chronic constipation.

5. Neurological disorders

• Neurological disorders, such as, multiple sclerosis, can result in poor nervous control on bowel movement and result in constipation.