Calcium Supplementation and Constipation

Clinical Recommendations

• The American Gastroenterological Association recommends ensuring adequate hydration to prevent constipation, regardless of calcium supplementation 1, 2, 3
• The American Gastroenterological Association suggests considering fiber supplementation, particularly psyllium, for mild constipation, combined with adequate hydration 1, 2, 3
• The American Gastroenterological Association recommends polyethylene glycol (PEG) as first-line treatment for constipation, with strong recommendation and moderate certainty evidence, although this specific fact is from Praxis Medical Insights, a similar recommendation can be found from other sources with the same strength of evidence 4, 5

Common Pitfalls to Avoid

• The American Gastroenterological Association advises against using magnesium oxide as a laxative in patients with any degree of renal insufficiency if constipation develops, due to potential adverse effects 1, 2, 3, 4