Constipation Concern in People with Intellectual and Developmental Disabilities

Photo of a person clutching stomach and sitting on a toilet holding up a paper with a drawn unhappy face next to a photo of a person holding a cartoon of a smiling colon with thumbs up.

Our walking groups explore various health topics. Recently our health focus emphasized the importance of bowel management. In the winter we tend to be less active, eat more unhealthy foods, and drink less water. However, being proactive can make a positive difference. Here is some helpful information to increase bowel health.

Did you know?

Constipation is a prevalent and significant issue among individuals with intellectual and developmental disabilities (IDD). This often leads to serious health complications and a diminished quality of life. Research indicates that between one-third to half of people with IDD suffer from chronic constipation.

What are the risk factors?

Several factors can contribute to the increased risk of constipation in this population.

Severe Intellectual Disability: Individuals with more profound intellectual disabilities are more susceptible.

Dysphagia: Difficulty swallowing can complicate dietary intake and hydration.

Cerebral Palsy: This condition often limits mobility, which is crucial for regular bowel movements.

Poor Mobility: Reduced physical activity can slow down the digestive system.

Polypharmacy: The use of multiple medications, common in people with IDD, can have side effects that include constipation.

Toileting Support: Greater need for assistance with toileting can delay or complicate bowel movements.

Two photos with white text that reads "Remember Risk Factors. The photo on the left is a person with IDD wearing a green shirt and jeans, smiling, and sitting in a wheelchair. The photo on the right is a doctor reviewing medication and a pharmacy brochure with a patient and bottle of pills.

What can help?

Chronic constipation in individuals with IDD can lead to significant health issues, including severe discomfort, pain, and even life-threatening conditions. It can also exacerbate behavioral problems, making daily care more challenging. Addressing constipation in individuals with IDD requires a comprehensive approach.

Dietary Adjustments: Increasing fiber intake through fruits, vegetables, and whole grains can help.

Hydration: Ensuring adequate fluid intake is essential.

Physical Activity: Encouraging regular movement can stimulate bowel function.

Medication Review: Regularly reviewing and adjusting medications with healthcare providers is important. Minimize medications that contribute to constipation.

Routine and Support: Establishing a consistent toileting routine can help when providing necessary support for those with severe disabilities.

Regular monitoring of bowel health is crucial, especially for those with severe disabilities. Developing personalized bowel care plans can help manage and prevent constipation effectively.

Cancel Constipation

In summary, constipation is a common but serious issue for individuals with IDD. A proactive, individualized approach to diet, hydration, physical activity, and medication management is essential to improve quality of life and overall health. Small changes can make a big difference.

Need more information and help with health topics? Contact us to schedule a training with one of our HCQU Nurses or a Behavioral Health Specialist. E-mail our Training Coordinator, Denise Quinn at dquinn@MilestonePA.org or call our office 724-283-0990. Don’t forget about the resource of the Bristol Stool Chart. Learn more https://www.webmd.com/digestive-disorders/poop-chart-bristol-stool-scale.