Constipation
Constipation is very common among women with metastatic breast cancer, especially those taking pain relief drugs.
The possible causes of constipation include:
- the side effects of some drugs, especially pain relief drugs such as codeine or morphine
- a low-fibre diet
- not drinking enough fluids
- not eating enough food
- lack of movement due to immobility or weakness
Inform your doctor about any constipation that you experience, so that it can be evaluated and controlled.
Treatment of constipation includes:
- encouraging increased fluid and fibre intake
- laxatives
- enemas if required
Some practical suggestions to help prevent and relieve constipation are listed. These suggestions are based on the experience of health professionals working with women diagnosed with cancer and from women themselves.
- Follow a gentle exercise program that is appropriate for you
- Increase the fibre in your diet as far as possible, for example by eating fresh fruits and vegetables and grains
- Increase your water intake.
- Take laxatives to prevent constipation.
- Talk to your doctor about the most appropriate laxative for you.


