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Stage 4 Kidney Failure with Constipation: Causes and Management

Stage 4 Kidney Failure with Constipation: Causes and ManagementConstipation is most often defined as having a bowel movement less than 3 times per week. People with Stage 4 Kidney Failure may experience this problem. Here, we would like to talk about the causes and management of this problem.


▪ Low-fiber diet. In Stage 4 Kidney Failure, patients are often suggested to follow a diet low in sodium, protein, phosphorus, and potassium. Many vegetables and fruits high in these minerals should be limited or even avoided. Since vegetables and fruits are main sources of fiber, limiting these foods can lead to insufficient supply of fiber, thus resulting in constipation.

▪ Not drinking enough water. Some patients with swelling may need to restrict the intake of water. Over time, restriction of fluid intake can result in constipation.

Other possible causes also include lack of physical activity, delaying the impulse to have a bowel movement, travel or other changes in routine, certain medications (like antacids, pain medications), etc.


Talk with your doctor about changing your diet and increase your physical activity level are the easiest way to relieve constipation. Other methods also include:

a. Senna tablets or liquids are proper for the treatment of this condition in people with Stage 4 CKD. Avoid fybogel and oral rehydration salts. Seek medical advice if this symptom persists.

b. Limit the consumption of alcohol and caffeinated drinks.

c. If you feel urge to have a bowel movement, don't delay. The longer you wait, the harder your stool will become.

d. Consult your doctor about suitable fiber supplements to take if needed.

Hope the above suggestions can be helpful. If you still have any question about Stage 4 Kidney Failure, feel free to chat with our online doctor. Have a good day!

  • Tag: CKD symptoms
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