#Constipation

For many Thais, digestive discomfort is a familiar but unwelcome part of life, often going undiscussed despite its frequent impact on daily well-being. Recent research and expert perspectives are shining new light on five key supplements that may help to relieve constipation, a condition that is common across Asia as it is in the West. A new interview with a leading US gastroenterologist and research findings published in 2024 provide timely, science-backed guidance for Thais considering supplement options, and reveal which strategies are best supported by evidence in both international and Asian contexts.

A daily walk could be the key to smoother digestion and less discomfort, according to recent advice from leading gut-health dietitians and a growing body of international research. While many in Thailand struggle with constipation, particularly those in urban areas with sedentary lifestyles, experts highlight that a simple routine of regular walking offers a powerful, natural boost to digestive health—no medicine required.

Constipation, characterized by infrequent or difficult bowel movements, is a widespread issue globally and in Thailand. Urbanization, reduced physical activity, and changing dietary habits have all contributed to a rise in digestive complaints among both children and adults, according to the Thai Gastroenterological Association (ThaiGA). While increasing fiber and water intake remain tried-and-true remedies, new insights published by EatingWell, and echoed in international studies, point to walking as the number one exercise for keeping the bowels moving (EatingWell).

Experts are giving renewed attention to psyllium husk as the best supplement to promote regular bowel movements, according to new research and consensus among gut health professionals. This natural fiber, derived from the seeds of the Plantago ovata plant, has been proven not only to ease constipation but to support comprehensive gut health, offering a solution that is increasingly relevant for Thai readers as constipation rates rise and fiber-deficient diets become more common.

Constipation is a discomfort that many individuals globally encounter, manifesting as an occasional inconvenience or a persistent challenge. It’s no surprise, then, that finding effective relief is a shared priority. Recent insights from gastroenterologist Sandhya Shukla, M.D., highlight five potential remedies accessible through dietary supplements and everyday foods, offering new hope and strategies for those dealing with constipation.

Constipation affects around 16% of adults in the United States, illustrating its commonality and impact on daily life. This gastrointestinal issue can often lead to bloating, discomfort, and frustration. For many Thai readers, this might resonate closely given the noticeable dietary and lifestyle shifts toward more Western habits in urban areas like Bangkok. Specifically, these five supplements are now highlighted for their potential to alleviate constipation effectively: psyllium husk, specific strains of probiotics, magnesium oxide, polyethylene glycol, and, interestingly, prunes or prune juice.

Senna Alexandrina, known in Thailand as มะขามแขก, is one of the most storied herbal remedies in both Eastern and Western pharmacopoeias—a symbol of the rich fusion between ancient Thai wisdom and global medical science. Heralded for centuries as a gentle but effective laxative, มะขามแขก (Cassia acutifolia Del., Cassia angustifolia Vahl., also called Alexandrian or Indian senna) holds a unique place in household medicine cabinets, herbal shops, and increasingly, the laboratories of clinical researchers. What began as ritual healing imported along ancient trade routes is now at the heart of conversations about safe, effective, and natural approaches to digestive health, especially as Thailand and the world reconsider the role of traditional medicines in modern lifestyles.