What is a recommended initial dietary change for constipation in palliative care if dehydration is not present?

• A. Increase fiber intake
• B. Decrease fiber intake
• C. Avoid liquids
• D. Take laxatives only without dietary changes

Answer: (A)

Increasing dietary fiber is a logical first step when constipation is present but dehydration is not. Fiber adds bulk to the stool, and with adequate fluids, helps soften stool and speed its passage through the colon, making bowel movements easier and more regular. In palliative care, non-drug measures that improve comfort are preferred when feasible, and this dietary change fits that approach. It’s important to introduce fiber gradually to minimize gas or bloating and to ensure sufficient fluid intake. Decreasing fiber, avoiding liquids, or relying on laxatives alone without dietary changes don’t address the stool bulk and hydration that support easier bowel movements, so they’re less appropriate as initial measures.