What dietary recommendations can help manage constipation related to opioid use?

• A. Increase bran cereal, prune juice, and physical activity.
• B. Limit fiber intake and avoid fruits.
• C. Increase red meat and starches.
• D. Take laxatives before meals.

Answer: (A)

Opioid-induced constipation is best managed with dietary strategies that increase stool bulk and promote gut movement. Increasing fiber and fluids, along with regular physical activity, helps counteract the slowing effect opioids have on the intestines. Bran cereal provides soluble and insoluble fiber to add bulk, while prune juice supplies sorbitol, a natural laxative that draws water into the colon and softens stools. Physical activity stimulates intestinal peristalsis and can improve stool passage. These nonpharmacologic measures are the first line to ease constipation and reduce reliance on laxatives. In contrast, limiting fiber, avoiding fruits, or piling on low-fiber foods won’t relieve the issue, and using laxatives before meals without medical guidance isn’t a reliable or appropriate long-term dietary strategy.