International Journal of Homoeopathic Sciences

Introduction: constipation is defined as a decrease in the frequency of bowel movements (typically fewer than three per week), associated with straining, hard stools, or a sensation of incomplete evacuation. The prevalence of constipation increases with age due to decreased gut motility, comorbidities, polypharmacy, and reduced physical activity.

Method: The current study aims to assess the efficacy of individualized homeopathic remedies in relieving constipation symptoms in geriatric patients (above 60 years), diagnosed with chronic constipation as per Rome IV criteria assessed using the Bristol Stool Form Scale and Quality of Life (QoL) questionnaire.

Results: The effectiveness of the prescribed medicines was evaluated using the Patient Assessment of Constipation Quality of Life (PAC-QOL) scale. The results showed a consistent reduction in PAC-QOL scores after treatment, indicating a significant improvement in the quality of life of the participants. The mean difference in PAC-QOL scores before and after treatment was 16, with a calculated t-value of 5.59 at 29 degrees of freedom. This value corresponds to p<0.001, signifying a highly significant improvement.

Conclusion: The findings suggest that individualized homoeopathic medicines have a positive influence on bowel regularity, stool consistency, and the subjective well-being of elderly patients with constipation. The progressive improvement observed across subsequent follow-up visits further supports the curative response and sustained benefit of the prescribed remedies.