Constipation Update

What is contipation, anyway?

If you ask an ‘expert’ what is a normal ‘bowel habit,’ the answer will reflect what is ‘normal’ to the expert.  Unfortunately, there is no general consensus of opinion as to what is truly ‘normal.’

What is irrefutable is the fact that other mammals have bowel movements every time they eat.  If you have a dog or cat, they enjoy ‘going outside’ for a walk after each meal.  This reflects the gastro-colic reflex that is present in mammals.

Stimulate the stomach with distension and the distal bowel readies itself for defecation.  Unfortunately, we are just so much smarter than our dogs and cats that we’ve trained our bowels to behave more like suitcases, where we carry around waste material.  This is unhealthy in the extreme.

As we age, the colon distends, that is, it gets fatter and fatter, which makes the muscle in the colon weaker and weaker.  We find ourselves clearing our bowel once a day, if we are ‘regular,’ and every few days if we are ‘irregular.’  Both of these situations are unhealthy.

Our Goal:   With colonic re-training, our goal is to have bowel movements after each scheduled meal, that is, 3 times, daily.


  1. Increase insoluble fiber intake
  2. Enteric coated Cape Aloe
  3. Flax Seed Oil

I prescribe these three products to my patients as: 

  1. Fiber Plus 3 capsules, twice daily.
  2. Dr Dave’s Defec-Aid, two capsules at bed time.
  3. Flax Seed Oil 1000 mg, two capsules at bed time.

These are available at and they are pretty inexpensive to take. I put them together in the ‘specials’ section, to make it a little easier to get started. 

It takes two days, and things move on and out.

I will be introducing the evening two medications in a convenient packet.  It takes me time to get around to these things, but I should have it on the market in about 6 weeks.

About David S Klein, MD 149 Articles
David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology. Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine. He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively. Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.