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References Lall, S., Tung, L
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Dietary modifications: Gradually increase dietary fiber intake to 25-35 grams daily through whole grains, fruits, vegetables, and legumes Maintain adequate hydration (aim for pale yellow urine as an indicator of proper hydration) Avoid excessive caffeine and alcohol, which can contribute to dehydration Consider a fiber supplement (psyllium, methylcellulose) if dietary intake is insufficient, starting with a low dose and increasing gradually Bowel habit optimization: Respond promptly to the urge to defecate rather than delaying Avoid prolonged sitting on the toilet (limit to 5 minutes or less) Do not strain during bowel movements
Treatment with adjunctive N-acetylcysteine in an adolescent with selective serotonin reuptake inhibitor-resistant anxiety