The next time a patient complains of chronic constipation, send them (masked, of course) to the grocery store.
In a comparative study of three nonpharmacologic treatments for chronic constipation, all significantly reduced symptoms from baseline, but prunes were the most effective and kiwifruit produced the highest satisfaction scores. Psyllium rivaled prunes for efficacy, but the rates of dissatisfaction were twice as high on this therapy relative to prunes and five times higher than kiwifruit,