CHRONIC CONSTIPATION IN MIDDLE-AGED ADULTS (23–40 YEARS): AN AYURVEDIC AND MODERN REVIEW ON CAUSES, PREVENTION, AND TREATMENT

Chronic constipation is no longer confined to the elderly; it increasingly affects middle-aged adults (23–40 years), a period typically regarded as the peak of physical health and productivity. Sedentary lifestyles, dietary indiscretions, mental stress, and irregular routines are major contributors in this age group. While modern medicine focuses on pharmacologic solutions, Ayurveda identifies underlying doshic imbalances—particularly Vāta and Agnimāndya—as the root cause. This review aims to integrate both modern and Ayurvedic perspectives on the aetiology, prevention, and treatment of chronic constipation in middle-aged individuals, with an emphasis on individualised and holistic care.