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Constipation is at best an annoying problem and at worst an incapacitating one. Two common causes are a faulty diet and inactivity. Drs Nivatvongs and Hooks propose a trial of dietary fiber for patients in whom an organic cause for constipation cannot be found. Such a trial may prove to be not only diagnostic but also therapeutic. They also discuss the proper use of laxatives, enemas, and surgical procedures.