A guide to talking to your doctor or pharmacist

Embarrassed to talk about your bathroom habits? You’re not alone. Most of us are uncomfortable about bringing up the subject when the going gets tough. While everyone gets constipated from time to time, don’t ignore symptoms if they go on for too long – they could be a sign of a bigger problem.

Here’s a checklist to take to your doctor or pharmacist to discuss any changes to your bathroom habits that may be worrying you.

What to do with this questionnaire:

  1. Fill it in
  2. Print it out
  3. Bring it with you to start a conversation with your doctor or pharmacist at your next visit.

What are my risk factors ?


What signs have I noticed?

No Yes, for less than a week Yes, for more than a week
Fewer bowel movements than usual
Lumpy or hard stools
Having to strain to pass stools
Feeling like I cannot completely empty my bowel

What am I doing about it?

No Yes, for less than a week Yes, for more than a week
Eating more high-fibre foods like vegetables, fruit, whole grains and beans
Eating fewer low-fibre foods, like processed food, dairy and meat
Drinking lots of fluids
Being more active and trying to get more regular exercise
Trying to better manage stress
Taking a non-prescription laxative(s)

What can I ask my doctor or pharmacist ?

Don’t forget to ask your doctor or pharmacist today if Dulcolax® could be an option for you.

Privacy Statement

Dulcolax is committed to protecting your privacy. We promise to keep all the information that you share with us confidential. We only collect your personal information to help build your discussion guide. We do not share your information with any outside parties.