Most previous guidance on the management of chronic constipation has focused on the use of medication. However, new guidance funded by the British Dietetic Association, and produced by a team of UK-based clinicians (Dimidi et al, 2025), gives the first comprehensive evidencebased dietary guidelines for the management of chronic constipation in adults. As well as the effect on the bowel, chronic constipation is prospectively associated with an increased risk of urgency and hesitancy among parous middle-aged women (Alhababi et al, 2021).