<p>Constipation (Chronic Constipation): In every case of chronic constipation, initial treatment should consist of a diet rich in fiber (vegetables, salads, fruits etc.) a generous amount of liquids and much physical exercise. Lactulose is only to be taken when these measures prove insufficient.<br />
<br />
Intestinal flora disturbances:</p>

<ul>
	<li>In damaged to intestinal flora (e.g. following long-term antibiotic treatment)</li>
	<li>gall bladder diseases</li>
	<li>intestinal diseases ( Colitis, Diverticulosis, Megacolon)</li>
</ul>

<p>Increased blood ammonia levels (hyper ammoniemia in hepatopathy, portal-systemic encephalopathy).</p>