Foods That Can Help Reduce Constipation: A Practical, Evidence-Based Guide for Better Bowel Movements

Essential Concepts: Foods That Can Help Reduce Constipation

• Constipation is not just “not going.” It can mean hard, dry stools, straining, or a feeling of incomplete emptying, even if you have bowel movements. (Rome Foundation)
• Food helps constipation in three main ways: adding stool bulk (insoluble fiber), holding water in the stool (soluble and gel-forming fiber), and supporting gut fermentation that can improve transit (certain fermentable fibers). (Mayo Clinic)
• Fiber works better with fluids. Increasing fiber without enough fluid can backfire, especially in people prone to hard stools. (NIDDK)
• A realistic daily fiber target for many adults is roughly the mid-20s to upper-30s grams, depending on age and sex. Many people eat far less, which is one reason constipation is common. (NIDDK)
• Prunes (dried plums) have strong evidence. Their mix of fiber and natural sugar alcohols can increase stool output and improve bowel habits in adults with low stool frequency. (ScienceDirect)
• Kiwifruit has growing evidence. Trials suggest daily kiwifruit can increase complete spontaneous bowel movements in some people with constipation patterns. (American College of Gastroenterology)
• Legumes, oats, and seeds are high-impact constipation foods because they combine fiber types and water-holding capacity that support softer, easier-to-pass stools. (Mayo Clinic)
• A sudden big fiber jump can cause bloating, cramps, and even worsen constipation. Increase fiber gradually over days to weeks. (Verywell Health)
• Constipation with severe pain, vomiting, rectal bleeding, fever, or inability to pass gas can be urgent. Seek prompt medical care for these warning signs. (Mayo Clinic)

Background: What Constipation Means and Why Food Choice Matters

Constipation is a symptom, not a single disease. It usually reflects how stool is forming, how much water it holds, and how efficiently the colon moves contents forward. For many people, constipation is intermittent and linked to diet, fluid intake, routine, stress, travel, or changes in activity.

Food matters because stool is largely made from water plus undigested material, fiber, bacteria, and intestinal secretions. What you eat can change stool volume, stool softness, and the chemical signals that influence intestinal motility.

This guide is designed to do two jobs at once. First, it gives fast, direct answers about which foods most reliably help reduce constipation. Then it expands into a deeper, structured explanation so you can make choices that fit your body, preferences, and any health constraints.

What Counts as Constipation, and How Can You Tell?

Many people define constipation as “less than three bowel movements a week.” That can be part of it, but it is not the whole story. A widely used clinical definition centers on symptoms such as straining, hard or lumpy stools, a sense of incomplete emptying, or a feeling of blockage. Frequency is only one criterion. (Rome Foundation)

Stool form can be a practical clue. Very hard, pellet-like stools are often associated with constipation patterns, while smoother, soft stools tend to be easier to pass. (Stanford Medicine)

A useful way to think about constipation for personal health is this: if bowel movements are difficult, uncomfortable, unusually infrequent for you, or consistently hard and dry, dietary changes may help. But if constipation is new, severe, or paired with warning signs, it deserves prompt medical evaluation.

How Do Foods Help Reduce Constipation?

Food can improve constipation through several overlapping mechanisms. Understanding them helps you choose the right foods instead of simply “adding fiber” and hoping for the best.

Fiber Adds Bulk and Helps the Colon Move Stool

Insoluble fiber adds physical bulk. Bulk tends to stimulate the colon’s natural movement and can shorten transit time for some people. Soluble fiber can also increase stool mass by holding water and forming a gel, which can make stool easier to pass. (Mayo Clinic)

Soluble and Gel-Forming Fibers Hold Water in the Stool

Certain fibers absorb water and swell. That can soften stool and reduce friction. This is one reason foods like oats and many seeds can be helpful for hard, dry stools. (Mayo Clinic)

Fermentable Fibers Support the Gut Microbiome

Some fibers are fermented by gut bacteria. Fermentation produces short-chain fatty acids and other metabolites that can influence motility and stool consistency in ways that vary by person. This is one reason two people can eat the same “high-fiber” food and get different results.

Natural Sugars and Sugar Alcohols Can Pull Water Into the Colon

Some fruits contain natural sugar alcohols such as sorbitol. Sorbitol is not fully absorbed in the small intestine, so it can draw water into the bowel and soften stool. Prunes are the best-known example because they combine sorbitol with fiber and other bioactive compounds. (ScienceDirect)

Fluids Help Fiber Do Its Job

Fiber and fluid are a paired strategy. Fiber helps stool hold water, but it cannot hold water that is not available. Many constipation resources emphasize that fiber works better when you drink enough liquids. (NIDDK)

What Are the Best Foods That Can Help Reduce Constipation Quickly?

If your goal is the most reliable dietary help, the evidence and physiology point to a short list of high-yield options. These foods tend to help by more than one mechanism, which is why they show up repeatedly in constipation research and clinical practice.

Prunes and Dried Plums

Prunes have some of the strongest food-based evidence for improving stool output and bowel habits. Trials in adults with low stool frequency and low fiber intake have found increases in stool output and improvements in bowel movement patterns with daily prune intake. (ScienceDirect)
Prune juice has also been studied in chronic constipation and may help soften hard stools and improve subjective symptoms, likely through a combination of sorbitol and other components. (Europe PMC)

Kiwifruit

Kiwifruit has been studied as a daily intervention for constipation patterns, including comparisons with fiber approaches. Results vary by study design and population, but evidence supports a meaningful benefit for some people, particularly for increasing complete spontaneous bowel movements. (American College of Gastroenterology)

Legumes

Beans, lentils, and related foods provide fiber, resistant starches, and other components that can increase stool bulk and support softer stool. They can be very effective when introduced gradually.

Oats and Barley

Oats and barley provide soluble fiber that holds water and can improve stool form. They also tend to be easier to tolerate than abrupt increases in coarse bran for some people.

Seeds With Water-Holding Fiber

Chia and flaxseed contain fiber that can hold water and increase stool softness, though tolerance depends on hydration and portion size. Clinical trial evidence exists for flaxseed interventions in constipated adults, including those with metabolic conditions, with improvements reported in constipation-related outcomes. (Springer)

How Much Fiber Do You Actually Need to Help Constipation?

Many adults do not meet typical fiber targets, and constipation is one common consequence. Fiber recommendations vary by age and sex, and commonly cited ranges for adults fall roughly in the low-20s to mid-30s grams per day. (NIDDK)
Population-level summaries also note that many adults eat substantially less than recommended. (Harvard Health)

For constipation, the practical goal is not simply “more fiber.” It is enough fiber, from a mix of sources, increased at a pace your gut can handle, paired with adequate fluid.

Why “More Fiber” Sometimes Makes Constipation Worse

Fiber is often a first-line dietary strategy, but it is not universally helpful. Problems arise when:

• Fiber increases too quickly, leading to gas, bloating, and cramps.
• Fiber increases without enough fluid, leaving stool bulky but still dry.
• A person has slow transit constipation, pelvic floor dysfunction, or another cause where bulk alone does not fix the underlying issue.

Symptoms from too much fiber or too rapid an increase can include bloating, abdominal discomfort, and worsening constipation. Guidance commonly emphasizes gradual increases and attention to fluids. (Verywell Health)

Foods That Can Help Reduce Constipation by Fiber Type

A useful way to choose constipation foods is to understand what kind of fiber they emphasize. Most plant foods contain a mix, but many lean in one direction.

Insoluble-Fiber Foods That Add Bulk

Insoluble fiber tends to add structure and bulk to stool. Foods in this group often include:

• Wheat bran and high-bran cereals
• Whole wheat and other whole grains with intact structure
• Many vegetables, especially when skins and stems are included
• Nuts and some seeds

Bulk can help stimulate intestinal movement, but it can also cause discomfort if added too fast.

Soluble and Viscous-Fiber Foods That Hold Water

Soluble and viscous fibers form gels and help stool retain water. Foods often higher in these fibers include:

• Oats and barley
• Many fruits
• Legumes
• Chia and flaxseed

This category can be especially relevant if constipation is mainly hard, dry stool.

Fermentable Fibers and Prebiotic-Like Effects

Some fibers are more fermentable, meaning gut bacteria break them down readily. This can support stool regularity, but it can also cause gas and bloating in sensitive individuals. Portion and pacing matter.

Fruits That Can Help Reduce Constipation

Fruit is often effective because it combines water, fiber, and naturally occurring sugars that can influence stool hydration.

Why Fruit Helps Constipation

Fruit supports constipation relief by:

• Adding fiber and bulk
• Providing water content
• Offering natural compounds that can soften stool, including certain sugar alcohols in some fruits

Prunes: The Best-Studied Fruit for Constipation Relief

Prunes stand out because research has measured outcomes like stool output and transit time in randomized trials. In adults with low stool frequency, daily prunes increased stool output compared with control conditions. (ScienceDirect)
Prune juice has also demonstrated benefits for stool consistency and constipation complaints in controlled research. (Europe PMC)

Prunes can be effective, but they can also cause gas or loose stools if portion sizes are large or increased too quickly. That is not a failure. It is a dose and adaptation issue.

Kiwifruit: A Fruit Option With Clinical Trial Support

Kiwifruit has been evaluated in controlled trials, including in people with constipation patterns. Findings suggest improvements in complete spontaneous bowel movements for some participants. (American College of Gastroenterology)

One practical advantage of kiwifruit is that it provides fiber and water while also containing other components that may influence gut motility. Individual tolerance still matters.

Other Fruits That May Support Easier Bowel Movements

Many fruits contribute meaningfully to fiber intake and stool hydration, including:

• Pears
• Apples
• Citrus fruits
• Berries
• Figs and dates
• Raisins and other dried fruits

Dried fruits tend to be more concentrated sources of fiber and certain sugars, which can be helpful but also easier to overdo. If you notice cramping, urgency, or loose stools, scale back and reintroduce more gradually.

Fruit Juice for Constipation: When It Helps and When It Does Not

Some fruit juices can soften stool, especially when they contain sorbitol or similar poorly absorbed carbohydrates. Prune juice is the best-studied. (Europe PMC)

But juice is not equivalent to whole fruit. Juice generally provides less fiber and can deliver sugar quickly. For constipation relief, whole fruit is usually the more balanced first choice, with juice reserved for short-term use or when chewing whole fruit is difficult.

Vegetables That Can Help Reduce Constipation

Vegetables can be powerful constipation foods because they provide insoluble fiber, water, and volume. They also tend to displace low-fiber foods when they become a bigger part of meals.

Leafy Greens for Stool Bulk and Water Content

Leafy greens provide fiber and magnesium, along with high water content. They are rarely the single solution, but they can support regularity as part of an overall pattern.

If you are prone to bloating, cooked greens may be easier to tolerate than large amounts of raw vegetables, especially during the first week of increasing fiber.

Cruciferous Vegetables: High Fiber With a Common Tolerance Issue

Cruciferous vegetables can add meaningful fiber. But they can also produce gas in some people because they contain fermentable carbohydrates and sulfur-containing compounds. If you are increasing fiber to reduce constipation, tolerance matters as much as nutrient content.

A practical approach is to start with smaller portions and use cooking methods that soften fibers, then build up gradually.

Squash, Sweet Potatoes, and Other Fiber-Rich Vegetables

Starchy vegetables can contribute both soluble and insoluble fiber and may be easier to tolerate than large servings of raw salads. They also provide volume and water content when prepared in a simple way.

Legumes: One of the Most Effective Food Groups for Constipation

Legumes are a high-impact constipation food group because they provide:

• Substantial fiber per serving
• Resistant starch and fermentable fibers that can increase stool mass
• A favorable effect on overall dietary pattern, often replacing refined grains or low-fiber meals

Common choices include beans, lentils, chickpeas, and split peas.

How to Use Legumes Without Worsening Gas and Bloating

Legumes can cause gas when introduced abruptly because fermentable fibers feed gut bacteria. The solution is usually not to avoid legumes. It is to:

• Increase portions gradually
• Spread servings across the week rather than concentrating them in one day
• Choose preparations that are easier to digest, including well-cooked legumes

The goal is consistency. Many people adapt over time as the gut microbiome shifts and the digestive tract becomes accustomed to the higher fiber load.

Whole Grains That Can Help Reduce Constipation

Whole grains support constipation relief primarily through insoluble fiber and, in some grains, soluble fiber as well.

Oats and Barley: Especially Useful for Hard, Dry Stool

Oats and barley provide soluble fiber that holds water and can soften stool. Fiber’s water-holding effect is one reason higher-fiber patterns reduce constipation risk. (Mayo Clinic)

Wheat Bran and High-Bran Foods: Effective but Not Always Gentle

Wheat bran increases stool bulk and can be effective for constipation. But it can also worsen bloating or discomfort if introduced too quickly, particularly in people with sensitive digestion.

If bran feels harsh, start with gentler fiber sources such as oats, fruits, and legumes, then add coarser fibers as tolerated.

Refined Grains and Constipation Risk

Refined grains are not inherently “bad,” but they tend to be lower in fiber. When refined grains dominate the diet, total fiber intake often falls below recommended ranges. (Harvard Health)

Replacing some refined grains with whole grains is one of the simplest structural changes that supports long-term regularity.

Nuts and Seeds That Can Help Reduce Constipation

Nuts and seeds can support constipation relief because they are fiber-rich, calorie-dense, and often easier to add in small amounts than large volumes of vegetables.

Chia Seeds and Constipation: Why Hydration Matters

Chia seeds absorb water and form a gel-like texture. This can support softer stool, but only when adequate fluid is present. If chia is added without enough fluid, it can contribute to bloating or discomfort in some people, particularly early on. (Verywell Health)

A cautious approach is to start small and increase slowly, especially if your baseline fiber intake is low.

Flaxseed: Evidence-Based Support for Constipation Patterns

Flaxseed has been tested in randomized trials in constipated adults, with reported improvements in constipation-related outcomes in certain populations. (Springer)

Flax also provides a mix of fiber types. As with other fiber-dense foods, the pace of introduction matters.

Other Nuts and Seeds

Many nuts and seeds provide fiber and healthy fats. They can be helpful additions, but they are rarely enough on their own to correct constipation if overall fiber intake is low.

Fermented Foods and Probiotics: Can They Reduce Constipation?

Fermented foods and probiotics are popular for gut health, but the evidence is mixed and depends on strain, dose, and the individual’s baseline gut function.

Meta-analyses of randomized trials suggest that certain probiotic interventions can improve constipation outcomes in adults, including stool frequency, though results vary and study quality is inconsistent. (ScienceDirect)

Fermented Foods as a Practical Option

Fermented foods can be a reasonable, food-based way to explore probiotic effects without immediately turning to supplements. Options include fermented dairy foods and fermented vegetables.

Two cautions are worth keeping in mind:

• Some fermented foods can be high in sodium.
• Some people with sensitive digestion do not tolerate fermented foods well, especially in large amounts.

If you try fermented foods for constipation, the most reliable approach is small, consistent amounts and careful monitoring of stool changes over a few weeks.

Fluids and Beverages That Support Constipation Relief

Even though your focus may be “foods,” constipation relief often depends on what you drink because stool hydration is central to stool softness.

Water and Other Nonalcoholic Fluids

Constipation guidance routinely emphasizes drinking enough liquids, especially when increasing fiber. (NIDDK)
There is no single perfect number for everyone, because fluid needs vary by body size, activity level, climate, and medical conditions. A practical goal is steady intake across the day, with special attention to fluids when fiber intake increases.

Coffee and Bowel Movements: A Real Effect for Many People

Coffee can stimulate the gastrocolic reflex and increase colonic activity in some people, which can trigger a bowel movement urge. This effect is not solely due to caffeine and may occur with decaffeinated coffee as well. (Harvard Health)

Coffee can be useful if tolerated, but it is not a substitute for fiber and fluid. In some people, coffee worsens reflux, anxiety, palpitations, or diarrhea. Those tradeoffs matter.

Warm Liquids and Morning Timing

The colon often has stronger contractions in the morning for circadian and hormonal reasons. Pairing breakfast with fluids can take advantage of this normal physiology. The goal is not a rigid routine. It is to align food, fluid, and the body’s natural motility patterns when possible. (Harvard Health)

Healthy Fats and Constipation: Do They Help?

Dietary fat can influence bile release and gut motility. In practical terms, including moderate amounts of healthy fats can help some people have smoother bowel movements, especially when the rest of the diet is fiber-rich.

Foods that contribute healthy fats include:

• Avocados
• Nuts and seeds
• Olive oil and other plant oils
• Fatty fish

Fat alone is not a constipation solution, and very high-fat meals can worsen digestive symptoms in some people. But balanced fat intake can support overall stool passage when combined with fiber and fluids.

Magnesium-Rich Foods and Constipation: Food First, Caution Always

Magnesium in supplement form can have an osmotic laxative effect by drawing water into the intestines, which softens stool. (GoodRx)

From a food perspective, magnesium-rich foods may support regularity indirectly through overall diet quality and micronutrient adequacy. Options include leafy greens, nuts, seeds, legumes, and whole grains.

A key caution: people with impaired kidney function should not increase magnesium supplements without medical guidance because of the risk of elevated magnesium levels. (Verywell Health)
Food sources are usually safer than supplements, but medical context still matters.

What Foods Can Make Constipation Worse?

Constipation is often aggravated by dietary patterns that are low in fiber and high in refined starches and highly processed foods. When these foods displace fruits, vegetables, legumes, and whole grains, total fiber intake can drop well below recommended ranges. (Harvard Health)

Other contributors can include:

• Very low fluid intake
• Large amounts of cheese or other low-fiber dairy foods in people prone to constipation
• High intakes of red meat paired with low fiber
• Heavy use of alcohol, which can contribute to dehydration and disrupt gut function

These are not universal triggers. But when constipation is persistent, it is often more productive to evaluate the overall dietary pattern than to blame one specific food.

A Practical Food Pattern for Reducing Constipation Without Overdoing It

A constipation-supportive diet is not a single food. It is a pattern that repeatedly provides fiber, water, and stool-softening factors.

Step 1: Choose Two Fiber Anchors Each Day

Fiber anchors are foods that reliably add meaningful fiber without requiring large volume. Common anchors include:

• Legumes
• Oats or barley
• Seeds such as chia or flax
• High-fiber fruits, especially prunes or kiwifruit

Step 2: Add Water-Rich Plant Foods at Meals

Water-rich plant foods increase total volume and hydration, which helps stool passage. Vegetables and fruits are the main sources.

Step 3: Keep the Increase Gradual

A rapid increase in fiber can cause bloating, cramps, and altered bowel habits, including worsening constipation. Gradual increases and attention to fluids are consistently recommended strategies. (Verywell Health)

Step 4: Use Consistency, Not Intensity

Constipation often improves when fiber intake is steady day to day. Large swings can create unpredictable results.

How Quickly Can Foods Help Reduce Constipation?

Timing depends on what is causing constipation and how your body responds.

• Fast changes can happen within a day when constipation is mild and linked to low fiber or low fluid intake, especially if stool is simply dry.
• Slower changes are common when constipation is chronic, when gut motility is slow, or when pelvic floor mechanics contribute.
• Adaptation time matters. Increasing fiber can take days to weeks to feel consistently helpful because the gut microbiome and colon function adjust.

If constipation has been present for weeks, it is reasonable to give a food-based plan at least two to four weeks, with gradual increases, before concluding it is ineffective, unless symptoms worsen.

What If You Eat More Fiber and Still Feel Constipated?

If fiber and fluids do not help, the reason is often not “bad effort.” It is that constipation can have multiple causes.

Common possibilities include:

• Slow-transit constipation, where colon movement is sluggish
• Pelvic floor dysfunction, where muscles do not coordinate well for stool passage
• Medication effects
• Underlying medical conditions that alter nerve or muscle function

Diet still matters, but additional evaluation may be needed.

Constipation and Irritable Bowel Patterns: Why Fiber Choice Matters

Some people have constipation with prominent bloating, pain, or alternating bowel patterns. In those cases, the type of fiber often matters more than the total amount.

Soluble fiber sources tend to be better tolerated than abrupt increases in coarse insoluble fiber in many sensitive-gut patterns. This is not a rule, but it is a common clinical observation. (ScienceDirect)

If you suspect an irritable bowel pattern, a slower ramp-up and careful food selection can reduce the risk of worsening symptoms.

Constipation in Older Adults: Food Priorities That Often Help

Constipation becomes more common with age for several reasons, including lower total food intake, reduced activity, dehydration risk, and medication burden.

Food priorities that often help include:

• Fiber anchors that do not require large meal volume, such as oats, legumes, and fruit
• Adequate fluids spaced throughout the day
• Soft, cooked vegetables that are easier to chew and digest
• Regular meal timing, which supports natural motility rhythms

Because older adults can be more vulnerable to complications, persistent constipation should be discussed with a clinician, especially if there is pain, weight loss, bleeding, or sudden change.

Constipation During Pregnancy: Food-First Approaches With Extra Caution

Pregnancy increases constipation risk due to hormonal effects, iron supplementation in some cases, and physical changes in the abdomen.

Food-first strategies often emphasize:

• Gradual fiber increases
• Adequate fluids
• Fruit options such as prunes if tolerated
• Gentle, consistent movement as allowed

Because pregnancy can involve additional medical considerations, persistent constipation should be discussed with a prenatal clinician, especially before using supplements or laxatives.

When Is Constipation an Emergency?

Constipation is usually not dangerous, but certain symptom combinations can indicate a serious problem.

Seek urgent medical care for constipation with:

• Severe, worsening abdominal pain
• Vomiting
• Inability to pass gas or stool
• Abdominal swelling or distension
• Rectal bleeding
• Fever or signs of systemic illness

These can be warning signs of bowel obstruction or other acute conditions.

Also seek prompt evaluation for constipation that is new and persistent, especially when paired with unintended weight loss or significant change in bowel habits.

Frequently Asked Questions About Foods That Can Help Reduce Constipation

What is the single best food for constipation?

Prunes are among the best-studied foods for improving stool output and bowel habits in adults with low stool frequency.
That said, the “best” food for you depends on whether the problem is dry stool, low stool volume, slow motility, or sensitivity to fermentable fibers.

Are prunes better than prune juice for constipation?

Whole prunes provide fiber plus sorbitol and other compounds. Prune juice may still help soften stool and improve symptoms in chronic constipation, but it usually contains less fiber than whole fruit.

If chewing or appetite is a challenge, prune juice can be a practical option. If you want the combined effect of fiber and sorbitol, whole prunes often make more sense.

How much kiwifruit helps constipation?

Clinical trials often evaluate daily kiwifruit intake patterns, such as a set number of fruits per day, and report increases in complete spontaneous bowel movements in some groups.
For personal use, the best approach is consistency for a few weeks, paying attention to tolerance and stool changes.

Do bananas help constipation or cause it?

Bananas can affect people differently depending on ripeness and overall diet context. Some people find them stool-firming, while others tolerate them well as part of a higher-fiber pattern. If bananas seem to worsen constipation for you, treat that as useful feedback, not a contradiction.

Should you use a fiber supplement if food is not enough?

Fiber supplementation can improve constipation outcomes in adults, and evidence suggests certain fibers are more effective than others, including psyllium in meta-analyses.
If you consider a supplement, pair it with adequate fluids and start with a small dose, increasing gradually. Supplements can also interact with medications by affecting absorption timing, so spacing can matter.

Can you get constipated from eating too much fiber?

Yes. Too much fiber, especially too quickly or without enough fluid, can cause bloating, cramps, and constipation.

What if you are constipated but also bloated and gassy?

This often suggests that fermentable fibers are being increased too quickly or that the gut is sensitive to specific carbohydrates. A common strategy is to:

• Reduce the most gas-producing additions temporarily
• Favor gentler soluble fiber sources
• Increase portions more slowly
• Use cooked vegetables instead of large amounts of raw produce

If symptoms persist, evaluation for an irritable bowel pattern or other causes may be appropriate.

Do probiotics help constipation?

Some analyses of randomized trials suggest probiotics, prebiotics, or synbiotics can improve constipation outcomes in adults, but effects vary by product, strain, and individual response.
If you try probiotics through foods or supplements, give it a few weeks and track changes in stool frequency, stool form, and straining.

What if constipation keeps coming back even with a good diet?

Recurring constipation can reflect non-diet factors such as pelvic floor dysfunction, slow transit, medication effects, or underlying medical conditions. Diet remains supportive, but persistent symptoms deserve clinical evaluation, especially if they are new, worsening, or paired with warning signs.

Key Takeaway: The Most Reliable Foods That Can Help Reduce Constipation

For most people, the most reliable constipation foods combine fiber, water-holding capacity, and stool-softening components. Prunes and kiwifruit have meaningful clinical trial support.
Legumes, oats, and fiber-rich seeds often provide the largest practical fiber gains, especially when introduced gradually and paired with adequate fluids.

Constipation usually improves most when you build a steady pattern: consistent fiber anchors, water-rich plants, sufficient fluids, and gradual change. And when constipation looks severe or comes with warning signs, food should not be the only plan.