Understanding Constipation

A Comprehensive Guide to Causes, Prevention, and Treatment

Gastroenterology

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Last updated: Mar 24, 2025

What Is Constipation?

Constipation occurs when bowel movements become difficult or less frequent than normal. It's generally defined as having fewer than three bowel movements per week.

Common Symptoms

  • Infrequent bowel movements
  • Hard or lumpy stools
  • Straining during bowel movements
  • Feeling of incomplete evacuation
  • Abdominal bloating and discomfort

Common Causes

Lifestyle Factors

  • Insufficient fiber intake
  • Inadequate fluid consumption
  • Lack of physical activity
  • Ignoring the urge to have bowel movements

Medical Conditions

  • Irritable Bowel Syndrome (IBS)
  • Hypothyroidism
  • Neurological conditions
  • Pregnancy

Medications

  • Opioid pain medications
  • Certain antidepressants
  • Iron supplements
  • Antacids containing calcium

Treatment Options

Lifestyle Changes

  1. Increase fiber intake (25-30g daily)
  2. Drink plenty of water (8-10 glasses daily)
  3. Exercise regularly
  4. Establish a regular bathroom routine

Medical Treatments

  • Over-the-counter laxatives
  • Stool softeners
  • Prescription medications
  • Probiotics

When to See a Doctor

  • Constipation lasting longer than 3 weeks
  • Severe abdominal pain
  • Blood in stools
  • Unexplained weight loss

Prevention Tips

  • Maintain a high-fiber diet
  • Stay well-hydrated
  • Exercise regularly
  • Don't delay bowel movements
  • Manage stress levels

Complications

  • Hemorrhoids
  • Anal fissures
  • Fecal impaction
  • Rectal prolapse

Always consult your healthcare provider before starting any new treatment regimen.

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