Symptoms

Constipation symptoms can vary but commonly include:

• Fewer than three bowel movements per week

  
  

• Hard, dry, or lumpy stools

  
  

• Difficulty or pain when passing stool

  
  

• A sensation that not all stool has been passed

When Should You See a Doctor?

You should see a doctor if:

• Your symptoms persist despite self-care

  
  

• You have a family history of colon or rectal cancer

Seek immediate medical attention if you experience constipation along with any of the following:

• Rectal bleeding

  
  

• Blood in your stool

  
  

• Constant abdominal pain

  
  

• Inability to pass gas

  
  

• Vomiting

  
  

• Fever

  
  

• Lower back pain

  
  

• Unintentional weight loss

What Causes Constipation?

Constipation can have multiple causes, often occurring at the same time. These include:

1. Slow Movement of Stool

• Sluggish transit through the colon

  
  

• Delayed colon emptying, especially due to pelvic floor disorders (more common in women) or following colon surgery

2. Functional Gastrointestinal Disorders

• Conditions like Irritable Bowel Syndrome (IBS)

3. Medications and Dietary Supplements

Certain medications and supplements may lead to or worsen constipation:

• Antacids containing aluminum or calcium

  
  

• Anticholinergics and antispasmodics

  
  

• Anticonvulsants (for seizures)

  
  

• Calcium channel blockers

  
  

• Diuretics

  
  

• Iron supplements

  
  

• Medications for Parkinson’s disease

  
  

• Narcotic pain relievers

  
  

• Some antidepressants

4. Lifestyle and Routine Changes

Changes in your daily routine can impact bowel movements:

• Pregnancy

  
  

• Aging

  
  

• Travel

  
  

• Ignoring the urge to have a bowel movement

  
  

• Changes in medications

  
  

• Changes in diet

5. Health and Nutrition Factors

• Low fiber intake

  
  

• Dehydration or insufficient fluid intake

  
  

• Lack of physical activity

  
  

• Celiac disease

  
  

• Neurological conditions (e.g., Parkinson’s disease)

  
  

• Spinal cord or brain injuries

  
  

• Metabolic conditions (e.g., diabetes)

  
  

• Hormonal imbalances (e.g., hypothyroidism)

  
  

• Inflammation from diverticular disease or proctitis

  
  

• Intestinal blockages (e.g., anorectal obstruction, tumors)

  
  

• Structural abnormalities in the digestive tract

Important Reminder: This information is intended only to provide general guidance. It does not provide definitive medical advice. It is very important that you consult your doctor about your specific condition.