Understanding constipation: When to worry and take action
Understanding constipation: When to worry and take action
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Constipation is a common digestive issue that nearly everyone experiences at some point in their lives. While occasional constipation is usually benign and can be attributed to factors like a change in diet or lifestyle, persistent or severe cases may signal an underlying health concern. We will explore the causes, symptoms and when should one be concerned about experiencing constipation.


What is constipation?

Constipation is characterized by infrequent bowel movements, difficulty passing stools, or feeling of incomplete evacuation. The normal frequency of bowel movements varies from person to person, but going three or fewer times per week may indicate constipation. Other symptoms include straining during bowel movements, hard stools and abdominal discomfort.


Common causes of constipation:
1. Lifestyle

Sedentary lifestyles and lack of physical activity can slow down the digestive process.

2. Dietary

Lack of fibre in the diet is a common cause of constipation. Fibre adds bulk to the stool, making it easier to pass. Insufficient fluid intake can contribute to dehydration, leading to harder stools and difficulty in bowel movements.

3. Medications

Certain medications like painkillers, antacids and antidepressants can cause constipation as a side effect.

4. Medical conditions

Pre-existing and underlying medical conditions such as hypothyroidism, irritable bowel syndrome (IBS) and colorectal disorders can lead to chronic constipation.


When to be concerned:

While occasional constipation is usually not a cause for concern and can be addressed with lifestyle modification, there are situations where seeking medical advice is essential.


  • Persistent symptoms
    If constipation persists for more than two weeks despite dietary and lifestyle changes; it is crucial to consult a healthcare professional.
  • Changes in bowel habits
    Any significant change in bowel habits, such as alternating between constipation and diarrhoea, should be investigated.
  • Sudden onset
    If constipation develops suddenly and is accompanied by other symptoms like weight loss, it could be a sign of an underlying health problem.
  • Severe pain or bleeding
    Intense abdominal pain or rectal bleeding during bowel movements may indicate a more serious issue and requires immediate medical attention.
  • Age and family history
    Individuals over the age of 50 or with a family history of colorectal issues should be vigilant about changes in bowel habits and consider regular screenings.

Constipation is a common digestive concern, and in many cases, it can be managed with simple lifestyle adjustments. However, persistent or severe constipation may be a sign of an underlying health issue that requires medical attention.1


Understanding the causes and recognising when to be concerned empowers individuals to take proactive steps towards maintaining their digestive health. If in doubt, seeking the guidance of a healthcare professional is always advisable to ensure timely and appropriate intervention.2


References

  1. Sharma A, Rao S. Constipation: Pathophysiology and Current Therapeutic Approaches. Handb Exp Pharmacol. 2017;239:59-74.
  2. Rao SS, Rattanakovit K, Patcharatrakul T. Diagnosis and management of chronic constipation in adults. Nat Rev Gastroenterol Hepatol. 2016;13(5):295-305.

Healthful is a digital media publisher dedicated to providing informative content about health and wellness. It is important to note that Healthful does not provide professional medical advice, diagnosis, or treatment. For personalised health concerns or before initiating any treatment plan, it is essential to consult with your healthcare provider. Stay informed, stay healthful for you.

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