Constipation
What is constipation?
Constipation means having hard, dry bowel movements or passing stool fewer than three times a week. It can be caused by things like your diet, medications, whether you are pregnant, or just a change in your routine.
What are the symptoms of Constipation?
Each person’s bowel habits are different. Some people go three times a day, while others go three times a week. However, you may be constipated if you experience the following symptoms:
- Fewer than three bowel movements a week
- Passing lumpy, hard, or dry stools
- Straining or pain during bowel movements
- A feeling of fullness, even after having a bowel movement
However, it is advised to seek medical advice if constipation is linked with:
- Bleeding from the rectum
- Blood in your stool
- Persistent abdominal pain
- Pain in the lower back
- A feeling that gas is trapped
- Vomiting
- Fever
- Unexplained weight loss
- A sudden change in bowel movements
A healthcare professional may carry out tests to rule out a more serious condition, such as colorectal cancer or irritable bowel syndrome (IBS).
What are the causes of constipation?
The colon’s main job is to absorb water from residual food as it’s passing through your digestive system. It then creates stool (waste). The colon’s muscles eventually propel the waste out through the rectum to be eliminated. If stool remains in the colon too long, it can become hard and difficult to pass. Poor diet frequently causes constipation. Dietary fiber and adequate water intake are necessary to help keep stools soft. Fiber-rich foods are usually plant-based. Fiber comes in soluble and insoluble forms. Soluble fiber can dissolve in water and creates a soft, gel-like material as it passes through the digestive system.
Insoluble fiber retains most of its structure as it goes through the digestive system. Both forms of fiber join with stool, increasing its weight and size while also softening it. This makes it easier to pass through the rectum. Stress, changes in routine, and conditions that slow muscle contractions of the colon or delay your urge to go may also lead to constipation. Medications (like antacids, diuretics), increased age and pregnancy can cause constipation.
What underlying conditions are associated with constipation?
The following underlying health conditions can bring on constipation:
- Certain conditions, such as stroke, Parkinson’s disease, and diabetes
- Problems with the colon or rectum, including intestinal obstruction, IBS, or diverticulosis
- Overuse or misuse of laxatives
- Hormonal problems, including an under-active thyroid gland
How is constipation treated?
- Every day, drink up to 3 litres of unsweetened fluids, like water (5-6 sachets) or coconut water to hydrate the body.
- Limit consumption of alcohol and caffeinated drinks, which cause dehydration.
- Add fiber-rich foods to your diet, such as raw fruits and vegetables, whole grains, beans, prunes, or bran cereal. Your daily intake of fiber should be between 20 and 35 grams.
- Cut down on low fiber foods, such as meat, milk, cheese, and processed foods.
- Aim for about 150 minutes of moderate exercise every week, with a goal of 30 minutes per day at least five times per week. Try walking, swimming, or biking.
- If you feel the urge to have a bowel movement, don’t delay. The longer you wait, the harder your stool can become.
- Raise your knees by putting your feet on a footstool when having a bowel movement.
- When using the bathroom, allow yourself plenty of time, and try to relax your muscles.
- Use laxatives sparingly. A healthcare professional may prescribe laxatives or enemas for a short period of time to help soften your stools.
- A mild herbal enema
- Manual removal of faeces may offer some relief
Other over the counter laxatives may be used such as:
- Fiber supplements
- Osmotic agents, such as milk of magnesia
- Stool softeners
- Lubricants such as mineral oil
- Stimulants