Constipation 

Introduction 

Constipation

Eating fibre, drinking enough fluid and regular exercise can help you get over constipation. In this video, an expert explains how you can help yourself and when you should see your GP.

Clinical definition

Doctors define constipation in a number of ways:

  • opening the bowels less than three times a week
  • needing to strain to open your bowels on more than a quarter of occasions
  • passing a hard or pellet-like stool on more than a quarter of occasions

Constipation is a very common condition that affects people of all ages. It can mean that you are not passing stools (faeces) as often as you normally do, you have to strain more than usual or you are unable to completely empty your bowels.

Constipation can also cause your stools to be unusually hard, lumpy, large or small.

The severity of constipation can vary greatly. Many people only experience constipation for a short period of time with no lasting effects on their health.

Chronic constipation

For others, constipation can be a chronic (long-term) condition that causes significant pain and discomfort and have an adverse impact on quality of life.

Who is affected?

Constipation can occur in babies, children and adults, and affects twice as many women than men.

Older people are five times more likely than younger adults to have constipation, usually because of dietary factors, lack of exercise, use of medication and poor bowel habits.

Approximately 40% of pregnant women experience constipation during their pregnancy.

Outlook

You may be able to treat constipation yourself by making simple changes to your diet and lifestyle. If these changes do not help, your GP may prescribe an oral laxative (see Treating constipation for more information).

Treatment for constipation is usually effective, although in some cases it can take several months before a regular bowel pattern is re-established.

For most people constipation rarely causes any complications or long-term health problems.

But people with chronic constipation can develop complications such as faecal impaction (where dry, hard stools collect in your rectum) or faecal incontinence (where you leak liquid stools).

Last reviewed: 12/03/2010

Next review due: 12/03/2012

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Comments are personal views. Any information they give has not been checked and may not be accurate.

Lifley said on 25 June 2011

I occasionally suffer from mild constipation. If the change in diet mentioned here does not help I simply insert a finger into my vagina and push out any stubborn remainder. My GP mentioned this was possible when he told me he would not undertake a rectal exam as he felt a stool during my regular gyno exam.

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VMan said on 08 February 2011

Contrary to the doctor's advice... eating a lot of fibre if you're constipated is not a good idea. I once ended up in hospital with constipation because of the severe cramps in my stomach after eating a lot of high fibre food. I find the best thing to do is to keep a healthy and balanced diet and drink fluids (especially coffee is good for me), but to cut down your food intake significantly (you tend to lose your appetite anyway) until the bowels get back into rhythm, then start eating normally again.,

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flop said on 08 January 2011

I also drink a hot drink before bed to help my digestion but would not take senna to treat my chronic constipation. This is because senna is best used in low doses, to treat sporadic, mild constipation. It is not suited to treat chronic constipation. One of the side effects with extended use is lazy bowel syndrome, a condition where one becomes unable to move their bowels without chemical stimulation.

Safer gastrointestinal herbs such as ginger root, peppermint and others, make wonderful tea.

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hermy said on 15 March 2010

I get a bit of constipation sometimes and find drinking hot tea just before bedtime significantly helps my digestive system and I feel better in the morning, too. In my experience the most effective one has been the Senna Leaves tea. But you have got to be very careful not to drink too much of it as it is very, very strong.

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