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.

How is constipation defined?

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 common condition that affects people of all ages. It can mean that you are not passing stools (poo) regularly, or you are unable to completely empty your bowels.

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

The severity of constipation varies from person to person. Many people only experience constipation for a short time, but for others, constipation can be a chronic (long-term) condition that causes significant pain and discomfort and affects quality of life.

Read more information about the symptoms of constipation.

What causes constipation?

It's often difficult to identify the cause. However, there are a number of things that increase the risk of constipation, including:

  • not eating enough fibre, such as fruit, vegetables and cereals
  • a change in your routine or lifestyle, such as a change in your eating habits
  • ignoring the urge to pass stools
  • side effects of certain medication
  • not drinking enough fluids
  • anxiety or depression

In children, poor diet, fear about using the toilet and poor toilet training can all be responsible.

Read more about the causes of constipation.

Should I see my GP?

You may be able to help treat constipation yourself by making simple changes to your diet and lifestyle. If these changes do not help, see your GP.

You should also speak to your GP is you suspect your child might be constipated.

Treating constipation

An oral laxative (medication to help you empty your bowels) is usually prescribed to treat constipation.

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

Read more information about treating constipation and diagnosing constipation.

Preventing constipation

Making diet and lifestyle changes, such as eating high-fibre foods, drinking plenty of fluids and regularly exercising will help to prevent or ease your constipation.

It may also help to give yourself enough time and privacy to pass stools comfortably and never ignore the urge to go to the toilet.

Read more about preventing constipation.

Complications

For most people constipation rarely causes any complications, but people with long-term constipation can develop:

  • haemorrhoids (piles)
  • faecal impaction (where dry, hard stools collect in the rectum)
  • faecal incontinence (the leakage of liquid stools)

Read more information about complications of constipation.

Who is affected?

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

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

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




Last reviewed: 13/03/2012

Next review due: 13/03/2014

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

kerry1981 said on 22 February 2013

my daughter age 7 sat on the loo for 40 mins crying in pain because her stool was big rock hard and stuck , i felt useless and didnt know what to do, is there anything i can do To help her if this happens again.
I know a change,of diet is on order and it will be , but kids are kids and i cnt force feed her. x

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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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