Constipation Symptoms Cause Diagnosis Treatment

Constipation symptoms are characterized by the following signs and symptoms: passing less than three stools per week; passing lumpy or firm stools.

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Constipation that lasts for more than a few weeks, marked by either infrequent bowel movements or difficult passage of feces, is considered chronic.

Having fewer than three bowel motions per week is a common Constipation symptoms.

In spite of how prevalent occasional constipation is, some people suffer from chronic Constipation Symptoms that can seriously hamper their quality of life. When trying to relieve themselves of chronic constipation, some people may strain unnecessarily.

The treatment for chronic constipation is somewhat determined by the reason. But in some instances, the root of the problem remains elusive.

Constipation Symptoms

What are constipation symptoms?

Chronic constipation symptoms are characterized by the following signs and symptoms: passing less than three stools per week; passing lumpy or firm stools. Constipation Symptoms

Experiencing any of the following whiles attempting to defecate constipation symptoms:

  • Struggling to defecate
  • Feeling as though there is a blockage in your rectum that prevents bowel movements
  • Not being able to completely empty the stool from your rectum
  • Requiring assistance, such as pressing on your abdomen with your hands and using a finger to remove stool from your rectum

Two or more of these Constipation symptoms for at least three months may indicate persistent constipation symptoms.

What are the causes of constipation?

If waste or stool passes too slowly through the digestive tract or is not expelled adequately through the rectum, constipation may result. This can cause the stool to become hard and dry. There are a wide variety of potential origins of chronic constipation.

Toxic buildup in the bowels (rectal) or other gastrointestinal tracts

Stool movement might be slowed or halted if there are blockages in the intestines. Anal fissures, intestinal obstruction, colon cancer, rectal cancer, a protruding rectal area, and other abdominal tumors that push on the colon are all potential causes (rectocele)

Nerve issues in the bowel and pelvic area

The nerves responsible for contracting the colon and rectum muscles to propel feces through the intestines might be affected by neurological disorders. Damage to the nerves that regulate physiological functioning is one possible cause (autonomic neuropathy)

  • Diseases such as multiple sclerosis and Parkinson’s
  • Injuries to the spinal cord
  • Stroke

Elimination-related muscular weakness

Constipation that persists over a long period of time may be the result of dysfunction in the pelvic muscles that aid in defecation. Problems that may arise from these include:

  • Muscle tension in the pelvis that prevents bowel movements (anismus)
  • Muscles in the pelvis that lack proper tone and timing when at rest and when contracting (dyssynergia)
  • The Pelvic Floor Muscles Have Weakened

Diseases that interfere with hormone production

Fluid homeostasis is facilitated by hormones. Constipation can be caused by hormonal imbalances brought on by diabetes, hyperparathyroidism, pregnancy, or an underactive thyroid (hypothyroidism)

Main contributing Factors to constipation:

  • Being an older adult
  • A woman
  • Being dehydrated
  • Eating a low-fiber diet
  • Not getting enough exercise
  • Taking sedatives
  • Opioid pain medications
  • Some antidepressants
  • Or blood pressure medications
  • And having a mental health condition like depression or an eating disorder may all increase your risk of chronic constipation.

What are the complications of constipation?

Constipation can cause a number of unpleasant side effects, including:

  • Anus swelling (hemorrhoids). The veins around your anus could enlarge if you strain to go to the bathroom.
  • Skin rip in the anus (anal fissure). Tiny tears in the anus might be caused by passing a large or firm stool.
  •  Impaction (fecal impaction). Stool that has become hardened due to chronic constipation may become trapped in the digestive tract.
  • Ano-distal intestine; anus-projecting intestine (rectal prolapse). When one strains to defecate, a tiny portion of the rectum may protrude past the anus.

What is the method of diagnosis of constipation?

Doctors utilize the following tests and methods to diagnose persistent constipation and determine possible causes, in addition to a basic physical exam and a digital rectal exam:

Included in this are blood tests. Your doctor will check for systemic issues including hypothyroidism (low thyroid) or hypercalcemia (high calcium).

  • A radiograph. A doctor can tell if there is a blockage in your intestines and how widespread it is by taking an X-ray of your colon.
  • Rectal and sigmoid colon (lower colon) examination (sigmoidoscopy). The doctor will place a lighted, flexible tube into your anus to inspect your rectum and lower colon.
  • Complete and thorough colon and rectum examination (colonoscopy). A flexible tube connected with a camera is used to inspect the patient’s whole colon as part of this diagnostic procedure.

Anorectal manometry

Measurement of the anorectal sphincter muscle’s ability to close the oropharynx (anorectal manometry). A flexible tube is introduce into the anus and rectum and inflated with a tiny balloon. The sphincter muscle removes the gadget. The method provides a means by which your doctor can evaluate the strength and coordination of the muscles responsible for bowel movement.

Balloon expulsion test

Tests of an individual’s ability to control their sphincter muscles in the anus (balloon expulsion test). This test, sometimes done with anorectal manometry, measures how long it takes you to empty water from a balloon in your rectum.

Colonic transit study

A capsule for this treatment may contain a wireless recording device. After 24 to 48 hours, X-rays will show the capsule’s path through your colon.


A camera might record your digestion of radiocarbon-activated food (scintigraphy). To diagnose issues, the doctor will evaluate your digestive tract and colon’s food processing.


X-raying the rectum while a person pisses (defecography). Doctors put soft barium paste into the rectum. Stool eliminates barium paste. If there is a prolapse or issues with muscular function or coordination, the barium will show up on the X-rays.

Diagnostic bowel exploration using magnetic resonance imaging (defecography). Similar to barium defecography, your doctor will inject contrast gel into your rectum during this treatment. After that, hand off the gel. Using an MRI, we can see the defecation muscles and evaluate how well they’re working. This exam can detect constipation-causing diseases including rectocele and rectal prolapse.

What kind of medicine is used to treat constipation?

Changing one’s eating habits and way of life to increase the amount of time food spends moving through the intestines is frequently the first step in the treatment of chronic constipation. On the other hand, if these preventative measures are ineffective, your physician may recommend medication or even surgery.

Alterations made to a person’s eating habits and way of life:

If you are having problems passing stool, your doctor may recommend that you make certain changes, including the ones listed here:

Eat more meals that are high in fiber.

Because it makes your feces heavier, fiber might speed up the frequency with which you use the restroom. Gradually increase the amount of fresh fruit and vegetables that you consume on a regular basis. The healthiest options are cereals and breads made with whole grains.

You should make it a goal to consume the number of grams of fiber that is suggested by your primary care physician on a daily basis. You may prevent bloating and gas by gradually increasing the amount of fiber you consume.

In order to prevent bloating and gas, gradually increase the amount of fiber you consume over the course of a few weeks.

Maintain a regular workout schedule.

When you participate in physical activity, the smooth muscle of the intestines becomes more active. You should get some form of physical activity on a daily basis. If you do not already engage in physical activity, you should consult your primary care provider to determine whether or not you are in a healthy enough state to start doing so.

If you have the feeling that you need to defecate, you shouldn’t hold it in. You are welcome to take as much time as you require in the restroom to have a bowel movement without feeling rushed or distracted in any way.


It is possible to choose from a wide variety of laxatives. Every technique has its own special manner of making it easier to pass excrement. The following items are available without a prescription at most pharmacies:

foods that do not contain gluten and nutritional supplements that are high in fiber. The consumption of fiber supplements leads to the development of bowel motions that are more significant. It is easier to maneuver around stools that have a lot of heft to them. Examples of dietary fiber supplements include methylcellulose, calcium polycarbophil (FiberCon, Equalactin, and others), and psyllium. Methylcellulose is also an option (Citrucel).

  • Stimulants. Bisacodyl, found in Correctol and Dulcolax, and sennosides can contract the intestines as adverse effects (Senokot, Ex-Lax, and Perdiem).
  • Osmotics. Osmotic laxatives are effective in moving stools through the colon in part because they stimulate the release of fluid from the intestinal tract. Oral laxatives include magnesium citrate, lactulose, polyethylene glycol, and magnesium hydroxide (Phillips’ Milk of Magnesia, Dulcolax, and others) (Miralax, Glycolax).
  • Lubricants. When you apply a lubricant like mineral oil, feces are able to move through the colon with more ease.
  • Suppositories and enemas Soapy water and sink water enemas can help feces flow through the digestive tract without a strainer. It may also be helpful to use suppositories that include lubricant and stimulant medications like glycerin or bisacodyl in order to facilitate bowel movements.

Medication that is Additional

If you suffer from irritable bowel syndrome and have already attempted to treat your chronic constipation with over-the-counter treatments without success, your doctor may decide to prescribe a medication designed specifically for you to take in order to relieve your symptoms of constipation.

  • Drugs like laxatives and other medications that help the body absorb more liquids through the digestive tract. There are several different medication alternatives available for the treatment of persistent constipation. The medications Lubiprostone, Linzess, and plecanatide all work to stimulate bowel movements more quickly (Trulance).
  • Receptors for serotonin of the type 4 5-hydroxytryptamine family The intestinal motility can be stimulated with prucalopride (Motegrity).
  • Peripherally acting antidotes for the mu-opioid receptor (which are currently in development) (PAMORAs). Naloxegol (Movantik) and methylnaltrexone (Relistor) are PAMORA medicines that can counteract the effects of opioids on the gastrointestinal tract and keep things flowing.

Increasing Strength in the Muscles of the Pelvic Floor

You can learn to have control over the tension and relaxation of the muscles in your pelvic floor by making use of biofeedback devices and having a therapist guide you through the process. Relaxing the muscles that make up your pelvic floor at the appropriate time will help you have more regular bowel movements.

A biofeedback practitioner will insert a catheter into your body so that they may assess the level of tension in your rectus muscle. The therapist will guide you through a series of exercises that are intend to stretch and strengthen the muscles that make up your pelvic floor. You can use a machine to monitor the tension in your muscles, and the equipment will provide you with visual or auditory cues when it is time to relax those muscles.


If you have tried various treatments without success and your chronic constipation is cause by a blockage, rectocele, or stricture, surgery may be a possibility for you.

Those with excessively slow bowel movements and failed therapies may want to consider colon surgery. Colon removal is rare and extreme.

Avoiding or treating constipation by:

Consider the following tips in order to forestall the onset of chronic constipation:

  • Consume a diet that is abundant in foods that are high in fiber, such as beans, vegetables, fruits, whole-grain cereals, and bran.
  • Eat less processed food, red meat, and dairy products, and drink more fluids, and try to reduce the amount of red meat you eat.
  • Stay active and make an effort to incorporate physical activity into your daily routine as much as possible.

You might find the following suggestions helpful in your fight against stress.

Be sure to include a good amount of foods high in fiber in the diets of youngsters who are just beginning to eat solid foods. Do not ignore the need to pass feces when it arises. Make it a point to get into the habit of having regular bowel movements, particularly after you have eaten.


  • Can bananas help with pooping?

Lee says ripe bananas contain soluble fiber and can relieve constipation. Unripe bananas have high quantities of resistant starch, which can bind and induce constipation. She says unripe bananas can alleviate diarrhea.

  • Food for constipation?
    • entire grains like oatmeal, bran flakes, and whole wheat bread, and pasta.
    • lentils, beans, kidney beans, soybeans, and chickpeas.
    • berries, apples with skins, oranges, and pears.
    • carrots, broccoli, green peas, and collards.
  • What kind of drinks may I consume to relieve my constipation?

The following teas are known to contain properties that may help relieve constipation and stimulate regular bowel movements. These properties may include laxative or muscle-relaxing properties.

  • Is it a good idea to eat yogurt if you have constipation?

Beneficial bacteria, sometimes known as probiotics, can assist in digestion. According to Kimball, not only are yogurts that advertise they are helpful for gastrointestinal health but also any yogurt can be a good source of microorganisms that assist treat constipation.

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