It may not be something you want to discuss with anyone other than your doctor, and even then, talking about a condition like chronic constipation can be a great source of embarrassment. While suffering from occasional constipation is a common condition, chronic constipation is more severe and can really impede your life. The sooner you get it successfully diagnosed and treated, the better.
Chronic constipation is a condition where a person has infrequent or difficult bowel movements for weeks. It is different from occasional constipation, which is a common and mild problem. Chronic constipation can cause pain, discomfort, and other complications.
Some of the symptoms and signs of chronic constipation include having fewer than three bowel movements a week, having hard or lumpy stools, feeling a blockage in the rectum, and needing help to remove stools from the rectum. Other signs are straining to complete bowel movements, feeling that the stools are not fully evacuated, and using manual methods to facilitate the bowel movements.
Chronic constipation can be caused by various factors, such as blockages in the colon or rectum, nerve problems that affect the bowel movements, difficulties with the pelvic muscles, and hormonal imbalances. Some of the risk factors that can increase the chance of developing chronic constipation include mental health conditions, certain medications, a low-fibre diet, dehydration, being female, and getting older.
Mental health conditions such as depression and eating disorders can affect the bowel habits and the appetite. Certain medications such as blood pressure drugs, antidepressants, opioids, and sedatives can slow down the bowel movements or cause dry stools. A low-fibre diet can make the stools harder and more difficult to pass. Dehydration can also reduce the fluid content of the stools. Being female can increase the risk of chronic constipation due to hormonal changes or pregnancy. Being older can affect the muscle strength and the bowel motility.
The first step to treating chronic constipation is correctly diagnosing it. Talk to your health care professional if you think you may be suffering from this condition.
If you have occasional constipation, you may be able to relieve it by making some simple changes to your lifestyle and diet. Here are some tips on what to do:
• Drink more water. Keeping yourself hydrated can help soften your stools and make them easier to pass. Aim for at least 8 glasses of water a day, or more if you exercise or sweat a lot.
• Eat more fibre. Fibre can add bulk and moisture to your stools and stimulate your bowel movements. Good sources of fibre include fruits, vegetables, whole grains, nuts, seeds, and legumes. Gradually increase your fibre intake to avoid gas and bloating.
• Don’t ignore the urge. When you feel the need to go to the bathroom, don’t delay or hold it in. This can weaken your pelvic muscles and make your stools harder and drier. Try to establish a regular routine and go to the bathroom at the same time every day, preferably after a meal or a warm drink.
