Chronic constipation is a persistent condition characterized by infrequent bowel movements, difficulty passing stool, and a feeling of incomplete evacuation. This condition can significantly impact a person’s quality of life, causing discomfort, bloating, and abdominal pain. Chronic constipation may result from various factors, including a low-fiber diet, inadequate fluid intake, lack of physical activity, or underlying medical conditions such as irritable bowel syndrome (IBS) or hypothyroidism. It is important to address chronic constipation promptly, as it can lead to complications like hemorrhoids, anal fissures, or fecal impaction. Effective management typically involves dietary and lifestyle changes, along with medical treatment if necessary.

Key Features of Chronic Constipation:

Common Causes:

• Dietary Factors: Low fiber intake, dehydration, or a diet high in processed foods.
• Lifestyle Factors: Sedentary lifestyle, lack of exercise, or irregular bowel habits.
• Medical Conditions: IBS, hypothyroidism, diabetes, or neurological disorders.
• Medications: Certain pain relievers, antidepressants, and antacids can contribute to constipation.
• Psychological Factors: Stress, anxiety, or depression.

Symptoms to Monitor:

• Fewer than three bowel movements per week
• Straining during bowel movements
• Hard, dry, or lumpy stools
• A feeling of incomplete evacuation
• Abdominal pain or discomfort
• Bloating or gas

Diagnosis:

• Medical History and Physical Exam: Assessment of symptoms, diet, lifestyle, and medical history.
• Laboratory Tests: Blood tests to check for hormonal imbalances, diabetes, or other underlying conditions.
• Imaging Studies: X-rays, CT scans, or colonoscopy to rule out structural abnormalities or obstructions.
• Colorectal Transit Studies: Evaluating the movement of food through the colon to identify motility issues.

Management and Treatment:

• Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains; ensuring adequate hydration.
• Exercise: Regular physical activity to stimulate bowel movements.
• Medications: Laxatives, stool softeners, or prescription medications to improve bowel function.
• Behavioral Therapy: Biofeedback or relaxation techniques to address psychological factors.
• Medical Procedures: In severe cases, procedures like biofeedback therapy or surgery may be necessary.

When to Seek Medical Help:

• Persistent constipation lasting several weeks or more
• Severe pain or discomfort during bowel movements
• Blood in the stool or rectal bleeding
• Unexplained weight loss or fatigue
• Symptoms of an underlying medical condition

Chronic constipation can be a frustrating and uncomfortable condition, but with the right approach, it can be effectively managed. If you are struggling with persistent constipation, it is important to seek medical advice to determine the underlying cause and develop a treatment plan. Our hospital offers comprehensive care for digestive health issues, including chronic constipation, to help you achieve better bowel function and overall well-being. Contact us to schedule an appointment with our specialists.