Zaparcie
Objawy

Zaparcie (constipation) definiuje się jako oddawanie mniej niż 3 stolców tygodniowo lub trudności z defekacją, z przewlekłym przebiegiem trwającym co najmniej 3 miesiące. Charakterystyczne objawy to twarde, suche stolce, nadmierne parcie, ból podczas wypróżniania, uczucie przeszkody w odbytnicy oraz tenesmus. Towarzyszą im często bóle brzucha o charakterze skurczowym, wzdęcia, uczucie pełności, nudności, a w cięższych przypadkach wymioty. Czynniki ryzyka obejmują m.in. ciążę, starzenie się, zmiany hormonalne, dietę ubogą w błonnik, niedostateczne nawodnienie, brak aktywności fizycznej oraz stosowanie leków takich jak opioidy czy leki przeciwdepresyjne. Zaparcie może mieć charakter okazjonalny lub przewlekły, z podtypami obejmującymi slow-transit constipation oraz dyssynergic defecation, a także może być objawem zespołu jelita drażliwego z zaparciem (IBS-C).

Zaparcie – definicja

Zaparcie (constipation) to zaburzenie czynności jelit objawiające się trudnościami w oddawaniu stolca lub zmniejszoną częstotliwością wypróżnień. Medycznie definiuje się je jako oddawanie mniej niż trzech stolców tygodniowo lub trudności z wypróżnieniem12. Zaparcie może dotyczyć osób w każdym wieku, jednak częściej występuje u osób starszych i kobiet34.

Przewlekłe zaparcie (chronic constipation) rozpoznaje się, gdy objawy utrzymują się przez co najmniej 3 miesiące15. Stan ten może znacząco obniżać jakość życia pacjenta i prowadzić do poważnych powikłań, jeśli nie zostanie odpowiednio leczony6.

Główne objawy zaparcia

Zaparcie można rozpoznać na podstawie szeregu charakterystycznych objawów, które mogą występować pojedynczo lub w połączeniu. Do najczęstszych symptomów należą:

Zmniejszona częstotliwość wypróżnienia

Kluczowym objawem zaparcia jest oddawanie mniej niż trzech stolców w ciągu tygodnia12. Należy jednak pamiętać, że prawidłowa częstotliwość wypróżnień może być różna u różnych osób – dla niektórych codzienne wypróżnienie jest normą, dla innych wypróżnienie co drugi dzień może być prawidłowe7.

Twarde, suche stolce

Charakterystyczną cechą zaparcia są twarde, suche lub grudkowate stolce, które mogą przybierać postać małych, twardych kulek lub większych, trudnych do wydalenia mas89. Konsystencja stolca zmienia się, ponieważ przy spowolnionym przejściu przez jelito grube wchłaniana jest nadmierna ilość wody, co powoduje wysuszenie i stwardnienie mas kałowych10.

Trudności przy wypróżnianiu

Osoby z zaparciem często doświadczają trudności podczas defekacji, które przejawiają się jako:

  • Nadmierne parcie podczas wypróżniania711
  • Ból podczas oddawania stolca12
  • Uczucie przeszkody lub blokady w odbytnicy1314
  • Konieczność stosowania manualnych technik w celu ułatwienia wypróżnienia (np. ucisk na brzuch lub używanie palca)215

Uczucie niepełnego wypróżnienia

Wiele osób z zaparciem zgłasza uczucie niekompletnego opróżnienia odbytnicy po wypróżnieniu13. Ten objaw, określany medycznie jako tenesmus, jest spowodowany zaleganiem twardych mas kałowych w jelicie, co może prowadzić do podrażnienia i uczucia potrzeby wypróżnienia, nawet bezpośrednio po oddaniu stolca8.

Objawy towarzyszące zaparciu

Zaparciu często towarzyszą dodatkowe symptomy, które wynikają z nieprawidłowego funkcjonowania przewodu pokarmowego:

Ból brzucha i dyskomfort

Osoby z zaparciem często doświadczają:

  • Bólu brzucha o charakterze skurczowym1216
  • Ogólnego dyskomfortu w jamie brzusznej17
  • Dolegliwości bólowych w dolnej części pleców18

Ból może być spowodowany nadmiernym rozciągnięciem jelit przez zalegające masy kałowe oraz zwiększonym ciśnieniem wywieranym na okoliczne tkanki19.

Wzdęcia i uczucie pełności

Zaparciu często towarzyszy:

  • Wzdęcie brzucha20
  • Uczucie pełności lub rozdęcia21
  • Zwiększone wytwarzanie gazów22

Objawy te są spowodowane spowolnionym przemieszczaniem się treści jelitowej, co prowadzi do zwiększonej fermentacji bakteryjnej i gromadzenia się gazów2.

Zmiana apetytu i nudności

U pacjentów z zaparciem może wystąpić:

  • Zmniejszony apetyt8
  • Nudności2023
  • Wymioty (w cięższych przypadkach)24

Objawy te mogą być wynikiem uczucia pełności i dyskomfortu w jamie brzusznej oraz gromadzenia się mas kałowych, które wywierają nacisk na okoliczne narządy25.

Zmęczenie i ogólne złe samopoczucie

Długotrwałe zaparcie może prowadzić do:

  • Zwiększonego uczucia zmęczenia26
  • Ogólnego złego samopoczucia26
  • Bólów głowy26

Objawy te mogą być związane z nagromadzeniem się toksycznych produktów przemiany materii w organizmie, odwodnieniem oraz stresem wynikającym z przewlekłych dolegliwości25.

Czynniki nasilające zaparcie

Zaparcie może być nasilone przez różne czynniki, które wpływają na pracę jelit i konsystencję stolca:

Fizjologiczne zmiany w organizmie

Niektóre naturalne zmiany fizjologiczne mogą zwiększać ryzyko zaparcia:

  • Ciąża – hormony ciążowe spowalniają perystaltykę jelit, a powiększająca się macica wywiera nacisk na jelita2728
  • Starzenie się – u osób starszych zmniejsza się napięcie mięśni jelit, spowolnieniu ulega metabolizm, a receptory odbytnicy mogą wykazywać zmniejszoną wrażliwość na rozciąganie2930
  • Zmiany hormonalne – wahania poziomu hormonów, szczególnie u kobiet, mogą wpływać na pracę jelit2

Styl życia i dieta

Czynniki związane ze stylem życia często prowadzą do zaparć:

  • Dieta uboga w błonnik – szczególnie diety bogate w mięso, mleko lub ser, a ubogie w owoce, warzywa i pełne ziarna31
  • Niedostateczne nawodnienie – niedostateczna ilość płynów sprzyja wysuszeniu stolca32
  • Brak aktywności fizycznej – siedzący tryb życia spowalnia perystaltykę jelit31
  • Ignorowanie potrzeby wypróżnienia – regularne powstrzymywanie potrzeby defekacji może prowadzić do zaburzeń w prawidłowym odczuwaniu tej potrzeby33

Leki i choroby współistniejące

Zaparcie może być nasilone przez:

  • Leki – szczególnie opioidy, niektóre leki przeciwbólowe, moczopędne, przeciwdepresyjne, przeciwdrgawkowe, leki na nadciśnienie i antacydy zawierające wapń lub glin3134
  • Choroby neurologiczne – takie jak choroba Parkinsona, stwardnienie rozsiane, udar mózgu35
  • Zaburzenia metaboliczne i endokrynologiczneniedoczynność tarczycy, cukrzyca, hiperkalcemia33
  • Choroby jelitzespół jelita drażliwego, choroba uchyłkowa, zwężenia jelit36

Rodzaje zaparcia

Zaparcie może być klasyfikowane w różny sposób, w zależności od przyczyny, czasu trwania i charakteru objawów:

Zaparcie okazjonalne

Okazjonalne zaparcie to krótkotrwały epizod trudności z wypróżnieniem, który ustępuje samoistnie lub po zastosowaniu prostych środków37. Charakteryzuje się:

  • Czasowym charakterem dolegliwości38
  • Odpowiedzią na zmiany diety, nawodnienia lub aktywności fizycznej39
  • Brakiem poważnych konsekwencji zdrowotnych40

Zaparcie przewlekłe

Przewlekłe zaparcie to stan, w którym objawy utrzymują się przez co najmniej 3 miesiące1. Można je podzielić na dwa główne typy:

Zaparcie z wolnym pasażem (slow-transit constipation):

  • Charakteryzuje się spowolnionym przemieszczaniem się treści pokarmowej przez jelito grube41
  • Może być spowodowane nieprawidłową innerwacją jelit lub miopatią trzewną42
  • Pacjenci mają rzadkie wypróżnienia, wzdęcia i dyskomfort brzuszny43

Zaburzenia defekacji (dyssynergic defecation):

  • Wynikają z nieprawidłowej koordynacji mięśni brzucha i dna miednicy podczas defekacji41
  • Pacjenci odczuwają trudności z wydaleniem stolca mimo parcia44
  • Często towarzyszy temu uczucie niepełnego wypróżnienia i konieczność stosowania manualnych technik wspomagających45

Zaparcie w zespole jelita drażliwego

Zaparcie może być dominującym objawem w zespole jelita drażliwego (IBS-C). W tym przypadku:

  • Występują nawracające bóle brzucha związane z wypróżnieniem46
  • Objawy zaparcia przeplatają się z okresami prawidłowych wypróżnień lub biegunki33
  • Często towarzyszą im wzdęcia, dyskomfort i uczucie niepełnego wypróżnienia39
  • Leczenie koncentruje się na łagodzeniu bólu i regulacji pracy jelit47

Progresja zaparcia i potencjalne powikłania

Nieleczone zaparcie może prowadzić do szeregu poważnych powikłań, które mogą znacząco wpłynąć na zdrowie i jakość życia pacjenta:

Impakcja kałowa (fecal impaction)

Jednym z najpoważniejszych powikłań przewlekłego zaparcia jest impakcja kałowa, która polega na nagromadzeniu się dużej, twardej masy kałowej w odbytnicy i dystalnej części okrężnicy30. Stan ten charakteryzuje się:

  • Niemożnością naturalnego wydalenia stolca20
  • Silnym bólem brzucha i dyskomfortem48
  • Możliwym paradoksalnym biegunką (overflow diarrhea) – wyciekaniem płynnego stolca wokół zbitej masy kałowej1029
  • Koniecznością interwencji medycznej, często z wykorzystaniem lewatywy lub ręcznego usunięcia mas kałowych49

Uszkodzenia odbytu i odbytnicy

Długotrwałe zaparcie i wynikające z niego nadmierne parcie mogą prowadzić do:

  • Hemoroidów (żylaków odbytu) – powiększonych i zapalonych naczyń krwionośnych w okolicy odbytu29
  • Szczelin odbytu (anal fissures) – bolesnych pęknięć w skórze wyścielającej kanał odbytu36
  • Wypadania odbytnicy (rectal prolapse) – stanu, w którym ściana odbytnicy wypada przez odbyt5048

Te powikłania mogą powodować ból, krwawienie i dyskomfort, a w ciężkich przypadkach wymagać interwencji chirurgicznej51.

Wpływ na funkcje dna miednicy

Przewlekłe zaparcie może wpływać na funkcje mięśni dna miednicy:

  • Osłabienie mięśni dna miednicy w wyniku nadmiernego i długotrwałego parcia2
  • Zaburzenia koordynacji mięśni podczas defekacji33
  • Zwiększone ryzyko nietrzymania moczu (stress urinary incontinence)2

Zaburzenia odżywiania i stany zapalne

Długotrwałe zaparcie może prowadzić do:

  • Zmniejszonego wchłaniania składników odżywczych25
  • Zwiększonego ryzyka stanów zapalnych jelit52
  • Zapalenia uchyłków (diverticulitis) w przypadku współistnienia choroby uchyłkowej3

Wpływ na jakość życia

Przewlekłe zaparcie może znacząco obniżać jakość życia pacjenta poprzez:

  • Ciągły dyskomfort i ból53
  • Wpływ na funkcjonowanie zawodowe i społeczne53
  • Problemy psychologiczne, takie jak lęk i depresja25
  • Zaburzenia snu i ogólne zmęczenie26

Kiedy szukać pomocy medycznej

Chociaż okazjonalne zaparcie jest częstym problemem, który zwykle można rozwiązać za pomocą prostych środków domowych, w niektórych przypadkach konieczna jest konsultacja lekarska:

Niepokojące objawy towarzyszące zaparciu

Należy niezwłocznie skontaktować się z lekarzem, jeśli zaparciu towarzyszą:

  • Krwawienie z odbytu lub obecność krwi w stolcu3154
  • Silny, nieustępujący ból brzucha1355
  • Niezamierzona utrata masy ciała3156
  • Gorączka54
  • Wymioty57
  • Niemożność oddania gazów58

Długotrwałe zaparcie

Konsultacji lekarskiej wymaga zaparcie, które:

  • Utrzymuje się dłużej niż 3 tygodnie mimo prób leczenia domowego5910
  • Jest stanem przewlekłym i regularnie powraca31
  • Znacząco wpływa na codzienne funkcjonowanie56

Nagła zmiana rytmu wypróżnienia

Należy zwrócić uwagę na:

  • Nagłe wystąpienie zaparcia u osoby, która wcześniej nie miała takich problemów60
  • Zmianę w konsystencji lub wyglądzie stolca (kształt, kolor, zapach)56
  • Naprzemienne występowanie zaparcia i biegunki58

Te zmiany mogą wskazywać na poważniejszy problem zdrowotny, taki jak nowotwór jelita grubego, i wymagają dokładnej diagnostyki43.

Zaparcie u osób z grupy ryzyka

Szczególnej uwagi wymagają przypadki zaparcia u:

  • Osób starszych (powyżej 65 roku życia)24
  • Kobiet w ciąży61
  • Pacjentów z chorobami przewlekłymi, takimi jak cukrzyca, choroby neurologiczne czy endokrynologiczne62
  • Osób przyjmujących leki, które mogą powodować zaparcie (np. opioidy)34

Przebieg i rozwój zaparcia

Zaparcie może mieć różny przebieg i rozwój w zależności od przyczyny, czasu trwania i zastosowanego leczenia46. Ogólnie można wyróżnić kilka wzorców rozwoju:

Przebieg okazjonalnego zaparcia

Okazjonalne zaparcie zwykle:

  • Pojawia się w odpowiedzi na tymczasowe zmiany w diecie, poziomie aktywności fizycznej, nawodnieniu lub rutynie31
  • Ustępuje samoistnie lub po zastosowaniu prostych środków domowych w ciągu kilku dni10
  • Nie prowadzi do długotrwałych konsekwencji zdrowotnych40
  • Może odpowiadać na zmiany stylu życia, zwiększenie spożycia błonnika i płynów63

Rozwój przewlekłego zaparcia

Przewlekłe zaparcie może rozwijać się stopniowo:

  • Początkowe, sporadyczne epizody zaparcia stają się coraz częstsze12
  • Z czasem dochodzi do rozciągnięcia odbytnicy i okrężnicy, co prowadzi do osłabienia ich wrażliwości na wypełnienie3024
  • Zaburza się koordynacja mięśni dna miednicy podczas defekacji45
  • Pacjent może zacząć nadmiernie polegać na środkach przeczyszczających, co może prowadzić do uzależnienia i dalszego pogorszenia funkcji jelit64
  • Rozwija się błędne koło: trudności z wypróżnieniem → unikanie defekacji → większe wysuszenie stolca → trudniejsze wypróżnienie65

Specyficzne wzorce progresji

W zależności od przyczyny leżącej u podłoża zaparcia, można obserwować różne wzorce progresji:

Zaparcie spowodowane lekami (np. opioidami):

  • Pojawia się krótko po rozpoczęciu terapii34
  • Utrzymuje się przez cały okres przyjmowania leku3
  • Może wymagać profilaktycznego stosowania środków przeczyszczających66

Zaparcie związane z chorobami neurologicznymi (np. chorobą Parkinsona):

  • Postępuje wraz z progresją choroby podstawowej35
  • Może być jednym z wczesnych objawów choroby, wyprzedzającym objawy ruchowe35
  • Wymaga kompleksowego podejścia terapeutycznego67

Zaparcie czynnościowe u dzieci:

  • Może rozpocząć się w okresie nauki korzystania z toalety68
  • Często prowadzi do błędnego koła: bolesne wypróżnienie → wstrzymywanie stolca → większe stwardnienie stolca → jeszcze bardziej bolesne wypróżnienie69
  • Może prowadzić do mimowolnego zanieczyszczania bielizny (enkopreza)70

Zaparcie to powszechny problem, który może dotknąć osoby w każdym wieku. Chociaż często jest to problem przejściowy, przewlekłe zaparcie może znacząco wpłynąć na jakość życia i prowadzić do poważnych powikłań zdrowotnych. Rozpoznanie objawów zaparcia i wczesne wdrożenie odpowiedniego leczenia może zapobiec progresji problemu i rozwojowi powikłań4071.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Constipation – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/constipation/symptoms-causes/syc-20354253
    Constipation is a problem with passing stool. Constipation generally means passing fewer than three stools a week or having a difficult time passing stool. […] Symptoms of constipation include: Fewer than three stools a week. Hard, dry or lumpy stools. Straining or pain when passing stools. A feeling that not all stool has passed. A feeling that the rectum is blocked. The need to use a finger to pass stool. Chronic constipation is having two or more of these symptoms for three months or longer. […] Long-term constipation, also called chronic constipation, may require treating another disease or condition that can cause or worsen constipation.
  • #2 Constipation: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/4059-constipation
    Constipation occurs when your bowel movements become less frequent and stools become difficult to pass. You should call a healthcare provider if you have severe pain, blood in your stool or constipation that lasts longer than three weeks. Having fewer than three bowel movements a week is, technically, the definition of constipation. The longer you go before you poop, the more difficult it becomes for poop to pass. Other key features that usually define constipation include: Your stools are dry and hard. Your bowel movements are painful, and your stools are difficult to pass. You have a feeling that you haven’t fully emptied your bowels. Constipation happens because your colon (large intestine) absorbs too much water from your poop. This dries out your poop, making it hard in consistency and difficult to push out of your body. If you have constipation, food may move too slowly through your digestive tract. This gives your colon more time too much time to absorb water from the waste. The stool becomes dry, hard and difficult to push out. Constipation symptoms include: You have fewer than three bowel movements a week. Your stools are dry, hard and/or lumpy. Your stools are difficult or painful to pass. You have a stomachache or cramps. You feel bloated and nauseated. You feel that you haven’t completely emptied your bowels after a movement. People older than 65 are often less active, have a slower metabolism and have less muscle contraction strength along their digestive tract than when they were younger. Changes in your hormones may make you more prone to constipation. It’s common to have constipation during pregnancy and after childbirth. The fetus inside your uterus may squish your intestines, slowing down the passage of stool. There are a few complications that could happen if you don’t have soft, regular bowel movements. Some complications include: Swollen, inflamed veins in your rectum (hemorrhoids). Tears in the lining of your anus from hardened stool trying to pass through (anal fissures). An infection in the pouches (diverticula) that sometimes form off your colon wall from stool that’s become trapped and infected (diverticulitis). A pile-up of too much poop in your rectum and anus (fecal impaction). Damage to your pelvic floor muscles from straining to move your bowels. These muscles help control your bladder, among other things. Too much straining for too long may cause urine to leak from your bladder (stress urinary incontinence).
  • #3 Constipation – Wikipedia
    https://en.wikipedia.org/wiki/Constipation
    Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. The normal frequency of bowel movements in adults is between three per day and three per week. Constipation has many causes. Common causes include slow movement of stool within the colon, irritable bowel syndrome, and pelvic floor disorders. Underlying associated diseases include hypothyroidism, diabetes, Parkinson’s disease, celiac disease, non-celiac gluten sensitivity, vitamin B12 deficiency, colon cancer, diverticulitis, and inflammatory bowel disease. Medications associated with constipation include opioids, certain antacids, calcium channel blockers, and anticholinergics. Of those taking opioids about 90% develop constipation. Constipation is more concerning when there is weight loss or anemia, blood is present in the stool, there is a history of inflammatory bowel disease or colon cancer in a person’s family, or it is of new onset in someone who is older. Treatment of constipation depends on the underlying cause and the duration that it has been present. Measures that may help include drinking enough fluids, eating more fiber, consumption of honey and exercise. If this is not effective, laxatives of the bulk-forming agent, osmotic agent, stool softener, or lubricant type may be recommended. Stimulant laxatives are generally reserved for when other types are not effective. Other treatments may include biofeedback or in rare cases surgery. In the general population rates of constipation are 230 percent. Among elderly people living in a care home the rate of constipation is 5075 percent. People in the United States spend more than US$250 million on medications for constipation a year.
  • #4 Management of Constipation in Older Adults | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/0915/p500.html
    Chronic constipation is common in adults older than 60 years, and symptoms occur in up to 50% of nursing home residents. […] Chronic constipation occurs in 16% of adults, with older patients experiencing constipation more often. About one-third of adults 60 years or older report at least occasional constipation, and in nursing home residents, the prevalence is 50% or more. […] Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. Patients typically experience other symptoms such as hard stools, abdominal bloating, pain, and distention. […] Chronic constipation is characterized by the presence of symptoms for at least three months out of the preceding 12 months. […] Primary constipation, or functional constipation, is classified into three subtypes: normal transit constipation, slow transit constipation, and disorders of defecation.
  • #5 Chronic Constipation | Gastroenterology | University of Utah Health
    https://healthcare.utah.edu/gi/conditions/chronic-constipation
    Chronic constipation is when you experience the symptoms of constipation for three months or longer. This may mean passing fewer stools than normal or having difficulty passing a bowel movement. […] The most recognized symptom of constipation is having three or fewer bowel movements a week. […] If you are experiencing any of these symptoms for three months or longer, you may have chronic constipation.
  • #6 Evaluation of Constipation | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0601/p2283.html
    Constipation is the reason for 2.5 million physician visits per year in the United States, with more than one half of these visits to primary care physicians. […] Constipation is a symptom, rather than a disease, and represents a subjective interpretation of real or imagined disturbance of bowel function. […] Constipation is more prevalent in children and the elderly. […] In adults, chronic constipation has been shown to diminish perceived quality of life. […] Constipation may also signal more serious underlying problems such as colonic dysmotility or mass lesions. […] The differential diagnosis of constipation in adults and children is broad. […] However, most patients are found to have no discernible cause for this symptom and are labeled as having chronic functional or idiopathic constipation.
  • #7 What Is Constipation? | Signs of Constipation | American Cancer Society
    https://www.cancer.org/cancer/managing-cancer/side-effects/stool-or-urine-changes/constipation.html
    Constipation, or difficulty having bowel movements, is a problem for many people with cancer. Understanding its causes and learning how to prevent and manage constipation can improve your quality of life. […] When it is hard to have a bowel movement (poop); or when you aren’t going as many times as you usually do, it is called constipation. […] Constipation can also lead to other problems such as: […] […] Constipation is usually caused by more than one factor. The more risk factors you have, the more likely you are to have constipation. […] Here are some things that increase your chances of constipation: […] […] Constipation can be different depending on the person. Having one bowel movement every other day might be regular for one person and but might indicate constipation for another. […] Symptoms of constipation often include: […] […] If you have constipation, make sure your doctor or cancer care team knows about it. Constipation can cause serious problems if it isn’t managed. […] Tell them if you: […]
  • #8 Constipation Symptoms: 7 Signs You Are Constipated | MiraLAX®
    https://www.miralax.com/constipation-101/7-constipation-signs-symptoms
    We’ve all experienced that frustrating, backed-up feeling: You want to poop, but nothing’s moving. That’s a sure sign of constipation, right? Well, yes, difficulty having a bowel movement can mean you’re constipated. But other symptoms may point to constipation, too. […] If you are straining to poop or pooping is painful, you may be constipated. […] When food moves too slowly, your colon has time to extract too much water from the food, which can leave your stools hard and dry, and can make them difficult to pass. […] When you’re constipated it can sometimes feel like you could still pass more stool after you use the bathroom. The technical term for this is tenesmus, and it’s caused by hard, dry stool being stuck in your bowel, which can irritate it and lead to the sensation of needing to go, even if you just went. […] Constipation is defined as fewer than three bowel movements per week. […] Backed-up intestines and trapped gas can make you feel full and cause a decreased appetite. […] Hardened stool and gas trapped behind your stool can cause abdominal pressure and pain.
  • #9 Constipation: Causes, symptoms, treatments, and more
    https://www.medicalnewstoday.com/articles/150322
    Constipation is when a person has difficulty passing stool. It can also cause pain, bloating, nausea, and other symptoms. Depending on the cause, medical treatments and home remedies may help. […] The main symptoms of constipation are: having fewer than three bowel movements per week, difficulty passing stool, straining when passing stool, passing less stool than usual, lumpy, dry, or hard stool. Other symptoms include: abdominal pain and cramping, feeling bloated, nausea, a loss of appetite. […] Constipation may cause complications if it persists or if it is a symptom of a more serious underlying condition. Damage that can arise as a result of constipation includes: hemorrhoids or piles, which are swollen, inflamed blood vessels in the anus, rectal bleeding after straining, bowel incontinence, anal fissure, which is a small tear around the anus, fecal impaction, which occurs when dried stool stops moving and collects in the rectum and anus, potentially leading to a mechanical obstruction.
  • #10 Constipation
    https://www.nhs.uk/conditions/constipation/
    Constipation is where you have changes to how you poo, including not pooing as often or finding it hard to poo. It’s common and it affects people of all ages. You can usually treat it with simple changes to your diet and lifestyle. […] It’s likely to be constipation if: you have not had a poo at least 3 times during the last week or you’re pooing less often than usual; the poo is unusually large or small and is dry, hard or lumpy; you are straining or in pain when you have a poo; you feel like you haven’t fully emptied your bowels. […] You may also have a stomach ache and feel bloated or sick. […] Constipation is common during pregnancy and after giving birth. It is also more common if you are over 65 years old. […] You may notice a difference within a few days. Sometimes it takes a few weeks before your symptoms improve. […] Long-term constipation can lead to faecal impaction. This is where poo has built up in the last part of the large intestine (rectum). The main symptom is diarrhoea, which leaks through the build-up of solid poo.
  • #11 Constipation | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/constipation/
    Constipation is a common condition that affects people of all ages. It can mean that youre not passing stools regularly or youre unable to completely empty your bowel. […] 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 long-term (chronic) condition that causes significant pain and discomfort and affects quality of life. […] When youre constipated, passing stools becomes more difficult and less frequent than usual. […] If you or your child pass stools less than usual, it could be a sign of constipation. […] It may also be more difficult to pass stools and you may feel unable to empty your bowel completely. Your stools may appear dry, hard and lumpy, as well as abnormally large or small.
  • #12 Constipation: Causes, Symptoms, and Treatment
    https://www.webmd.com/digestive-disorders/digestive-diseases-constipation
    Being constipated means your bowel movements are tough or happen less often than normal. You might be constipated if you have less than three bowel movements per week. […] Bloating and cramps are two common symptoms of constipation. […] You may have: Few or no bowel movements, Trouble having a bowel movement (straining to go), Hard or small stools, A feeling that everything didn’t come out, Belly bloating, A feeling like your rectum is blocked, A stomachache or cramps. […] When constipation lingers for 3 weeks or more, get a checkup just to make sure a medical condition isn’t causing the problem. […] Don’t let constipation go unchecked for too long. When untreated, constipation can lead to unpleasant complications such as hemorrhoids and rectal prolapse, a condition that causes part of the intestine to push out through the anus from too much straining. […] Call your doctor right away if you have sudden constipation with belly pain or cramping and you aren’t able to poop or pass gas at all. […] If your constipation doesn’t get better with lifestyle changes and over-the-counter medicines, your doctor may prescribe a stronger medication.
  • #13 Symptoms & Causes of Constipation – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/symptoms-causes
    Symptoms of constipation may include […] stools that are hard, dry, or lumpy […] stools that are difficult or painful to pass […] a feeling that not all stool has passed. […] You should see a doctor right away if you have constipation and constant pain in your abdomen. […] Causes of constipation may include […] slow movement of stool through your colon […] delayed emptying of the colon from pelvic floor disorders, especially in women, and colon surgery […] functional gastrointestinal disorders, such as irritable bowel syndrome. […] Constipation can happen when your life or daily routine changes. […] Certain health and nutrition problems can cause constipation.
  • #14 Constipation | Canadian Cancer Society
    https://cancer.ca/en/treatments/side-effects/constipation
    Constipation is a condition in which stool (poop) is hard and dry and difficult to pass. The stool becomes hard and dry if it moves too slowly through the large intestine (bowel) or if the intestine takes too much water from it. Constipation affects about one-half of all people with cancer. […] Symptoms of constipation can vary depending on their cause and other factors. Symptoms of constipation include: bloating or feeling of fullness, cramping or pain, gas, or flatulence, belching, loss of appetite, no regular bowel movement for 2 or more days, straining to have a bowel movement, small hard stools that are difficult to pass, rectal pressure, leakage of small amounts of stool resembling diarrhea, swollen, or distended, abdomen, nausea or vomiting. […] If constipation lasts a long time, a large amount of stool can collect. The stool can get packed in the colon or rectum. This is called fecal impaction. Sometimes the stool tries to move around the impaction and can leak from the body. Fecal impaction can become a serious problem, so it is important to try to prevent constipation and impaction. […] If symptoms get worse or dont go away, report them to your doctor or healthcare team without waiting for your next scheduled appointment.
  • #15 Chronic Constipation Symptoms | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/digestion-and-metabolic-health/chronic-constipation/symptoms.html
    Symptoms of chronic constipation include: […] Difficulty passing stools […] Feeling like your bowel is never completely empty […] Feeling like there is something blocking your bowel […] Hard or lumpy stools […] Needing help emptying your rectum, such as using your hands to press on your abdomen.
  • #16 Constipation: Causes, Symptoms, and Treatment
    https://www.medicinenet.com/constipation/article.htm
    Constipation is defined medically as fewer than three stools. […] Constipation means different things to different people. For many people, it simply means infrequent passage of stool (feces). For others, however, it means hard stools, difficulty passing them (straining), or a sense of incomplete emptying after a bowel movement. […] Medically speaking, constipation usually is defined as fewer than three bowel movements per week. Severe constipation is defined as less than one bowel movement per week. […] It is important to distinguish acute (recent onset) constipation from chronic (long duration) constipation. Acute constipation requires urgent assessment because a serious medical illness may be the underlying cause. […] The signs and symptoms of constipation include the following: Infrequent bowel movements, Straining when going to the bathroom, Hard and/or small feces, A sense of incomplete evacuation after going to the bathroom, Lower abdominal discomfort, Abdominal bloating, Occasionally distension (bloating), Anal bleeding or fissures from the trauma caused by hard feces, Occasionally diarrhea due to obstruction of the colon by hard stool, Colonic perforation, Psychological distress and/or obsession with having to go to the bathroom, and possible aggravation of the diverticular disease, Hemorrhoids, Rectal prolapse.
  • #17 Constipation: What Does It Feel Like?
    https://www.healthline.com/health/what-does-constipation-feel-like
    Constipation can feel like many different symptoms, including fullness in the stomach or pelvic region, cramping in the bowels, or feelings of heaviness or discomfort. […] Constipation is when you have stools that are hard to pass, you dont feel like you pass all your stool, or there are fewer than three bowel movements per week. […] Constipation can make you feel constantly bloated or uncomfortable. You may also experience harmful side effects, such as bowel obstructions, due to chronic constipation. […] Constipation can happen due to one or more breakdowns of the expected pathway where stool is excreted. […] These can include slow-moving stool, hard stools, or experiencing a problem with the muscles and nerves needed to pass a bowel movement. […] As a result, constipation can feel like many symptoms. Examples include: fullness in the stomach or pelvic region, cramping of the bowels, feeling like stool remains in the rectum but cannot pass, feelings of heaviness or discomfort in the stomach and abdominal regions, aching feeling in the back. […] Sometimes, its difficult to distinguish between discomfort in your stomach and intestines. […] If you have fewer than three bowel movements a week combined with difficulty with your bowel movements or other discomfort, it can be a good idea to talk with a doctor.
  • #18 Can Constipation Cause Back Pain? Causes and Treatment
    https://spokanespineteam.com/can-constipation-cause-back-pain-in-which-part-of-the-back/
    Back pain can be caused due to many factors and over and above that if you are constipated, every day life can become difficult. […] To your surprise, constipation remains a leading cause of excruciating back pain in the back. […] When you are constipated, your bowels get blocked up, this excess stool build-up puts extreme pressure on the rectum, which can lead to lower back pain. […] During constipation, you are unable to pass stools which causes the intestines in your system to swell up, sometimes due to this, you may feel bloated and uncomfortable. […] This swelling in the intestine triggers pain in your back that feels like a dull ache at the beginning but can worsen if left unattended for a long time. […] The pain starts in your lower back and spreads to the rest of your abdomen.
  • #19 Can Constipation Cause Back Pain? Causes and Treatment
    https://spokanespineteam.com/can-constipation-cause-back-pain-in-which-part-of-the-back/
    When a large mass of stool gets stuck inside your colon critically and despite all the pressure you are unable to push it out, the condition is referred to as fecal impaction. […] It is a serious condition that gives a lot of discomfort and lower back pain. […] Fecal impaction should be treated medically else can become a dangerous cause for concern. […] When you have fecal impaction, you suffer from many other symptoms except just awful back pain. […] Sometimes, just having general constipation can also cause back pain. […] When you are constipated the extra fecal matter sitting in your bowel makes the intestines swell up, this blockage in your digestive tract puts enormous pressure on the muscles of your body especially your back, leading it to ache and become sore. […] Constipation is defined as difficulty in passing a bowel movement or infrequent bowel movements.
  • #20 Constipation | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/constipation/
    Other symptoms of constipation can include: stomach ache and cramps, feeling bloated, feeling sick, loss of appetite. […] Constipation usually occurs when stools remain in the colon (large intestine) for too long, and the colon absorbs too much water from the stools, causing them to become hard and dry. […] Long-term constipation can increase the risk of faecal impaction, which is where dried, hard stools collect in your rectum and anus. […] Once you have faecal impaction, its very unlikely that youll be able to get rid of the stools naturally. […] Faecal impaction makes constipation worse because its harder for stools and waste products to pass out of your anus, as the path is obstructed.
  • #21 Constipation: Symptoms, Causes, and Treatment
    https://patient.info/digestive-health/constipation
    Constipation is a common problem. It means either going to the toilet less often than usual to empty the bowels, or passing hard or painful stools (faeces). […] A commonly used medical definition is that constipation is when you have fewer than 3 spontaneous bowel movements a week. […] If you are constipated it causes one or more of the following: Stools (faeces) become hard and difficult or painful to pass. […] The time between toilet trips (to do a bowel motion) increases compared with your usual pattern. […] Chronic constipation means the problem has been present for at least 12 weeks out of the past 6 months. […] Some people have a good diet, drink a lot of fluid, do not have a disease and do not take any medication that can cause constipation; however, they still become constipated.
  • #22 Constipation in Pregnancy: Causes, Symptoms and Relief
    https://myexpertmidwife.com/blogs/my-expert-midwife/constipation-pregnancy
    Feeling like you need to go but cant. The sensation is there, but its just not coming out. […] Straining. This is a typical symptom of constipation and can be exhausting. It can also potentially lead to haemorrhoids (piles), anal fissures (small tears in/around your anus) and a weakened pelvic floor. […] Bloating and increased wind. As your bowels take longer to move digested food, this creates increased gas and bloating. […] Pain when having a poo. This is usually caused by passing dry, lumpy and sometimes large stools, straining to pass them, and piles and/or fissures. […] Pain/cramps in the lower abdomen are usually caused by increased/trapped gas, bloating, and the fact that hardened faecal matter (poo) is building up inside you and causing pressure and discomfort. […] Lower back pain. This is usually described as a dull ache and is typically caused by stools backing up in your intestines, which increases pressure on the surrounding area, including muscles and nerves.
  • #23 Signs and Symptoms of Constipation
    https://www.arthritis-health.com/treatment/medications/signs-and-symptoms-constipation
    Constipation can be an uncomfortable problem. In severe cases, constipation can be painful or even life-threatening. Constipation is a medical condition in which bowel movements become less frequent than normal, and/or difficult to produce. Patients may be constipated if they are experiencing one or more of the following symptoms: Abdominal pain and bloating. Constipated patients may feel tightness in their abdomen, or a sharp, cramping pain deep in their gut. Nausea and/or vomiting. It may seem counterintuitive, but nausea and vomiting can be a symptom of constipation. Hard stools or inability to have a bowel movement. Constipation causes stools to dehydrate and harden, which makes bowel movements difficult. Small stools followed by a feeling of not emptying the bowels. Constipation may cause people to produce only tiny bowel movements. Infrequent bowel movements. Patients who are producing fewer bowel movements per day or week than is normal for them may be constipated. Straining during a bowel movement. Constipated patients may have to push and strain their entire lower bodies to produce a bowel movement. Rectal bleeding due to the development of anal fissures and/or hemorrhoids caused by hard stools. The strain of passing hard stools can cause the development of varicose veins in the rectum, which are known as hemorrhoids. Anyone who experiences unusual or more serious symptoms, such as severe abdominal cramping, bloating, blood in the stool, or dizziness, should consult a physician immediately.
  • #24 Idiopathic Constipation | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/c/idiopathic-constipation
    The term idiopathic constipation means constipation without a known cause. Children with constipation are not able to have a bowel movement on a routine basis. […] Idiopathic constipation is a very severe condition that calls for high doses of laxatives or medications, rectal enemas and sometimes surgery. Idiopathic constipation can be managed, but not cured. […] Symptoms may start soon after birth or when your child starts eating baby food or solid food. You may also notice symptoms when you start to potty train your child. […] Your child may have these symptoms: Not having a bowel movement each day, Bowel movements are hard and small, May struggle with bowel movements, Bowel movements may be painful, May soil their underwear, Bloating, Loss of appetite, Nausea or vomiting. […] When stool stays inside the intestine longer than 24 hours, the intestine stretches to hold the large amount of stool. The stretched colon then holds more stool, making the constipation worse.
  • #25 Exploring the Effects of Constipationon the Body
    https://www.sanofi.com/en/india/consumer-healthcare/consumer-healthcare-products/dulcoflex/blog/exploring-the-effects-of-constipation-on-the-body
    Constipation can affect your well-being and make it difficult to go about your day. […] The discomfort and heaviness caused by constipation can often hinder your routine, making even the simplest activities difficult to pursue. […] One of the primary effects of constipation is physical discomfort. Hard and dry stools are difficult to pass, leading to straining and a feeling of not being empty. […] Constipation can also have an impact on appetite. When the stool builds up in the colon, it can make you feel full, and decrease your desire to eat. […] Feeling bloated is a common issue for those dealing with constipation. […] As constipation disrupts the normal functioning of the digestive system, it can lead to a decrease in nutrient absorption. […] The discomfort, pain, and fatigue that come with constipation can take a toll on your mental health.
  • #26 Constipation in Pregnancy: Causes, Symptoms and Relief
    https://myexpertmidwife.com/blogs/my-expert-midwife/constipation-pregnancy
    Tiredness and general malaise. This may be difficult to distinguish if you already feel tired during pregnancy. Yet, tiredness can be increased when you are constipated because your body is holding on to toxic waste. […] Headaches. Although the reasons for this are not clear; it is thought that straining, tiredness, dehydration and a build-up of toxins when you are constipated may lead to headaches.
  • #27 Constipation in Pregnancy: Causes, Symptoms and Relief
    https://myexpertmidwife.com/blogs/my-expert-midwife/constipation-pregnancy
    For most pregnant women, constipation starts during their first trimester, usually after week 8, when the hormone progesterone steadily increases. However, every woman is an individual, and some women who experience constipation during pregnancy may not do so until their second or third trimester. […] As every pregnant woman is an individual, the symptoms of pregnancy constipation and the intensity of such symptoms wont be the same for everyone. However, most women who experience constipation in pregnancy report many of the following symptoms: […] Less frequent bowel movements. This is relative to what your habits are. If you usually open your bowels daily, you are likely to be constipated if you can only go a few times a week. […] Hard, dry and lumpy stools. Stools should be formed, smooth to pass and relatively soft.
  • #28 Constipation in pregnancy
    https://www2.hse.ie/conditions/constipation-pregnancy/
    Constipation is very common in pregnancy. […] Symptoms of constipation include: hard poo, pooing less, pain when pooing, farting, cramp-like pains in your tummy, unusually small or large poo. […] Constipation can be caused by: not drinking enough water, not eating enough fibre, pregnancy hormones – these can make your poo move slowly through your gut, your growing baby and womb putting extra pressure on your intestines, taking iron supplements.
  • #29 Constipation – Gastrointestinal Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/constipation
    Excessive straining or prolonged or unsatisfactory defecation, with or without anal digitation, suggests a defecatory disorder. […] Patients with fecal impaction may have cramps and may pass watery mucus or fecal material around the impacted mass, mimicking diarrhea (overflow diarrhea). […] Constipation is common among older adults because of low-fiber diets, lack of exercise, coexisting medical conditions, and use of constipating medications. […] Other changes that predispose older adults to constipation include increased rectal compliance and impaired rectal sensation (such that larger rectal volumes are needed to elicit the desire to defecate).
  • #30 Constipation in Adults – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/symptoms-of-digestive-disorders/constipation-in-adults
    In many cases, however, the cause of constipation is unknown. […] The rectum enlarges as people age, and increased storage of stool in the rectum means that older adults often need to have larger volumes of stool in their rectum in order to feel the urge to defecate. The increased rectal volume also allows hard stool to become impacted. […] Other common factors in older adults that lead to constipation include increased use of constipating medications, a low-fiber diet, coexisting medical conditions (such as diabetes and an underactive thyroid), and reduced physical activity.
  • #30 Constipation in Adults – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/symptoms-of-digestive-disorders/constipation-in-adults
    Constipation may be acute or chronic. Acute constipation begins suddenly and noticeably. Chronic constipation may begin gradually and persists for months or years. […] Having infrequent bowel movements does not necessarily indicate a problem unless there has been a substantial change from previous patterns. […] The complications of constipation include hemorrhoids, rectal prolapse, anal fissure, diverticular disease, and fecal impaction. […] Fecal impaction, in which stool in the rectum and last part of the large intestine hardens and completely blocks the passage of other stool, sometimes develops in people with constipation. […] People with IBS may have loose stools, disordered defecation, or constipation. If IBS is usually accompanied by constipation, it is called constipation-predominant IBS.
  • #31 Constipation: Symptoms, Causes, Relief, and More
    https://www.healthline.com/health/constipation
    If stool remains in the colon too long, it can become hard and difficult to pass. […] Stress, changes in routine, and conditions that slow muscle contractions of the colon or delay your urge to go may also lead to constipation. […] Common causes of constipation include: low fiber diet, particularly diets high in meat, milk, or cheese, dehydration, low exercise levels, delaying the impulse to have a bowel movement, travel or other changes in routine, medications, including certain antacids, pain medications, diuretics, and some treatments for Parkinson’s disease, pregnancy, older age (constipation affects around one-third of people ages 60 and over). […] Most cases of constipation are mild and easily treated with changes in diet and exercise. […] If you’re experiencing chronic constipation or constipation along with other bowel changes, it’s important that you talk with a healthcare professional.
  • #31 Constipation: Symptoms, Causes, Relief, and More
    https://www.healthline.com/health/constipation
    Constipation means having hard, dry bowel movements or passing stool fewer than three times a week. It can be caused by things like your diet, medications, whether you are pregnant, or just a change in your routine. […] However, you may be constipated if you experience the following symptoms: fewer than three bowel movements a week, passing lumpy, hard, or dry stools, straining or pain during bowel movements, a feeling of fullness, even after having a bowel movement. […] The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends seeking medical advice if symptoms don’t go away or if you notice the following: bleeding from the rectum, blood in your stool, persistent abdominal pain, pain in the lower back, a feeling that gas is trapped, vomiting, fever, unexplained weight loss, a sudden change in bowel movements.
  • #32 Constipation and Other Gastrointestinal Problems in Parkinson’s Disease | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/constipation
    Because people with Parkinsons disease experience difficulty with their movement, they often become less active. People with PD who increase their movement experience better overall functioning, which includes their digestive system. […] Many people with Parkinsons disease limit their fluids to avoid making frequent trips to the bathroom. When a person drinks less liquid, the gut may not have the lubrication it needs to have a bowel movement, which contributes to constipation. […] It is critical to put a daily plan in place one that can even prevent constipation before it begins. […] If you have tried the tips above but they did not work, what should you do next? The primary goals will be to manage your symptoms, avoid complications (such as impaction, hemorrhoids and a dependence on laxatives), and prevent future constipation.
  • #33 Constipation | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/constipation
    People who ignore the urge to have a bowel movement may eventually stop feeling the need to have one, which can lead to constipation. […] IBS is a common chronic disorder causing alteration in ones bowel habits as well as abdominal discomfort, although pain is usually relieved with bowel movement. Bowel habit alterations can include constipation, diarrhea, and a mixed pattern in which the bowels alternate between that of diarrhea and constipation. […] There are a number of disorders that can physically compress, squeeze or narrow the intestines. […] A number of systemic diseases and conditions also may cause constipation. These include neurologic disorders, myopathies and metabolic and endocrine disorders. […] For those with chronic constipation, its important for your medical team to rule out other conditions that have constipation as a symptom, such as a blockage in your intestine or colon, or irritable bowel syndrome.
  • #34
    http://www.bccancer.bc.ca/health-info/coping-with-cancer/managing-symptoms-side-effects/constipation-caused-by-your-medications
    Constipation is when you do not have a bowel movement (go poop) as often as usual. Cancer treatments and other medications may cause constipation. […] Your stool (poop) is hard or painful to pass. You may have cramps, nausea (feeling queasy), or a feeling of fullness or mild pain in your abdomen (stomach area). Constipation can cause bleeding, painful hemorrhoids (piles), tears in the anus (the opening to your bum), or infection. […] Cancer treatments and some other medications may cause constipation. Pain medications, called opioids (such as morphine, hydromorphone, oxycodone and Tylenol #3,) may cause constipation. Opioids slow down the movement of stool through your bowel (intestines). This gives your bowel more time to take the water out of your stool, making it hard, dry and difficult to pass.
  • #35 Constipation and Other Gastrointestinal Problems in Parkinson’s Disease | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/constipation
    Constipation means difficulty passing stools (bowel movement, feces), a decrease in the number of stools, or both. It is often accompanied by one or more of the following symptoms: […] Constipation can be acute (sudden onset of short duration) or chronic (persisting for several weeks or longer). In PD, constipation is likely to be chronic. When constipation is severe, the stool stays in the colon and backs up, causing a condition called impaction. […] The same changes that occur in brain cells in Parkinsons disease may also occur in nerve cells in the spinal cord and the intestinal wall. These changes may slow down the muscles that push food through the intestines. […] Medications used to treat PD in particular, the class called anticholinergics and the medication amantadine, used to treat dyskinesia are known for causing constipation.
  • #36 Constipation | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/constipation
    Constipation is sometimes symptomatic of underlying medical problems, such as disordered defecation, slow transit, irritable bowel syndrome, anal fissure, obstruction, rectocele, hernia, abdominal or gynaecological surgery, problems of the endocrine system, tumour, diseases of the central nervous system.
  • #36 Constipation | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/constipation
    Most cases of constipation are successfully treated by eating a diet high in fibre, drinking more fluids and exercising daily. […] Complications of chronic constipation include haemorrhoids, faecal impaction and rectal prolapse. […] The symptoms of constipation include: needing to open the bowels less often than usual, hard, dry stools that may be painful to pass, straining to pass the motion, having to sit on the toilet for much longer than usual, the sensation afterwards that the bowel hasn’t fully emptied, bloated abdomen, abdominal cramps. […] In some cases, constipation is caused by more serious illnesses and events, including tumours and systemic diseases. […] Some of the complications of chronic constipation include: faecal impaction, stercoral ulcer, faecal incontinence, haemorrhoids, rectal prolapse, urinary incontinence.
  • #37
    https://journals.lww.com/ajg/fulltext/2022/11000/recognizing_and_defining_occasional_constipation_.15.aspx
    OC is an intermittent condition of short(er) duration, CIC is long(er) lasting with few or limited constipation-free intervals resulting in the affected person seeking professional health care, instituting lifestyle changes, and/or taking medication. […] The nature of OC means that symptoms will be occasional and relatively short-lived. […] Our proposed new definition accounts for the bothersomeness of symptoms and its impact. […] Occasional constipation can be defined as intermittent or occasional symptomatic alterations in bowel habit, in the absence of warning signs for more serious conditions. The symptoms include a bothersome reduction in the frequency of bowel movements and/or difficulty with passage of stools. These symptoms may last a few days or a few weeks, and may require modification of lifestyle, dietary habits and/or use of over-the-counter laxatives or bulking agents to restore a satisfactory bowel habit.
  • #38 What Is Constipation?, Causes Relief & How to Prevent It
    https://www.miralax.com/constipation-101/what-is-constipation
    Maybe you’re feeling bloated, crampy or unusually full, or you’re having fewer bowel movements than usual. Could it be constipation? Here’s how to find out. […] In medical terms, constipation is defined as having fewer than three bowel movements per week, with stools that are hard, lumpy or dry. […] If you’re constipated, you may notice some uncomfortable symptoms: Fewer bowel movements per week than usual, Hard stools that are difficult or uncomfortable to pass, Straining during a bowel movement, Aches and cramping associated with bowel movements, Not feeling that you’ve completely emptied your bowels after a bowel movement. […] Occasional constipation is normal for most people and can be triggered by diet changes (especially a lack of fiber in your diet), stress or taking certain medications. However, if your symptoms last for more than three months, your constipation may be considered chronic and associated with other health conditions.
  • #39 Types of Chronic Constipation | LINZESS (linaclotide)
    https://www.linzess.com/understanding-constipation/types-of-constipation
    Sudden or short periods of difficult, infrequent, or incomplete bowel movements may be occasional constipation. Constipation symptoms that keep coming back or seem to last for a long time more than 3 months could indicate a medical condition known as chronic constipation. […] Irritable Bowel Syndrome with Constipation (IBS-C) and Chronic Idiopathic Constipation (CIC) are types of chronic constipation. Idiopathic means the cause is unknown. […] Symptoms of IBS-C include lumpy or hard stools, incomplete bowel movements, and fewer than 3 bowel movements a week. […] Symptoms of CIC include lumpy or hard stools, incomplete bowel movements, and fewer than 3 bowel movements a week.
  • #40 Constipation | Causes, Symptoms, Treatment & Support | Guts UK
    https://gutscharity.org.uk/advice-and-information/symptoms/constipation/
    This factsheet helps to explain the symptoms of constipation and what causes them. It will help you to identify when it is a problem needing your doctor to investigate it. The information also highlights what treatments are available to help reduce symptoms. […] Constipation is a symptom that can mean different things to different people. The usual meaning is that a person has difficulty or infrequency with opening their bowels. […] Constipation is a common problem and does not usually mean that anything is seriously wrong. Most people’s constipation is temporary and will clear up with simple lifestyle measures. […] Constipation generally refers to poo that is type 1 or type 2 on the chart. The poo is often hard and difficult to pass. […] Constipation does not have a single symptom and it can refer to one or more of the above features. The more of these symptoms you have the more likely you are to have constipation.
  • #40 Constipation | Causes, Symptoms, Treatment & Support | Guts UK
    https://gutscharity.org.uk/advice-and-information/symptoms/constipation/
    If simple measures described later don’t help and your symptoms persist, then contact your GP. […] Although constipation can be worrying, there is no reason to think that constipation can ‘poison’ the body. It can cause feelings of sluggishness and bloating. […] Remember that most cases of constipation are easily solved with simple diet, lifestyle, or medication change. But if constipation does not respond to treatments there can be medium to long term complications.
  • #41 How To Prevent and Treat Chronic Constipation | Northwestern Medicine
    https://www.nm.org/healthbeat/healthy-tips/how-to-prevent-and-treat-constipation
    When your body doesnt follow its natural rhythm, it can lead to constipation the most common gastrointestinal issue. While occasional constipation is normal, understanding its symptoms and causes can help you address it effectively. Heres what you need to know to recognize and manage this condition. […] You may be constipated if you have one or more of these symptoms: Infrequent bowel movements (fewer than three per week) […] Hard poop, often in small, dry pieces […] Excessive straining to poop […] Incomplete emptying of the bowels […] Need for manual maneuvers, such as digital stimulation of the rectum under physician guidance. […] Constipation can be categorized into three types, each with different causes. Mechanical blockage constipation: This occurs due to either a mass in the colon or the narrowing of the colon, which is also called a stricture. Slow transit constipation: This occurs when your colon is sluggish. Sometimes this happens randomly with no medical explanation, but it is often due to side effects of medications or related to other diseases, such as thyroid disease or neurological conditions like Parkinsons disease. Slow transit constipation can occur as part of the normal aging process or due to spinal cord injury. Dyssynergic defecation: Also known as anismus, this happens when the muscles in the abdomen or pelvic floor do not coordinate properly, making it difficult to push out your stool effectively. This can happen for a variety of reasons, including spinal cord injury.
  • #42 Slow transit constipation | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/slow-transit-constipation
    Slow transit constipation is characterised by the reduced motility of the large intestine, caused by abnormalities of the enteric nerves. […] The unusually slow passage of waste through the large intestine leads to chronic problems, such as constipation and uncontrollable soiling. […] The most common symptoms include: passing bowel motions infrequently, constipation, uncontrollable soiling, abdominal pains, nausea, poor appetite. […] There is no cure for slow transit constipation. […] Treatment options may include: medication to improve bowel motility, regular enemas to flush the rectum of faeces, interferential electrical stimulation therapy. […] For some families, symptoms may be so severe that surgical options may need to be considered. […] It is not always possible to treat STC with surgery, as too much of the bowel may be affected.
  • #43 Constipation – Gastrointestinal Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/constipation
    Constipation is difficult or infrequent passage of stool, hardness of stool, or a feeling of incomplete evacuation. […] In many patients, constipation is associated with sluggish movement of stool through the colon. This delay may be due to medications or illicit drugs (eg, opioids), organic conditions, or a disorder of defecatory function (ie, pelvic floor dysfunction), or a disorder that results from diet. […] Excessive straining, perhaps secondary to pelvic floor dysfunction, may contribute to anorectal pathology (eg, hemorrhoids, anal fissures, rectal prolapse) and possibly even to syncope. […] Chronic constipation with modest abdominal discomfort in a patient who has used laxatives for a long time suggests slow-transit constipation. […] New-onset constipation that persists for weeks or occurs intermittently with increasing frequency or severity, in the absence of a known cause, suggests colonic tumor or other causes of partial obstruction.
  • #44
    https://www.nuhs.edu.sg/patient-care/find-a-condition/constipation
    Sometimes also known as a 'sleepy colon’ or a 'lazy colon’ or 'inactive colon’, it essentially means that the colon moves slowly and hence propels the stool in the colon slowly. […] In Pelvic Floor Dyssynergia, the puborectalis contracts even more and kinks the rectum further so the stool has more difficulty passing through.
  • #45 Symptoms in chronic constipation – PubMed
    https://pubmed.ncbi.nlm.nih.gov/9269805/
    Objectives: This study was designed to evaluate whether detailed symptom analysis would help to identify pathophysiologic subgroups in chronic constipation. […] In 59 percent of patients, disordered defecation was found, and 27 percent had slow-transit stool. In 6 percent of patients, a combination of both was found; in only 8 percent of patients, there were no pathologic findings. Straining was reported by the vast majority in all groups (82-94 percent). Infrequent bowel movements and abdominal bloating were more common in slow-transit stool (87 and 82 percent vs. 69 and 55 percent, respectively; both P 0.01). Feeling of incomplete evacuation was more common in disordered defecation (84 vs. 46 percent; P 0.0001). […] Definition of chronic constipation by infrequent bowel movements alone is of little value; the symptom „necessity to strain” is much better suited (94 percent sensitivity). Specificity of infrequent bowel movements for slow-transit stool was discouraging. Sense of obstruction and digital manipulation for evacuation are relatively specific for disordered defecation but insensitive. Therefore, symptoms of chronically constipated patients are not well suited to differentiate between the pathophysiologic subgroups suffering chronic constipation.
  • #46 Irritable Bowel Syndrome (IBS): Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/4342-irritable-bowel-syndrome-ibs
    Symptoms of IBS include: […] Diarrhea, constipation or alternating between the two. […] Feeling like you’re unable to empty your bowels after pooping. […] Most of your poop is hard and lumpy. […] Many of these treatments take time to work. They can help your symptoms, but your symptoms may not go away completely. […] Drink plenty of water. Drink at least eight 8-ounce glasses of water a day (2 liters). Water keeps your GI tract lubricated and can help treat or prevent constipation. […] There isn’t a cure for IBS. But, most people manage symptoms by avoiding triggers and taking medications when necessary. […] Living with IBS can be challenging because symptoms come and go throughout your life. Treatment often involves trial and error. But the good news is that nearly everyone with IBS can find a treatment that helps them over time. […] Your symptoms may not completely disappear. But, after a few weeks or months, you should notice a significant improvement in how you feel.
  • #47 Chronic Idiopathic Constipation: Symptoms, Treatment, & Diet
    https://www.verywellhealth.com/chronic-idiopathic-constipation-1944861
    Constipation-predominant irritable bowel syndrome (IBS-C) shares many of the same symptoms as chronic idiopathic constipation. […] One important distinction may be related to treatment, as people with IBS-C appear more likely to respond to treatments that are effective for pain relief, while those with CIC appear to respond better to treatments that target muscle function in the large intestine. […] There’s no one specific treatment for CIC, but you and your healthcare provider have a variety of treatment options to choose from, including: Dietary fiber, Medications, including laxatives, Biofeedback. […] Your healthcare provider may recommend that you increase your intake of dietary fiber, as fiber can help to soften stools and make them easier to pass. […] Laxative medications can provide short-term relief of constipation.
  • #48 Chronic Constipation: How It Affects Your Body
    https://www.webmd.com/digestive-disorders/chronic-constipation-affects-body
    When youre constipated, your body isnt able to get rid of waste like it needs to. Having it every once in a while is common, but if youre dealing with symptoms for more than 3 months, your constipation is chronic. And that raises your chance of having complications. […] When you cant get stool out of your body, it can start to stick together in your intestines. The hardened mass gets stuck and causes a blockage. The squeezing your colon normally uses to push stool out of your body cant move it because its too large and hard. […] It can cause pain and vomiting. You may even have to go to the emergency room for treatment. Children and older adults are more likely to have fecal impaction. […] When youre constantly straining to pass stools, it can stretch and slip outside your body. Sometimes just part of the rectum comes out, but sometimes the whole thing does.
  • #49 Fecal impaction: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000230.htm
    A fecal impaction is a large lump of dry, hard stool that stays stuck in the rectum. It is most often seen in people who are constipated for a long time. […] Constipation is when you are not passing stool as often or as easily as is normal for you. Your stool becomes hard and dry. This makes it difficult to pass. […] Fecal impaction often occurs in people who have had constipation for a long time. […] Common symptoms include: Abdominal cramping and bloating, Leakage of liquid or sudden episodes of watery diarrhea in someone who has chronic (long-term) constipation, Rectal bleeding, Small, semi-formed stools, Straining when trying to pass stools. […] Other possible symptoms include: Bladder pressure or loss of bladder control, Lower back pain, Rapid heartbeat or lightheadedness from straining to pass stool. […] With treatment, the outcome is good.
  • #50
    https://www.advocatehealth.com/health-services/digestive-health-center/conditions-we-treat/constipation
    Occasional constipation is common for most people and can often be treated with simple dietary changes or over-the-counter products. […] Some people have more complex issues such as irregularities in the structure or function of their digestive system, which can cause chronic constipation. In these cases, ongoing constipation can damage or even close off the intestine, requiring surgery or more intensive treatment. […] Constipation symptoms may include: Feeling that not all stool has passed, Fewer than three bowel movements a week, Hard, dry or lumpy stools, Stools that are difficult to pass, Straining or pain during a bowel movement. […] Most cases of constipation are not serious. […] Severe constipation can cause more serious complications including: Rectal prolapse The large intestine detaches inside the body and pushes out of the rectum, stretching the anus muscles and pelvic nerves, often causing damage.
  • #51
  • #52 Exploring the Effects of Constipationon the Body
    https://www.sanofi.com/en/india/consumer-healthcare/consumer-healthcare-products/dulcoflex/blog/exploring-the-effects-of-constipation-on-the-body
    Prolonged constipation can lead to abdominal discomfort, bloating, fatigue and potential complications such as faecal impaction, haemorrhoids, and anal fissures. […] Constipation can make your body feel uncomfortable, with symptoms like abdominal pain, bloating, a sense of fullness, fatigue, and a potential impact on appetite. […] Constipation is considered unsafe when it persists for an extended period, typically more than a few weeks or when it is accompanied by severe symptoms.
  • #53 When to See a Doctor for Constipation | Cedars-Sinai
    https://www.cedars-sinai.org/blog/constipation.html
    Many people experience constipation but few talk to their doctor about it. […] While nearly everyone has felt constipated at some point, having chronic constipation can impact your quality of life. […] „Constipation is about much more than how many times you go in a day or a week.” […] „Chronic constipation can affect your productivity at work, your personal life and your social life as well,” says Dr. Ali Rezaie, a gastroenterologist with the GI Motility Program at Cedars-Sinai. […] „Sometimes patients are referred to me because they only have a bowel movement once a week, but it doesn’t bother them at all,” Dr. Almario says. […] „On the other hand, someone can feel constipated and have a bowel movement seven times a day. Constipation is about much more than how many times you go in a day or a week.”
  • #54 Caring for a Child with Constipation – Symptoms & Treatment | Carle.org
    https://carle.org/conditions/pediatric-conditions/constipation
    Constipated children have fewer bowel movements than usual or hard, dry, painful-to-pass stools. […] Symptoms include no bowel movements for several days, pains and cramps in the belly (abdomen), and hard, dry, or large stools. […] More serious symptoms that should mean a doctors visit include fever, vomiting, bloody stool, and weight loss. […] Treatment depends on the childs age. If present, fecal impactiona large, hard mass of stool in the lower abdomenmust be removed. Other measures can be simple diet changes, taking laxatives, and having healthy bowel habits. Eating more high-fiber foods, such as whole grains, beans, fruits, and vegetables should help. Water and other fluids, but not milk, will soften stool.
  • #55 From loose to locked up: Tips for diarrhea and constipation reliefmenu iconsearch iconsubscribe iconsearch iconarrow up right icon
    https://health.ucdavis.edu/blog/cultivating-health/from-loose-to-locked-up-tips-for-diarrhea-and-constipation-relief/2024/09
    We’ve probably all been on either end of the digestive spectrum: unable to go No. 2 or having it all flow out. Diarrhea and constipation are very common conditions for people of all ages. […] Constipation happens when you have few or no bowel movements. The number of bowel movements is different from person to person. Some go multiple times a day, whiles other go a few times a week. […] Typically, if you go more than three days without a bowel movement, it will get harder to pass a stool. Some other constipation symptoms include: Hard or small stools, Not feeling like you got everything out, Bloated stomach, Stomachache or cramp, Back pain, Feeling like your rectum is blocked. […] There are many causes of constipation, which can lead to some discomfort and pain. They can range from things you’ve eaten to more serious conditions. […] You should see a health care provider if you have severe stomach pain, blood in your stool (if you do have a bowel movement) or lasting constipation.
  • #56 Constipation: Symptoms, Causes, & Treatment | Baptist Health
    https://www.baptisthealth.com/care-services/conditions-treatments/constipation
    You should contact your healthcare provider if constipation is accompanied by: Unexplained weight loss, Persistent abdominal pain, Rectal bleeding or blood in the stool, Changes in stool color, shape, or odor, Symptoms lasting longer than three weeks, Difficulty with daily activities due to symptoms. […] Severe constipation may include symptoms such as abdominal pain, bloating, nausea, straining during bowel movements, and a persistent feeling of incomplete evacuation. […] New or sudden constipation may result from changes in diet, lifestyle, stress, or medications. If symptoms persist, it’s important to consult your doctor to rule out underlying health conditions.
  • #57 Severe Constipation: Symptoms, Prevention, Treatment
    https://www.health.com/condition/constipation/severe-constipation
    Constipation happens when you have stools that are hard to pass or less than three bowel movements weekly. Severe constipation can refer to long-lasting constipation symptoms that won’t go away and warrant medical attention. […] Seek medical consultation if you experience the following: Bleeding from your rectum, Blood or white mucus in your stool, Constant pain in your abdomen, Constipation lasting three or more weeks with dietary changes, Fever, Inability to pass gas or stool on your own, Losing weight without trying, Lower back pain, New, unusual constipation, Vomiting. […] Constipation, including severe constipation, has been identified as a type of constipation that affects a person’s quality of life. The persistent symptoms can make life uncomfortable by impacting your meals, daily routine, or even how well your clothes fit.
  • #58 Signs and symptoms of bowel cancer | Bowel Cancer UK
    https://www.bowelcanceruk.org.uk/about-bowel-cancer/symptoms/
    Constipation that might come and go […] Or your poo might be hard, dry, and difficult to pass (constipation). If you have constipation, you may find it painful when you go to the toilet, or you may feel like there is still poo that you haven’t been able to pass. […] If things don’t feel right or you notice a change in what’s normal for you, visit your GP as soon as you can. Sometimes, a tumour can block the bowel. This can cause sudden and strong pains in the stomach area, bloating and make you feel or be sick. This is called a bowel obstruction. You may also be unable to poo or pass wind.
  • #59 Constipation – AGA GI Patient Center
    https://patient.gastro.org/constipation/
    You should talk to your doctor about your constipation when: 1. Your symptoms last longer than three weeks. 2. Your symptoms are really bad or disabling. 3. You have bad stomach pain when you pass stool. 4. You notice that your stools are consistently thinner. 5. You see blood in your stool, particularly if it is mixed with stool or you notice that your rectal bleeding (blood on the toilet paper) does not go away or comes back often. 6. Your stools are black. 7. You are found to have anemia (low iron in your blood, which can make you feel weak and tired.) 8. Along with other symptoms, you start losing weight without trying to. […] Constipation can feel very bothersome, but it is not often a serious health problem. In some cases, though, it may be a warning of a serious hidden health issue, so be sure to tell your health care provider about your symptoms.
  • #60 When to See a Doctor for Constipation | Cedars-Sinai
    https://www.cedars-sinai.org/blog/constipation.html
    For example, those with constipation may strain a lot or feel there is still stool in the rectum even after having a bowel movement, Dr. Almario says. […] „An overgrowth of this type of microbe is essentially an imbalance of the gut microbiome, which can lead to these constipation symptoms,” Dr. Rezaie says. […] „For someone who has had regular bowel movements all their life, then all of a sudden develops chronic constipation, this can be a red flag as well,” Dr. Almario says. […] To treat constipation, diet and lifestyle changes are usually the first step. […] „I usually encourage patients with constipation to increase their physical activity as much as possible,” Dr. Almario says. […] „It’s fine to take a gentle laxative every day or on a regular basis, but make sure to read the label and discuss with your doctor,” Dr. Almario says. […] „That may have been true 30 years ago, but now there are multiple approaches to the management and treatment of constipation, depending on the underlying cause and the severity of your symptoms.”
  • #61 Constipation in Pregnancy: Causes, Symptoms and Relief
    https://myexpertmidwife.com/blogs/my-expert-midwife/constipation-pregnancy
    Constipation in pregnancy is a very common and uncomfortable symptom that can affect women throughout their pregnancies. It can bring other undesirable symptoms such as abdominal pain, backache, bloating, piles, general tiredness and even headaches. […] Pregnancy constipation is the difficulty or, sometimes, temporary inability to pass a stool (have a poo) when you are pregnant. This may include not feeling the need to go, feeling like you need to open your bowels but are unable to, straining with little or no results, pain when you have a poo, and passing stools that are hard and difficult to part with. Constipation in pregnancy can be a one-off episode, yet, for most women, it is a problem that they experience on and off whilst it becomes a chronic ailment for others. […] Being constipated in pregnancy can be an uncomfortable experience, with many women reporting feeling heavy, bloated, achey around their lower tummy and/or back, having an almost constant sensation that they need a poo, pain when they pass a stool, and increased tiredness.
  • #62 Cat Constipation Symptoms and Causes | PetMD
    https://www.petmd.com/cat/conditions/digestive/c_ct_constipation_obstipation
    Many diseases, both acute (short-term) and chronic, can lead to cat constipation. These include kidney disease, diabetes, and hyperthyroidism. All cases of straining in the litter box should be evaluated by a veterinarian, because each of these illnesses can become serious or even deadly if left untreated. […] Treatment for constipated cats depends on the cause and severity. Constipation that is left untreated can lead to megacolon, a form of constipation that is not responsive to medical treatment and can be fatal. […] The first step in treatment is to remove the obstructing feces, which sometimes requires administration of fluids or an enema at the clinic. Never give an enema to your cat at home, as human enemas are not safe for cats. […] Once the hard stool is removed, recovery is usually rapid. Unfortunately, if you dont deal with the original cause, whether its treating a health issue or making lifestyle changes, then your cat is likely to become constipated again.
  • #63 Constipation – Canadian Digestive Health Foundation
    https://cdhf.ca/en/digestive-conditions/constipation/
    As a rough guideline, you probably have a chronic (long-term) constipation problem if you’ve experienced 2 or more of the following symptoms for at least 3 months: Straining during more than 1 out of 4 bowel movements, Hard stools more than 25% of the time, Incomplete evacuation more than 25% of the time, Fewer than 3 bowel movements in a week. […] If you have constipation for more than 2 weeks, be sure to see a doctor to find out why you have developed this problem and how you can treat it. […] Constipation can usually be prevented or treated successfully. It is best to start with simple strategies and move on to stronger measures when necessary. […] Even if you can’t prevent all constipation, you may be able to reduce its frequency or severity by eating enough fibre, drinking enough fluids, exercising, and maintaining good toilet habits.
  • #64 Constipation and Other Gastrointestinal Problems in Parkinson’s Disease | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/constipation
    Because people with Parkinsons disease experience difficulty with their movement, they often become less active. People with PD who increase their movement experience better overall functioning, which includes their digestive system. […] Many people with Parkinsons disease limit their fluids to avoid making frequent trips to the bathroom. When a person drinks less liquid, the gut may not have the lubrication it needs to have a bowel movement, which contributes to constipation. […] It is critical to put a daily plan in place one that can even prevent constipation before it begins. […] If you have tried the tips above but they did not work, what should you do next? The primary goals will be to manage your symptoms, avoid complications (such as impaction, hemorrhoids and a dependence on laxatives), and prevent future constipation.
  • #65 Constipation in Children: Symptoms, Treatment and Resources | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/constipation
    Constipation can be defined as: More than three days between bowel movements. Stools that are large, hard and painful to pass. Incomplete bowel movements and stool backs up in the bowel despite daily bowel movements. Chronic constipation usually develops over months or years. Children who have chronic constipation gradually develop a stretched rectum. The stretched rectum then becomes filled with a stool plug. Over time the stretched muscles of the rectum cannot push all of the stool out of the rectum. Liquid stool seeps down around this stool plug and can seep out onto the underwear without the child being aware that there is stool in the rectum or that they are about to soil. This is frustrating and embarrassing for both the child and the family. While treatment can help the child solve the problem, it is a chronic condition that has taken time to develop and will take time to correct. Relapse often occurs if treatment is stopped too soon or withdrawn too quickly. Toddlers often try to hold in their stool after having a painful bowel movement. They often cross their legs and become rigid. They are determined not to have another painful experience and can often hold their bowel movements for days. This, of course, leads to large, hard bowel movements. This experience convinces them that having a bowel movement is something to be avoided. Children who are going through toilet training may not want to take the time out from play to go to have a bowel movement. Some children have trouble learning to relax their bottom as they try to push stool out. Some children have slow movement of their colon. This gives the colon more time to remove water from the stool, making it hard, dry and difficult to pass.
  • #66
    http://www.bccancer.bc.ca/health-info/coping-with-cancer/managing-symptoms-side-effects/constipation-caused-by-your-medications
    You can treat this type of constipation with laxatives that you can buy at a drug store or supermarket. You do not need a prescription for these laxatives. Laxatives work in two ways: Stimulant laxatives help stool move along your bowel or Osmotic laxatives help liquid stay in your bowel so stool does not become dry and hard. […] The first laxative you should try is the stimulant type called sennosides. It is mild and works for most people. […] If you have a history of frequent bowel cramps (also known as Irritable Bowel Syndrome), you may want to try an osmotic laxative first, such as PEG. […] Each person has a different bowel pattern. What is normal for you will be different than what is normal for another person. However, having a bowel movement should not be uncomfortable. You should not have to push too hard and your stool should be soft, but formed.
  • #67 Constipation and Other Gastrointestinal Problems in Parkinson’s Disease | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/constipation
    The best treatment for constipation will vary from person to person, taking into account a variety of factors, including: other medical condition(s), medications or allergies that impact your treatment, the cost of treatment, the type of treatment used, how often the treatment must be taken/done in a day and your own convenience and preference. […] Living with PD can be challenging. Motor and non-motor symptoms impact daily life, but there are many things a patient can do to lessen this impact. Daily attention to bowel function is important to feeling ones best and to avoid serious complications such as impaction.
  • #68 Constipation
    https://www.rch.org.au/kidsinfo/fact_sheets/Constipation/
    Constipation is when a child has a hard poo (faeces or bowel movement) and/or does not go to the toilet regularly. There is a lot of difference in the firmness and frequency of normal bowel movements in children. […] Constipation is a common problem in children, particularly around the time of toilet training or starting solids. It can also become a problem after a child has had a painful or frightening bowel movement. […] Constipation can cause: stomach cramps (the pain tends to come and go), your child to feel less hungry than usual, irritable behaviour, anal fissures (small splits of the skin around the anus) that cause pain and bleeding when doing a poo they can be caused by straining to pass a large, hard poo, holding-on behaviour, such as squatting, crossing legs or refusing to sit on the toilet.
  • #69 Evaluation of Constipation | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0601/p2283.html
    Constipation frequently begins with the transition from breast milk to formula, or from strained foods to table foods. […] Stool withholding and retention may occur as the child attempts to avoid painful defecation. […] A fecal mass in the suprapubic area is demonstrable in most children who present with constipation. […] Functional constipation is the most likely diagnosis in older children. […] In children younger than one year of age, the possibility of Hirschsprung’s disease must be considered.
  • #70 Constipation
    https://www.rch.org.au/kidsinfo/fact_sheets/Constipation/
    Long-term constipation can cause your child to soil themselves (do a poo or large smears in their pants). This happens if your child’s rectum (bottom) is full of poo for a long time and it becomes stretched. Your child may not get the urge to go to the toilet because the rectum always feels stretched. The poo can then pass into your child’s pants, without them feeling it. Medically, soiling is called encopresis or faecal incontinence. […] Constipation can cause stomach cramps, reduced appetite and irritability. […] Constipation can usually be controlled with healthy bowel habits and medicines, as advised by a doctor.
  • #71 Constipation: Causes, symptoms, treatments, and more
    https://www.medicalnewstoday.com/articles/150322
    Constipation typically refers to fewer than three bowel movements per week. There are numerous possible causes, such as not getting enough dietary fiber or water, taking certain medications, or having an underlying condition. […] A person may be able to treat or prevent constipation with home remedies. These include getting enough dietary fiber, drinking more water, and getting enough regular physical activity.