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Home > Conditions A-Z > Constipation
Home > Help Desk > Health Concern > Health Concern C > Constipation

Constipation

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Constipation is a condition in which a person experiences a change in normal bowel habits, characterized by a decrease in frequency and/or passage of hard, dry stools. Constipation can also refer to difficult defecation or to sluggish action of the bowels. The most common cause of constipation is probably dietary, which is discussed below. However, constipation may be a component of irritable bowel syndrome or other conditions ranging from drug side effects to physical immobility. Serious diseases, including colon cancer, may sometimes first appear as bowel blockage leading to acute constipation. However, constipation itself does not appear to increase the risk of colon cancer, contrary to popular opinion.

What are the symptoms of constipation?
Symptoms of constipation include infrequent stools, hard stools, and excessive straining to move the bowels. Frequency of bowel movements and severity of symptoms may vary from person to person.

How is it treated?
Doctors often recommend increasing both dietary fiber and fluid intake to shorten bowel transit time and increase stool weight. Several types of laxatives are also used: bulk-forming laxatives, stool softenerss, stimulant laxatives, and other drugs that increase water content of the stool. Long-term use of laxatives is discouraged, due to the possibility of weakening the colon or causing fluid retention. Laxative abuse is common in the elderly and among people with eating disorders.

Dietary changes that may be helpful:
Fiber, particularly insoluble fiber, is linked with prevention of chronic constipation. Insoluble fiber from food acts like a sponge, pulling water into the stool and making it easier to pass. Insoluble fiber comes mostly from vegetables, beans, brown rice, whole wheat, rye, and other whole grains. Switching from white bread and white rice to whole wheat bread and brown rice often helps relieve constipation. It is important to drink lots of fluid along with the fiber—at least 16 ounces of water per serving of fiber. Otherwise, the fiber may actually worsen the constipation.

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