Constipation

Constipation is having trouble passing stool or having hard stools. “Regularity” does not mean that you have a bowel movement every day. Normal bowel habits range from 3 movements a day to 3 each week. What is more important is what is normal for you.

Signs & Symptoms

• A hard time passing stool. Not being able to pass stool. Having very hard stool.
• Straining to have a bowel movement
• Abdominal swelling. The feeling of continued fullness after passing stool.

Causes

• Drinking too few fluids. Not eating enough dietary fiber.
• Not being active enough
• Not going to the bathroom when you have the urge to pass stool
• Misuse of laxatives
• A side effect of some heart, pain, and antidepressant medicines, as well as, antacids, antihistamines, and water pills
• Chronic illnesses that slow the digestive tract. Examples are diabetes and an underactive thyroid.
• Cancer or other diseases of the bowel, such as irritable bowel syndrome

Treatment

Self-care usually treats constipation. You may also need to talk to your doctor about health problems and medicines that could cause the problem.

Self-Care

• Eat foods high in dietary fiber. Examples are bran, whole-grain breads and cereals, beans, lentils, and fresh fruits and vegetables.
• Drink at least 1-1/2 to 2 quarts fluids every day. Have hot water, tea, etc. to stimulate the bowel.
• Don’t resist the urge to pass stool.
• Get enough exercise.
• If you take antacids or iron supplements and get constipated easily, discuss the use of these with your doctor.
• Take stool softeners (e.g., Colace), fiber supplements (e.g., Metamucil), “stimulant” laxatives (e.g., Ex-Lax), or enemas, as directed on the label and by your doctor.