Constipation

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Your large bowel has to open regularly to empty your body's waste. In health, stools are passed once or twice per day, or at least once every three days. If you open your large bowels less frequently than your usual habit, or if you have to strain excessively to pass dry, hard, or pellet-form stools, you may have constipation.

What causes constipation?

  • Poor personal habit and busy lifestyle
  • Continual stress
  • Lack of exercise
  • Insufficient fibre in the diet
  • Insufficient fluid intake
  • Laxative abuse
  • Side effect of medications e.g. cough medicine, antidepressants
  • Diseases of the large bowel and rectum e.g. irritable colon, cancer of the colon or rectum
  • Other conditions e.g. after operations, early pregnancy, stroke and thyroid disease

Effect on the Body

The longer the stool is retained in the large bowel, the harder it will become and the more difficult to be passed out.

Constipation may result in:

  • Abdominal pain and abdominal distention
  • Worsening of haemorrhoids
  • Damage to the anus during bowel motion giving rise to bleeding and pain (anal fissure)
  • Increased chance of bowel cancer

What can be done?

  • Train your large bowel to open daily at a regular time
  • Take a diet high in fibre (see High Fibre Diet pamphlet)
  • Take plenty of fluid
  • Have regular exercise
  • Avoid regular use of laxatives, they are meant to provide only temporary relief. Long term use may affect the bowel's natural mobility.
  • Stop smoking
  • Avoid excessive alcohol
  • Avoid continual stress

See your doctor if you:-

  • do not get better
  • have persistent abdominal pain
  • have periods of diarrhoea alternating with constipation
  • pass any blood or black tarry stools
  • significant decrease in body weight