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Defining Severe Constipation- Key Symptoms and Diagnosis Criteria

What is considered severe constipation?

Severe constipation is a condition that can significantly impact a person’s quality of life. It is characterized by infrequent bowel movements, difficulty passing stools, and discomfort or pain during bowel movements. While occasional constipation is common and can be resolved with lifestyle changes, severe constipation requires medical attention and treatment. In this article, we will explore the symptoms, causes, and treatment options for severe constipation.

Symptoms of Severe Constipation

The symptoms of severe constipation can vary from person to person, but some common signs include:

1. Infrequent bowel movements: Most people have bowel movements at least three times a week. If you have fewer than three bowel movements a week, it may be a sign of constipation.
2. Difficulty passing stools: You may feel like you need to strain or push hard to pass stools, or you may have difficulty starting a bowel movement.
3. Hard or lumpy stools: Stools may be hard, dry, and lumpy, making them difficult to pass.
4. Abdominal pain or discomfort: You may experience cramps, bloating, or pain in your abdomen.
5. Feeling of incomplete evacuation: Even after a bowel movement, you may still feel like you need to go again.
6. Fecal impaction: In some cases, severe constipation can lead to a complete blockage of the bowel, known as fecal impaction.

Causes of Severe Constipation

Several factors can contribute to severe constipation, including:

1. Diet: A low-fiber diet can lead to constipation, as fiber helps to add bulk to stools and make them easier to pass.
2. Dehydration: Not drinking enough water can cause constipation, as it can make stools harder and more difficult to pass.
3. Lack of physical activity: A sedentary lifestyle can contribute to constipation, as physical activity helps to stimulate the digestive system.
4. Medications: Some medications, such as pain relievers, antidepressants, and iron supplements, can cause constipation as a side effect.
5. Hormonal changes: Pregnancy, menopause, and thyroid disorders can lead to constipation due to hormonal changes.
6. Neurological disorders: Conditions such as multiple sclerosis and Parkinson’s disease can affect the nerves that control bowel movements.

Treatment Options for Severe Constipation

Treating severe constipation involves addressing the underlying cause and adopting lifestyle changes. Some treatment options include:

1. Increasing fiber intake: Add more fruits, vegetables, whole grains, and legumes to your diet to help soften stools and increase bowel movements.
2. Drinking plenty of fluids: Stay hydrated by drinking water, juice, or other fluids throughout the day.
3. Regular physical activity: Engage in regular exercise to stimulate bowel movements.
4. Over-the-counter laxatives: Laxatives can help relieve constipation, but they should be used under the guidance of a healthcare provider.
5. Stool softeners: Stool softeners can make stools easier to pass by adding moisture to them.
6. Enemas or colonics: In some cases, enemas or colonics may be recommended to help relieve severe constipation.

If you experience severe constipation, it is important to consult with a healthcare provider to determine the underlying cause and receive appropriate treatment. Left untreated, severe constipation can lead to complications such as fecal impaction, anal fissures, and hemorrhoids.

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