Constipation means passing stools less often than usual, or finding them hard and difficult to pass. It is very common and often short-lived, settling with simple changes. Sometimes, though, it becomes persistent or is linked to an underlying cause, and a new or lasting change in bowel habit is always worth checking, particularly in older adults. An assessment can identify any underlying cause and set out a plan.
What causes constipation?
Low fibre or fluid
the most common everyday cause
Inactivity
being less active slows the bowel
Ignoring the urge
putting off going can make stools harder
Medication
some painkillers and other medicines cause it
Underlying conditions
less commonly, a cause that needs treating in its own right
When to seek assessment promptly
- Constipation that is new and persistent, especially over 50
- Bleeding, weight loss or tummy pain alongside it
- A lasting change from your normal bowel pattern
- Constipation not improving with simple measures
- Alternating constipation and diarrhoea
How it is treated
For many people, constipation improves with straightforward measures: eating more fibre from fruit, vegetables and wholegrains, drinking enough fluid, staying active, and going to the toilet when you feel the urge rather than holding on. Building a regular routine, for example after breakfast, can also help. Short courses of laxatives can provide relief while the underlying cause is addressed. For long-standing or troublesome constipation, Mr Kimble can assess underlying causes and put together a longer-term plan.
Seek prompt medical advice if constipation comes with severe tummy pain, vomiting, a swollen abdomen and an inability to pass wind or stool, as this can indicate a blockage that needs urgent care.