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Home Disease Index Constipation(Gilbert's Syndrome)

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Overview

Causes
Symptoms
Risk Factor

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Overview

 

Although constipation is a common term, from a medical perspective it is hard to define precisely.

The dictionary definition is: ‘A condition in which bowel emptying occurs infrequently or in which the stools are hard and small or where bowel movement causes difficulty or pain.’

But defining infrequent is difficult when some 90 per cent of people in Western countries have a bowel pattern that ranges from three bowel movements a day to three per week.

And it is possible to move your bowels every day and still be constipated if the stools are hard and difficult to pass. Equally, a daily bowel movement is by no means essential for, nor a sign of, good health.

Provided the bowels move regularly and without discomfort, it doesn't matter if your natural bowel frequency is once every two or three days.




Causes

 
  • Poor general health.
  • Immobility or an inactive lifestyle.
  • Insufficient fluid intake.
  • A diet low in fibre. Fibre retains fluid and makes the stools light and soft.
  • Irritable bowel syndrome (IBS).
  • Inadequate toilet facilities.
  • An underactive thyroid gland.
  • Spinal injury.
  • Multiple sclerosis.
  • Colon or rectal cancer.
  • Kidney failure.
  • Too much calcium in the blood.
  • Tumours and other lesions of the bowel.
  • Certain medicines, eg codeine-containing painkillers (co-dydramol, co-proxamol), morphine-like painkillers, antidepressants, aluminium-containing antacids, iron supplements, and anticholinergics such as procyclidine (used in Parkinson's disease).

However, for most people with long-standing constipation there is no identifiable cause.

Constipation should not simply be accepted or ignored. Persistent constipation or any change in bowel habit (whether towards constipation or looseness) should be investigated, especially in adults over 40 years.

Constipation is most often caused by a low-fiber diet, lack of physical activity, not drinking enough water, or delay in going to the bathroom when you have the urge to defecate. Stress and travel can also contribute to constipation or other changes in bowel habits.

Other times, diseases of the bowel (such as irritable bowel syndrome), pregnancy, certain medical conditions (like an underactive thyroid or cystic fibrosis), mental health problems, neurological diseases, or medications may be the reason for your constipation. More serious causes, like colon cancer, are much less common.

 



Symptoms

 
  • Tummy pain associated with bowel movements.
  • A feeling of incomplete emptying of the bowel.
  • A bloated feeling in the stomach region.
  • Diarrhoea: constipation is one of the most common causes of diarrhoea, especially in the elderly in care. Diarrhoea caused by constipation is known as bypass diarrhoea.

 



Risk Factors

 

During an addisonian crisis, low blood pressure, low blood glucose, and high levels of potassium can be life threatening.

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