
Constipation is a common issue, with most people experiencing it at some point in their lives. It is usually not a cause for concern, but it can sometimes indicate a more serious underlying condition. Chronic or severe constipation, accompanied by other symptoms, may require a trip to the hospital. This paragraph will explore when constipation becomes an emergency and what treatments are available.
| Characteristics | Values |
|---|---|
| Definition of constipation | Having fewer than three bowel movements a week |
| Other signs of constipation | Consistency of stool, abdominal pain, bloating, vomiting, fever, bleeding |
| Treatment | Increasing fluids and eating more fibre, using stool softeners or laxatives |
| Medical treatment | Inserting a tube through the nose to suck out stomach contents and remove excess air |
| Complications | Fecal impaction, intestinal perforation, bowel obstruction, ulceration, rectal prolapse, ruptured bowel |
| Underlying conditions | Severe diverticulosis, colon stricture, colon cancer, medication side effects, motility issues in the colon |
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What You'll Learn

When to seek medical help for constipation
Constipation is common and usually not serious, but it can become a cause for concern and require medical attention in certain circumstances.
If you are someone who typically experiences regular bowel movements and then suddenly develops chronic constipation, this could be a red flag. You should see a doctor if constipation lasts longer than a week.
Constipation in infants and young children can also be a cause for concern and may require medical attention. For infants younger than four months old, excessive crying, fewer than three bowel movements per week, hard stools, and vomiting are potential warning signs. Older infants may exhibit a lack of appetite, blood in their diaper, a distended abdomen, vomiting, and weight loss. For children, warning signs include a lack of desire to eat, blood in their bowel movements, pain complaints during bowel movements, repeated constipation episodes, and trouble with toilet training.
For adults, severe abdominal pain, vomiting, and fever accompanying constipation can indicate a medical emergency, such as a bowel obstruction. Vomiting stool or bile may occur in such cases. Bloody stools can also indicate a serious issue, as they suggest bleeding in the digestive tract, which could be caused by bowel inflammation, a tear or tissue damage in the intestines, a rectal fissure, a bleeding ulcer, or a tumour, which may indicate bowel cancer.
Other symptoms that warrant medical attention include unintended weight loss and straining during bowel movements, feeling that the bowels are not fully emptied, and experiencing chronic constipation that impacts your quality of life.
If you are experiencing constipation and are concerned, it is always best to consult with a healthcare professional, who can advise on the best course of treatment, which may include lifestyle changes, medication, or further investigation.
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Potential causes of constipation
Constipation is a common problem that occurs when an individual has fewer than three bowel movements a week. While it is usually not a cause for concern, chronic or frequent constipation can indicate an underlying health issue. Here are some potential causes of constipation:
Diet and Water Intake:
The most common cause of constipation is a low-fibre diet or inadequate water intake. Fibre and water work together to promote the proper form and consistency of stool, aiding its passage through the bowels. When either of these components is lacking, stool can become hard and difficult to pass, leading to constipation.
Underlying Health Conditions:
Although rare, constipation can sometimes be a symptom of an underlying health condition. These conditions may include severe diverticulosis, colon stricture, or even colon cancer. It is important to consult a doctor if constipation persists or is accompanied by other concerning symptoms.
Medications:
Certain medications can also lead to constipation. In some cases, chronic constipation may be a side effect of specific drugs or an underlying motility issue in the colon. Consulting a doctor can help determine if any adjustments to medications are necessary.
Intestinal Issues:
Constipation can be related to problems in the intestines, such as scarring or the presence of a tumour. These issues can obstruct the bowel, leaving little to no room for stool to pass through. Intestinal obstructions are considered medical emergencies and can lead to life-threatening complications if left untreated.
Lifestyle Factors:
Lifestyle factors, such as diet, exercise, and stress levels, can also contribute to constipation. A sedentary lifestyle or inadequate fluid intake can impact bowel movements. Additionally, stress and anxiety can affect gut function and contribute to constipation. Addressing these lifestyle factors may help alleviate constipation.
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Laxatives and other treatments
Constipation is a common problem that can usually be resolved with self-care within a few days. However, it may sometimes indicate a medical emergency, especially when accompanied by other symptoms such as severe abdominal pain, vomiting, fever, or bleeding. In such cases, hospital treatment for constipation may become necessary.
Laxatives are medications that can help relieve constipation. Polyethylene glycol, a mild laxative recommended by doctors, works by adding water to the stool in the colon, making it easier to expel. This type of laxative is not absorbed by the body, so side effects are uncommon. Other types of laxatives act as stimulants for the bowels, causing faster bowel movements but sometimes leading to side effects like cramping. It is important to consult a healthcare professional if you frequently need laxatives.
Increasing fluid intake and consuming more dietary fiber are often recommended as initial steps to address constipation. Fiber and water work together to promote the proper form and consistency of stool, aiding its passage through the bowels. However, underlying health conditions, certain medications, or motility issues in the colon can also cause chronic constipation, and a doctor may need to review these factors.
In cases of severe constipation, hospital treatment may involve surgical evaluation and intervention. For example, in cases of bowel obstruction due to impacted stool, a tube may be inserted through the nose to decompress the stomach and relieve the obstruction. This procedure also helps remove excess air causing discomfort and swelling in the bowel. Left untreated, a bowel obstruction can lead to a ruptured bowel, which is a surgical emergency.
Fecal impaction, another complication of severe constipation, occurs when a large amount of tightly packed hard stool becomes stuck in the rectum, blocking the passage of other stool. This can sometimes lead to overflow diarrhea, where watery stool leaks around the impacted mass. Fecal impaction can also result in intestinal perforation, ulceration, and damage to other parts of the body, such as the bladder. Hospital treatment for fecal impaction may include surgical evaluation and manual removal of the impacted stool.
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Complications from constipation
Constipation is a widespread problem affecting people of all ages. Severe and chronic constipation can lead to serious complications, some of which may be life-threatening. It is important to prevent and treat constipation through healthy lifestyle habits and prompt treatment. Here are some potential complications that can arise from severe or chronic constipation:
Hemorrhoids
Straining during bowel movements due to constipation can cause the veins in the anus and lower rectum to swell, resulting in hemorrhoids or piles. Hemorrhoids can be managed with over-the-counter creams, ointments, or pads, but if symptoms persist beyond a week, medical attention is advised.
Anal Fissures
Constipation can lead to anal fissures, which are tears in the lining of the anus. These tears can cause severe pain and bleeding, impacting a person's ability to bend, sit, walk, or engage in sexual activity.
Rectal Prolapse
Chronic constipation can cause rectal prolapse, where the large intestine detaches from the pelvic wall and pushes out of the anus. This may worsen constipation by blocking the passage of stool. Rectal prolapse can lead to tissue death and gangrene in the affected area, requiring emergency surgery.
Fecal Impaction
Fecal impaction occurs when a hard mass of stool becomes stuck in the colon or rectum, blocking the passage of other stool. It is prevalent in older adults and can cause discomfort, cramping, abdominal pain, and vomiting. Fecal impaction may require emergency treatment or hospitalisation.
Cardiovascular Events
Studies suggest links between chronic constipation and an increased risk of cardiovascular events such as stroke and heart failure. Additionally, extensive laxative use in conjunction with constipation has been associated with a higher risk of death and cardiovascular diseases.
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Bowel obstructions and blockages
Fecal impaction is another form of bowel obstruction, where a large amount of tightly packed hard stools become lodged in the rectum, blocking the passage of other stool. This can lead to overflow diarrhoea, where watery stool leaks around the impacted mass. If left untreated, fecal impaction can have severe consequences, including intestinal perforation, bowel obstruction, and ulceration, as well as damage to other parts of the body such as the bladder. Rectal prolapse, where the intestinal lining protrudes from the anal opening, can also occur due to the strain of moving bowels or the presence of hard stools.
In the case of a partial bowel obstruction, hospital admission may be required depending on the underlying cause. A complete bowel obstruction, on the other hand, often necessitates surgical evaluation and intervention. The pain associated with a blockage is due to the stretching of the bowels, and if not addressed promptly, can lead to a ruptured bowel, which is a surgical emergency. To provide relief and decompress the bowel, physicians may insert a tube through the nose to suck out the stomach contents and remove excess air, reducing discomfort and swelling.
It is important to recognise the warning signs of bowel obstructions and seek medical attention without delay. While constipation is a common ailment that can often be managed at home, severe and chronic constipation accompanied by additional symptoms such as abdominal pain, vomiting, and fever can indicate a more serious underlying condition. Therefore, it is always advisable to consult a healthcare professional for proper diagnosis and treatment to prevent complications and ensure a swift recovery.
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Frequently asked questions
Doctors usually define constipation as having fewer than three bowel movements a week. Other symptoms include abdominal pain, bloating, and vomiting.
Constipation can indicate a medical emergency when it is accompanied by other symptoms. Constipation accompanied by severe abdominal pain may require immediate medical treatment. Vomiting stool or bile can indicate a bowel obstruction, which may require a tube to be inserted through the nose to suck out stomach contents.
You can try increasing your fluid and fibre intake, using a stool softener, or taking a laxative.











































