CONSTIPATION
Symptoms | When to call | Homecare Advice
Symptom Definition
- You have
difficulty passing bowel movements: straining, hard stools, or rectal pressure.
- You feel like bowel movements do not occur frequently enough.
General Information
- Normal
bowel movement (BM) frequency varies from 3 times a day to 3 times a week.
- Passage of a large bowel movement is not constipation, since
the size of the bowel movement relates to the amount of food an individual eats
and the bowel movement frequency. Large eaters have larger stools.
- The passage of small, dry, rabbit-pellet-like stools is not
constipation and instead reflects the desiccation (drying-out) mechanism and
insufficient fluid intake.
Lifestyle Causes
-
Diet and fiber:
Inadequate dietary fiber reduces intestinal motility and makes BMs hard
and more difficult to pass. Fiber works by helping stools to retain
water. Good sources of dietary fiber are fresh fruits and vegetables,
beans, and bran. Fiber can also be taken via supplements (e.g.
Metamucil).
-
Liquids: Insufficient liquid
intake cause stools to be dry and harder to pass. Adults should drink
6-8 glasses of water daily.
-
Lack of exercise: Inactivity reduces
bowel function, whereas exercise helps stimulate the bowels and improve
regularity. Individuals who are bedridden have increased problems with
constipation, and may develop a blockage of stool in their rectum (i.e.
fecal impaction).
-
Postponing BM's: Some individuals
ignore their body's signals to have a BM. This can lead to chronic
problems with constipation.
-
Recent travel: Travel can cause
constipation because it interferes with your diet and normal daily
cycle.
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Disclaimer: This information
is not intended be a substitute for professional medical advice. It is
provided for educational purposes only. You assume full responsibility
for how you choose to use this information.
Adult SelfCareNavigator. Copyright © 2000-2004
David Thompson, M.D. FACEP
Reviewed 8/2004
Revised 8/2004
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