HCFI Update: When not to ignore constipation

While most instances of constipation may not be serious, some cases of infrequent or difficult bowel movements need evaluation by a doctor said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, and MTNL Perfect Health Mela.

Constipation is one of the most common gastrointestinal complaints. Those reporting constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem following childbirth or surgery.

Constipation occurs when the large colon absorbs too much water or if the colon's muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry.

Common causes of constipation are:

1. Not enough fiber in the diet
2. Lack of physical activity
3. Some drugs
4. Pregnancy
5. Elderly
6. Abuse of laxative
7. Ignoring the urge to have a bowel movement
8. Dehydration
9. Underlying cancer
10. Depression

Heart Care Foundation of India offers this list of warning signs:

a. You’re constipated for the first time
b. You’ have been treating with house hold remedies for constipation for three weeks with no improvement.
c. You have associated abdominal pain.
d. You have associated bloody stools.
e. You have associated unexplained weight loss.