Top 5 Causes of Ongoing Constipation
Chronic constipation lasting over three months can stem from various causes including blockages, hormonal imbalance, neurological conditions, pelvic floor issues, and lifestyle factors. Effective treatment depends on identifying the root cause and making necessary lifestyle and medical adjustments. Addressing these issues can significantly improve bowel health and quality of life.
Persistent constipation is characterized by infrequent or painful bowel movements lasting longer than three months. Common signs include passing stool once or twice weekly, hard stools, straining, and a sense of incomplete evacuation.
Addressing chronic constipation involves identifying and treating its root cause and adopting healthier habits.
Common Causes
Difficulty in stool passage leads to constipation. Effective treatment depends on understanding whether the cause is mild or related to serious health conditions.
Obstructions in the Colon
Blockages in the rectal or anal region can disrupt normal bowel function.
Treatment focuses on resolving such obstructions and may involve addressing issues like:
Cancer in the colon, rectum, or abdomen
Rectocele or rectal bulge through vaginal support
Anal fissures
Narrowing of the colon (stricture)
Intestinal blockages
Hormonal Imbalances
Disrupted hormone levels can affect fluid regulation, leading to constipation. Management aims to restore hormonal balance, especially in cases involving:
Thyroid disorders
Diabetes
Pregnancy (often requires no intervention)
Pelvic Floor Dysfunction
Weak or uncoordinated pelvic muscles can impair bowel movements. Treatment may include exercises to strengthen these muscles or surgical procedures. Causes include:
Pelvic muscle weakness
Inability of pelvic muscles to relax (anismus)
Coordination issues (dyssynergia)
Neurological Conditions
Nerve issues affecting the colon or rectum can cause chronic constipation. Management involves treating the nerve disorder itself. Common neurological causes include:
Multiple sclerosis
Stroke
Spinal injuries
Autonomic neuropathy
Parkinson’s disease
Lifestyle Factors
Unhealthy habits contribute significantly to constipation. Lifestyle modifications can help, such as:
Increasing dietary fiber
Reducing fatty foods
Engaging in regular exercise
Managing weight
Drinking sufficient water
Proper diagnosis can make chronic constipation a manageable condition.
