Constipation refers to infrequent or hard stools, or difficulty passing stools. Constipation may involve pain during the passage of a bowel movement, inability to pass a bowel movement after straining or pushing for more than 10 minutes, or no bowel movements after more than 3 days. Infants who are still exclusively breastfed may go 7 days without a stool.
Alternative NamesIrregularity of bowels; Lack of regular bowel movements
ConsiderationsNormal patterns of bowel elimination vary widely from person to person and you may not have a bowel movement every day. While some healthy people have consistently soft or near-runny stools, others have consistently firm stools, but no difficulty passing them.
When the stool is hard, infrequent, and requires significant effort to pass, you have constipation. The passage of large, wide stools may tear the mucosal membrane of the anus, especially in children. This can cause bleeding and the possibility of an anal fissure.
Common CausesConstipation 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.
Constipation in children often occurs if they hold back bowel movements when they aren't ready for toilet training or are afraid of it.
Home CareChildren and adults should get enough fiber in their diet. Vegetables, fresh fruits, dried fruits, and whole wheat, bran, or oatmeal cereals are excellent sources of fiber. To reap the benefits of fiber, drink plenty of fluids to help pass the stool.
For infants with constipation:
Regular exercise is also important in establishing regular bowel movements. If you are confined to a wheelchair or bed, change position frequently and perform abdominal contraction exercises and leg raises. A physical therapist can recommend exercises appropriate for your physical abilities.
Stool softeners (such as those containing docusate sodium) may help. Additionally, bulk laxatives such as psyllium may help add fluid and bulk to the stool. Suppositories or gentle laxatives, such as milk of magnesia liquid, may establish regular bowel movements. Enemas or laxatives should be reserved for severe cases only. These methods should be used only if fiber, fluids, and stool softeners do not provide enough relief.
DO NOT give laxatives or enemas to children without first asking your doctor.
Call your health care provider ifCall your doctor if you have:
Call if:
Your doctor will perform a physical examination, which may include a rectal exam, and ask questions such as:
The following tests may help diagnose the cause of constipation:
Avoiding constipation altogether is easier than treating it, but involves the same lifestyle measures:
National Digestive Diseases Information Clearinghouse. Constipation page. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/constipation/index.htm. Accessed March 23, 2005.
Bleser S, Brunton S, Carmichael B, Older K, Rasch R, Steele J. Management of chronic constipation: Recommendations from a consensus panel. J Fam Pract. 2005 Aug;54(8):691-8.
Rao SS. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687-711.
Wyllie R. Motility Disorders and Hirschsprung Disease. In: Kliegman RM, Jenson HP, Stanton BF, eds. Kliegman: Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 329.
Constipation is most often defined as having a bowel movement less than 3 times per week. It usually is associated with hard stools or difficulty passing stools. You may have pain while passing stools or may be unable to have a bowel movement after straining or pushing for more than 10 minutes.
Alternative NamesIrregularity of bowels; Lack of regular bowel movements
ConsiderationsNormal patterns of bowel elimination vary widely from person to person and you may not have a bowel movement every day. While some healthy people have consistently soft or near-runny stools, others have consistently firm stools, but no difficulty passing them.
When the stool is infrequent, or requires significant effort to pass, you have constipation. The passage of large, wide, or hard stools may tear the mucosal membrane of the anus, especially in children. This can cause bleeding and the possibility of an anal fissure.
Common CausesConstipation is most often caused by:
Stress and travel can also contribute to constipation or other changes in bowel habits.
Other causes of constipation may include:
Constipation in children often occurs if they hold back bowel movements when they aren't ready for toilet training or are afraid of it.
Home CareChildren and adults should get enough fiber in their diet. Vegetables, fresh fruits, dried fruits, and whole wheat, bran, or oatmeal cereals are excellent sources of fiber. To reap the benefits of fiber, drink plenty of fluids to help pass the stool.
For infants with constipation:
Regular exercise may also help establish regular bowel movements. If you are confined to a wheelchair or bed, change position frequently and perform abdominal contraction exercises and leg raises. A physical therapist can recommend exercises appropriate for your physical capabilities.
Stool softeners (such as those containing docusate sodium) may help. Additionally, bulk laxatives such as psyllium may help add fluid and bulk to the stool. Suppositories or gentle laxatives, such as milk of magnesia liquid, may establish regular bowel movements. Enemas or stimulant laxatives should be reserved for severe cases only. These methods should be used only if fiber, fluids, and stool softeners do not provide enough relief.
Do NOT give laxatives or enemas to children without first asking your doctor.
Call your health care provider ifCall your doctor immediately if you have sudden constipation with abdominal cramps and an inability to pass gas or stool. Do NOT take any laxatives.
Also call your doctor if you have:
Call your child's pediatrician immediately if:
Also call your child's pediatrician if:
Your doctor will perform a physical examination, which may include a rectal exam, and ask questions such as:
The following tests may help diagnose the cause of constipation:
Avoiding constipation altogether is easier than treating it, but involves the same lifestyle measures:
Camilleri M. Disorders of gastrointestinal motility. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 138.
Wyllie R. Motility disorders and Hirschsprung disease. In: Kliegman RM, Jenson HP, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 329.
Reviewed ByReview Date: 08/14/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Constipation that does not respond to routine medical management of constipation.
what is the procedure code for constipation.
do you have constipation and blating
A constipation doctor is helpful in relieving a person's constipation problems. They can prescribe medicines to help with severe constipation and offer tips.
NO breastfeeding will not cause constipation!
No, constipation is a condition. That said, it can feel like a disease to someone suffering from IBS or chronic constipation.
due to my stomach issues, i had constipation.
Constipation lasts until the stool is passed.
Depends on the level of constipation.
does gallbladder symptoms has anything to do with constipation?
yes, constipation can happen anytime anywhere :(
aspirin alone may not causes constipation aspirin combine with codeine or caffeine causes constipation