Constipation is a common digestive issue that can be caused by a variety of factors such as a low fiber diet, dehydration, or certain medications.

However, persistent constipation can be a sign of an underlying health condition that requires medical attention. In this article, we will discuss when to worry about persistent constipation, its potential causes, and treatment options.

What is Constipation?

Constipation is typically defined as having fewer than three bowel movements per week or having difficulty passing stools. Symptoms may include hard, dry, or lumpy stools, straining during bowel movements, and a feeling of incomplete elimination.

When is Constipation Considered Persistent?

Constipation is considered persistent when symptoms last for at least three months.

Chronic constipation affects around 20% of the general population and is more common in women, elderly, and those with certain health conditions such as diabetes, hypothyroidism, and irritable bowel syndrome (IBS).

What are the Potential Causes of Persistent Constipation?

Some of the potential causes of persistent constipation include:.

Low fiber diet
Dehydration
Lack of physical activity
Side effects of medications (such as opioids, antacids, and anticholinergics)
Neurological disorders (such as Parkinson’s disease and multiple sclerosis)
Hormonal imbalances (such as hypothyroidism and pregnancy)
Structural abnormalities (such as rectal prolapse and anal fissures)
Bowel disorders (such as IBS and inflammatory bowel disease)

When to See a Doctor for Persistent Constipation?

If you have been experiencing persistent constipation, it is important to see a doctor if you notice any of the following symptoms:.

Severe abdominal pain
Blood in stools
Unexplained weight loss
Persistent diarrhea
Changes in bowel habits lasting for more than two weeks

These symptoms may indicate an underlying health condition that requires medical attention.

How is Persistent Constipation Diagnosed?

Your doctor may perform a physical exam and ask about your medical history, including any medications you are taking. They may also recommend tests such as:.

Blood tests to check for hormonal imbalances or underlying health conditions
X-rays or CT scans to look for structural abnormalities
Anorectal manometry to assess your rectal function and muscle tone
Colonoscopy to examine your colon and rectum for signs of bowel disorders

What are the Treatment Options for Persistent Constipation?

The treatment for persistent constipation depends on the underlying cause. Your doctor may recommend one or more of the following:.

Lifestyle changes such as increasing fiber intake, staying hydrated, and exercising regularly
Medications such as laxatives, stool softeners, or osmotic agents to help relieve constipation
Biofeedback therapy to help you learn how to relax your pelvic muscles and improve bowel function
Surgery to correct structural abnormalities if necessary

Preventing Constipation

You can help prevent constipation by:.

Eating a well-balanced diet that is high in fiber
Staying hydrated
Exercising regularly
Avoiding processed foods, alcohol, and smoking
Taking time to relax and use the bathroom when you feel the urge to have a bowel movement

Conclusion

Persistent constipation can indicate an underlying health condition that requires medical attention.

If you have been experiencing symptoms of persistent constipation, it is important to see a doctor, especially if you notice any red flags such as severe abdominal pain, blood in stools, unexplained weight loss, persistent diarrhea, or changes in bowel habits lasting for more than two weeks. Treatment options for persistent constipation can include lifestyle changes, medications, biofeedback therapy, or surgery depending on the underlying cause.