Constipation

If you’re struggling with infrequent, hard, or difficult-to-pass stools, you may be wondering if constipation is the underlying issue. In this page, we’ll explain what constipation is, its common symptoms and causes, treatment approaches, and why getting to the root cause is key to restoring healthy and regular bowel function.
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What is Constipation?

Constipation occurs when you don’t empty your bowels as often as you should, can’t empty them fully, or find it difficult and uncomfortable to do so. This can be caused by food moving too slowly through the gut (known as slow transit) or by difficulties with actually passing stool (evacuation). Because bowel habits vary from person to person, constipation can look different for everyone—while some may only experience it occasionally, others may struggle with it as a long-term condition that causes pain and disruption to daily life. Common symptoms include stomach pain or cramping, bloating, nausea or reduced appetite, hard or lumpy stools, straining during bowel movements, unusually large or small stools, and the feeling of not being fully empty even after using the toilet.

Why does Constipation occur?

Understanding what’s behind your constipation is a crucial step in finding the right treatment and taking back control of your bowel health. Because constipation can have many different causes—sometimes more than one at the same time—it’s important to look at both physical and lifestyle factors.
Slow transit: food moves too slowly through the gut, causing hard, dry stools.
Weak pelvic floor muscles: making it harder to pass stool effectively.
Pelvic floor structural issues: such as prolapse or rectocele, which can obstruct bowel movements.
Diet and hydration: low fibre intake or inadequate fluids can lead to constipation.
Gut bacteria imbalances: including SIBO or disruptions in intestinal bacteria.
Stress and anxiety: can interfere with normal bowel function.
Medications and supplements: some painkillers, iron, and other drugs may slow the bowel.
Lack of exercise: sedentary lifestyle can reduce bowel stimulation.
Pregnancy: hormonal changes and pressure on the bowel can increase constipation.
Irritable bowel syndrome (IBS): particularly the constipation-predominant type.
Surgery: abdominal or pelvic operations can affect bowel function.
Identifying the cause—or combination of causes—allows you and your healthcare provider to develop a focused plan to relieve symptoms and improve long-term bowel health.

Constipation Diagnosis

Diagnostic testing can help identify the precise cause of constipation, enabling a more targeted and effective treatment plan.

Anorectal manometry – measures the strength and coordination of the muscles in the rectum and anus.
Defaecography – examines how well your rectum and anus function during a bowel movement.
Endoanal ultrasound – uses imaging to assess the structure of the anal muscles and surrounding tissues.
Whole-gut transit study – a non-invasive test that tracks how long it takes for stool to pass through your digestive system.
Pudendal nerve function test – evaluates the nerves in the pelvic floor that control bowel movements.
Carbohydrate malabsorption breath test – detects intolerances to sugars such as lactose or fructose.
SIBO breath test – identifies if there is an overgrowth of bacteria in the small intestine that could be affecting digestion.
These tests provide valuable insights into how your digestive system is functioning and guide healthcare professionals in creating a personalised plan to relieve symptoms.

Frequently asked questions

Everything you need to know about the product and billing.
What is constipation?
Constipation is when you have difficulty passing stools, pass them infrequently, or feel your bowels aren’t fully emptied. It can cause hard, dry, or lumpy stools and discomfort.
What causes constipation?
Common causes include slow gut transit, weak pelvic floor muscles, structural issues like prolapse, low fibre intake, dehydration, stress, medications, pregnancy, IBS, and bacterial imbalances such as SIBO.
How often is normal to have a bowel movement?
Normal frequency varies. Some people go daily, while others may go every few days. Constipation is usually defined by difficulty, discomfort, or infrequent bowel movements compared with your usual pattern.
Can constipation be a sign of something serious?
Occasionally, yes. Persistent or severe constipation, especially with unexplained weight loss, blood in the stool, or abdominal pain, should be evaluated by a healthcare professional.
What treatments are available for constipation?
Treatment depends on the cause and may include dietary changes, increased fluid intake, exercise, pelvic floor exercises, laxatives, bowel training, or in some cases, medication or surgery.
Can lifestyle changes help prevent constipation?
Yes. Eating more fibre, drinking enough water, exercising regularly, and responding promptly to bowel urges can all help maintain regular bowel movements.
Can stress or anxiety cause constipation?
Yes. Stress and anxiety can slow gut motility and disrupt normal bowel habits, contributing to constipation or worsening existing symptoms.
Is constipation common during pregnancy?
Yes. Hormonal changes and pressure on the intestines can slow bowel movements, making constipation a common issue for pregnant people.

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