When you have irregular bowel motions or have trouble passing stool for a few weeks or more, you have chronic constipation. It is referred to as chronic idiopathic constipation if there is no recognized cause for your constipation.
Constipation is a condition that puts a person at risk for certain consequences over time. An additional medical problem connected to your illness is referred to as a complication. Constipation should be treated as soon as it appears in order to prevent more serious issues.
Learn about some of the dangers associated with untreated chronic constipation and how to prevent them now.
You can find yourself struggling to pass stool while you’re constipated. Your anus and lower rectum veins may bulge if you strain during bowel motions. Hemorrhoids or piles are the medical terms for these bulging veins.
Hemorrhoids may result in:
- A rash or itching near your anus
- The achy or painful area near your anus
- Swelling near your aneurism
- Gastrointestinal bleeding
To prevent the emergence or worsening of hemorrhoids:
- Early treatment of chronic constipation
- piles treatment in homeopathy
- Try not to strain when going to the bathroom.
- Do not sit on the toilet for extended periods of time as this can put strain on the veins around your anus.
Hemorrhoids’ symptoms could be controlled by:
- Use an over-the-counter pad, lotion, or ointment for hemorrhoids.
- Use an over-the-counter suppository for hemorrhoids
- Ingest an oral painkiller
- Many times a day, take a warm bath.
Make an appointment with your doctor if you experience hemorrhoid symptoms or indicators that don’t go away in a week. They may occasionally perform a surgical or non-surgical technique to reduce or eliminate the hemorrhoids.
A little tear in the tissue lining your anus is known as an anal fissure. When you strain to have a bowel movement or pass hard stool, both of which are typical in persons who are constipated, this tissue may rip.
- Anal fissure warning signs and symptoms could include:
- A noticeable tear around your anus
- A skin tag or bump close to the rip
- After or during a bowel movement, pain
- After a bowel movement, bright crimson blood may appear on your toilet paper or in your stool.
Treating chronic constipation and attempting to avoid straining during bowel movements are crucial for both preventing and treating anal fissures. A warm bath many times a day may also aid in promoting healing and easing anal fissure symptoms.
Your doctor may occasionally advise extra therapy, such as:
- Application of nitroglycerin topically (Rector)
- Use of anesthetic creams, such as lidocaine hydrochloride, to the skin (Xylocaine)
- Botulinum toxin type A (Botox) injections to relax your external sphincter
- Use blood pressure drugs topically or orally to assist relax your sphincter
- Your doctor might advise surgery if you develop a chronic anal fissure that doesn’t improve with previous therapies.
Chronic constipation has the potential to lead to rectal prolapse over time. Rectal prolapse occurs when the rectum, a section of the large intestine, slips out of place. If this takes place, a portion of the rectum can escape the anus.
- A feeling of satiety in your gut
- A sensation that you can’t totally evacuate your bowels
- Itchiness, annoyance, or discomfort near your anus
- Excrement, mucus, or blood dripping from your anus
- Your anus is showing clear red tissue
- Make an appointment with your doctor if rectal prolapse symptoms or signs appear.
Your doctor might advise dietary adjustments, Kegel exercises, or other at-home remedies in moderate cases of rectal prolapse. However, surgery is frequently required to correct this issue.
Fecal impaction can also result from persistent constipation. This occurs when a solid mass of faces becomes lodged in your colon. It’s also referred to as affected faces or bowel.
Potential fecal impaction symptoms and indications include:
- Abdominal discomfort, cramping, or agony, especially after eating
- Bloating or swelling in the abdomen
- Having trouble passing gas or stools
- Passing of watery faces
- Reduced appetite
Schedule a visit with your doctor if you experience any fecal impaction indications or symptoms. They might advise one or more of the following therapies, depending on your condition:
A stool-softening enema that also encourages intestinal contractions
Manual dispassion, in which your doctor tries to remove the firm faces by inserting a gloved finger into your rectum.
Using water to clear your intestines of waste, your doctor will put a small hose into your rectum.
If left untreated, fecal impaction can lead to colon wall tears. This may result in an infection that could be fatal.
It’s crucial to prevent and treat persistent constipation in order to avoid potential consequences.
Developing a healthy lifestyle may be beneficial. For instance:
- Anytime you feel the need, rather than waiting, use the restroom
- Consume foods high in fiber, such as whole grains, beans, fruits, vegetables, nuts, and seeds.
- Drink at least six to eight glasses of water or other fluids every day to stay hydrated.
- Get frequent exercise and cut down on your time spent doing sedentary activities.
- Take action to lessen emotional tension and engage in self-care
- In some circumstances, your physician might additionally advise you to:
- Supplement with fiber
- The use of over-the-counter stools softeners
- Utilize enemas, rectal suppositories, or oral laxatives available over the market.
Bowel training is an additional strategy for treating persistent constipation. Your physician might advise you to:
Try to use the restroom every day between 15 and 45 minutes after eating (Trusted Source).
If you want to retrain the muscles responsible for bowel motions, try biofeedback therapy.
Your doctor might suggest a prescription choice if lifestyle modifications and over-the-counter medications don’t help you feel better. For the treatment of chronic constipation, a variety of prescription drugs are offered.
Chronic constipation can occasionally be a symptom of a more serious medical condition that needs additional care. Your physician can assist you in determining the possible causes of persistent constipation and in creating a treatment strategy.
What Does Constipation That Is Chronic Mean?
Everybody has a slightly different definition of constipation. Constipation, according to some, refers to irregular bowel motions. Others interpret it as having firm, uncomfortable stools that make them strain. Others may characterize constipation as feeling as though their bowels have not completely emptied themselves after a bowel movement.
Acute v/s chronic constipation
How long constipation lasts is the major distinction between acute and chronic constipation.
Acute or transient constipation is typical:
- Rarely, only lasting a few days
- Resulting from a change in routine or diet,
- Travel, inactivity, ailment, or medicine
- Over-the-counter (OTC) laxatives provide relief,
- Exercise or a diet high in fiber
- Contrarily, persistent constipation is:
- Enduring for more than three months
- And occasionally even extending for years
- Damaging a person’s personal or professional life
- Not alleviated by a diet or exercise change, thus
- Required either medical care or prescription drugs
Who is susceptible to long-term constipation?
One of the most prevalent chronic gastrointestinal problems in adults is constipation. Each year, more than 2.5 million Americans seek medical attention for constipation. In order to alleviate constipation, Americans spend close to $800 million annually on laxatives.
People who fall into the following categories are more likely to experience chronic constipation:
- Folks that are above 65
- Those who don’t exercise regularly or
- Due to a physical impairment, such as a spinal cord injury, are bed-bound
- Those who are expecting
Chronic constipation’s root causes
Chronic constipation can be brought on by a number of medical problems and drugs, in addition to poor diet and inactivity. These conditions and medications include:
- Malfunction of the pelvic floor, which could cause it
- Coordination of rectus muscle contractions is challenging
- Issues with the endocrine system or metabolism, like diabetes
- Include hypothyroidism
- Many neurological issues, including
- Stroke, multiple sclerosis, Parkinson’s disease, and spinal cord damage
- Tears in the rectum and anus
- The colon’s constriction (bowel stricture)
- Issues with the mind, including depression,
- Problems of eating and anxiety
- Gastrointestinal conditions include Crohn’s disease and colon
- Diverticulitis, irritable bowel syndrome, and cancer
- Physical impairments that cause a person to be immobile
Taking a prescription or over-the-counter medicine for another medical issue might also result in chronic constipation. Medications like the following may result in persistent constipation:
- Blockers of calcium channels
- Cholinergic antagonists
- Tricyclic mood stabilizers
- Drugs for Parkinson’s disease
- Antacids, particularly calcium-rich antacids
- Supplements for calcium
- Supplemental iron
- Anti-diarrhea medications
Sometimes the exact cause of persistent constipation is unknown. Chronic idiopathic constipation is the term for persistent constipation that occurs for no apparent reason (CIC).
Criteria for diagnosing chronic constipation
Depending on the individual, different bowel movements may not be regarded as “normal.” It can entail going twice daily or three times per week for some people. Others could require daily attendance. Really, there is no ideal or set amount for bowel movements.
In order to identify persistent constipation, doctors have attempted to compile a list of criteria. According to the Rome IV diagnostic criteria for functional constipation, two or more of the following symptoms must be present:
- Fewer than three bowel movements that occur on their own
- During at least 25% of bowel movement, straining
- 25% or more of the time, the stools are lumpy or firm.
- Time (The Bristol Stool Chart can help you describe your stool form.)
- A feeling of inadequate evacuation for at least
- 25 percent or more of bowel motions
- A feeling of restriction or constriction for at
- 25 percent or more of bowel motions
- Manually (by using your fingertips, for example)
- Assist with at least 25% of bowel movements.
However, the key indicator of chronic constipation is the duration of the symptoms, which must exceed three months.
Your doctor will inquire about your symptoms, medical history, and current medications (including prescription, over-the-counter, and dietary supplements). Your doctor might order a physical if you’ve had constipation symptoms for longer than three months and meet the other diagnostic requirements for persistent constipation.
Blood testing and a rectal exam are both possible parts of a physical examination. In order to check for obstructions, pain, or blood during a rectal exam, your doctor will put a gloved finger into your rectum.
To determine the source of your symptoms, your doctor may order more testing. These examinations might involve the following:
You take a tablet containing markers for a research (colorectal transit study).
That an X-ray will detect. Your physician can monitor the passage of food via
Your intestines and how well their muscles are operating.
Manometer: Your physician places a balloon-tipped tube within your body.
Anus. The balloon is inflated by the doctor, who then carefully removes it. This permits your
To gauge how well and how tightly the muscles around your aneurism are
Your rectum works.
X-ray: A medical professional uses a tube to inject barium dye into your rectum. The
Using barium, the doctor may more clearly see the rectum and big intestine.
Examine them using an X-ray.
Your doctor uses a camera and a light coupled to a device to inspect your colon.
A bendable tube known as a colonoscopy. This frequently entails sedation and discomfort
The length of time that symptoms persist is the fundamental distinction between chronic and transient constipation. Contrary to temporary constipation, persistent constipation can interfere with a person’s ability to work or socialize.
Constipation that lasts more than three months and doesn’t improve after consuming more fiber, drinking more water, and exercising is referred to as persistent.
A doctor’s visit is necessary for a more precise diagnosis. To determine the cause of your constipation, a doctor will examine you, ask you about your bowel motions, and do diagnostic tests. They may suggest stopping using a certain drug or prescribing one to help. The US has approved two medications. According to the Food and Drug Administration, linaclotide (Linzess) and lubiprostone (Amitiza) can both safely alleviate the signs and symptoms of persistent constipation.
Consult your doctor right away if you notice blood in your stool, unexplained weight loss, or excruciating gut pain.
Chronic constipation can result in consequences, some of which may be serious, if left untreated. Fortunately, there are numerous remedies for persistent constipation.
Schedule a visit with your doctor if you consistently encounter constipation’s indications or symptoms. They can assist you in creating a treatment strategy and in determining potential constipation causes. You can learn how to avoid and handle such issues with their assistance.