What Is Constipation?

Constipation is defined as having a bowel movement fewer than three times per week. With constipation stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.

Constipation is a symptom, not a disease. It is frequently caused by a disturbance of how the colon works. The function of the colon is to remove water from the waste material that passes from the small intestine into the colon. It serves as a storage area for waste material and helps move and expel stool from the body. Constipation occurs when too much water is removed by the colon, causing dry or hard stools that are difficult to expel. You may be constipated if you are having fewer bowel movements than usual, it takes a long time to pass stools, and they are hard. Normal bowel movements vary from three times daily to three times weekly.

Constipation is one of the most common gastrointestinal complaints in the United States. More than 4 million Americans have frequent constipation, accounting for 2.5 million physician visits a year. Those reporting constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem following childbirth or surgery.

Although it may be extremely bothersome, constipation itself usually is not serious. However, it may signal and be the only noticeable symptom of a serious underlying disorder such as cancer. Constipation can lead to complications, such as hemorrhoids caused by extreme straining or fissures caused by the hard stool stretching the sphincters. Bleeding can occur for either of these reasons and appears as bright red streaks on the surface of the stool. Fissures may be quite painful and can aggravate the constipation that originally caused them. Fecal impactions tend to occur in very young children and in older adults and may be accompanied by a loss of control of stool, with liquid stool flowing around the hard impaction.

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