Chronic Constipation Management

Chronic constipation can mean infrequent stools, hard stool, excessive straining, incomplete emptying or the need for manual assistance. It can worsen piles, fissures and prolapse, but its causes range from diet and medicines to slow bowel movement or pelvic-floor dysfunction.

Assessment reviews food, fluid, activity, toilet habits, medicines, medical conditions and warning symptoms. Treatment is built step by step and may include fibre adjustment, hydration, regular movement, toilet retraining and suitable laxatives. More tests are advised only when the history or response indicates a need.

The goal is a comfortable, sustainable bowel pattern rather than dependence on harsh remedies. Follow-up helps fine-tune the plan and manage associated anorectal problems. New bleeding, weight loss, anaemia, severe pain or a major change in bowel habit requires timely evaluation.