bowel_change

Constipation

Constipation is a common symptom defined by infrequent or difficult-to-pass stools. It can manifest as straining, hard or lumpy stools, a sensation of incomplete emptying, or needing to have fewer than three bowel movements a week. The causes are numerous and can be secondary to lifestyle factors, medications, or various medical conditions. Primary, or functional, constipation is divided into subtypes, including slow-transit constipation, where the colon moves slowly, and obstructed defecation, where there is a problem with the mechanics of evacuation. A thorough evaluation can help identify the underlying cause and guide an effective, individualized treatment plan.

Frequently asked questions

Are laxatives safe to use long-term?
Most over-the-counter laxatives are safe for long-term use. Osmotic laxatives like polyethylene glycol (Miralax) are generally considered the safest and most effective first choice for chronic constipation. While there were historical concerns about stimulant laxatives (like senna or bisacodyl) causing damage to the colon, there is no good evidence to support this. However, it's always best to discuss your laxative use with a doctor.

Could my constipation be a sign of colon cancer?
While colon cancer can cause constipation, it is an uncommon cause of this very common symptom, especially in the absence of other alarm signs like rectal bleeding or weight loss. However, any new, persistent, and unexplained change in bowel habits should be evaluated by a doctor, and you should follow age-appropriate guidelines for colorectal cancer screening.

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