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What to know about constipation

Dr Simon Smale
Written in association with: Dr Simon Smale Consultant Gastroenterologist in York
5.0 |

2 reviews

Published: 26/11/2025 Edited by: Conor Lynch on 26/11/2025

Constipation is a common digestive issue that affects people of all ages. It is generally defined as having fewer than three bowel movements per week or experiencing hard, dry stools that are difficult to pass. While occasional constipation is normal, chronic or severe cases can interfere with daily life and may signal an underlying health concern.


One of the primary causes of constipation is insufficient fiber intake. Fiber adds bulk to stool and helps it move more easily through the intestines. Diets low in fruits, vegetables, whole grains, and legumes often contribute to slower digestion. Dehydration can also play a major role; when the body lacks adequate water, the colon absorbs more fluid from the stool, making it harder and more compact.


Lifestyle factors such as lack of physical activity, ignoring the urge to have a bowel movement, and high levels of stress can further slow intestinal motility. Certain medications—such as opioid pain relievers, some antidepressants, and iron supplements—are also known to cause constipation as a side effect. In some cases, medical conditions like irritable bowel syndrome (IBS), thyroid disorders, or diabetes may be involved.


Improving constipation often begins with simple lifestyle adjustments. Increasing dietary fiber, staying well-hydrated, and engaging in regular exercise can promote healthy bowel habits. Establishing a consistent bathroom routine and allowing sufficient, unhurried time can also help the body respond naturally. For some individuals, over-the-counter remedies such as fiber supplements or stool softeners may offer short-term relief, though these should be used carefully and according to product guidelines.


While most cases of constipation are manageable, persistent symptoms—especially when accompanied by severe abdominal pain, blood in the stool, or unexplained weight loss—may require medical evaluation. Understanding the causes and adopting supportive habits can help maintain regularity and overall digestive well-being.

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