{"id":160,"date":"2022-06-24T22:26:04","date_gmt":"2022-06-24T22:26:04","guid":{"rendered":"https:\/\/cdhf-2022.local\/?post_type=digestive-condition&#038;p=160"},"modified":"2025-06-18T17:46:21","modified_gmt":"2025-06-18T17:46:21","slug":"constipation","status":"publish","type":"digestive-condition","link":"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/","title":{"rendered":"Constipation"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Tips and tools to help you understand constipation and how to live with it.<\/p>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-b73deda4-0b59-4aca-a11c-d81785fded7a\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"true\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-0-b73deda4-0b59-4aca-a11c-d81785fded7a\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-b73deda4-0b59-4aca-a11c-d81785fded7a\" style=\"color: #1f1f1f; \">What is Constipation?<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-b73deda4-0b59-4aca-a11c-d81785fded7a\">\n\n<p class=\"wp-block-paragraph\">Constipation means infrequent or difficult bowel movements. It often occurs when digested food moves too slowly through the digestive tract. As a result, the body removes (absorbs) too much water from the stools, causing them to become hard, dry and difficult to pass.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation is very common. It can affect the young and elderly and everyone in between. For some people, constipation develops suddenly and lasts for a short time. For others, particularly older people, it may begin gradually and last for an extended period of time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation is common but it is not normal. While making good\u00a0choices about diet and exercise can usually relieve occasional constipation, those who suffer from chronic constipation know these don\u2019t work and\u00a0may need to speak to a pharmacist or doctor to find a solution. <\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/09\/101-constipation-en-791x1024.webp\" alt=\"constipation 101 infographic\" class=\"wp-image-13538 lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/09\/101-constipation-en-791x1024.webp\" alt=\"constipation 101 infographic\" class=\"wp-image-13538 lazyload\"><\/noscript><\/figure>\n<\/div>\n\n<div style=\"gap: 20px\" class=\"align-button-center ub-buttons orientation-button-row ub-flex-wrap wp-block-ub-button\" id=\"ub-button-8fc050a8-cfa3-4cda-b860-d0ac31c899f1\"><div class=\"ub-button-container\">\n\t\t\t<a href=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/02\/norwell-infographic-en.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"ub-button-block-main   ub-button-flex\" role=\"button\" style=\"--ub-button-background-color: #313131; --ub-button-color: #ffffff; --ub-button-border: none; --ub-button-hover-background-color: #313131; --ub-button-hover-color: #ffffff; --ub-button-hover-border: none; padding-top: 10px; padding-right: 10px; padding-bottom: 10px; padding-left: 10px; border-top-left-radius: 10px;; border-top-right-radius: 10px;; border-bottom-left-radius: 10px;; border-bottom-right-radius: 10px;; \">\n\t\t\t\t<div class=\"ub-button-content-holder\" style=\"flex-direction: row\">\n\t\t\t\t\t<span class=\"ub-button-block-btn\">Download the &#8216;Constipation 101&#8217; Infographic<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/a>\n\t\t<\/div><\/div>\n\n\n<h2 class=\"wp-block-heading\">What causes constipation?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation arises if you have a problem that affects your colon in one or more of three key areas:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Intake:<\/strong>\u00a0what you eat (e.g., food, water, fibre)<\/li>\n\n\n\n<li><strong>Transit:<\/strong>\u00a0how quickly stool moves through your colon<\/li>\n\n\n\n<li><strong>Outlet:<\/strong>\u00a0how stool exits your body.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How can I prevent constipation?<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Food and drink:<\/strong>\u00a0Start by aiming for about 18 grams of fibre per day, which you can gradually increase to 20-30 grams. (Look for fibre content on food labels or online.) Similarly, if you\u2019re like most adults and don\u2019t drink enough fluids, gradually increase your intake of fluids such as water and broth, while cutting back on caffeine, alcohol, sugary drinks.<\/li>\n\n\n\n<li><strong>Exercise:<\/strong>\u00a0For many, regular exercise may improve your constipation symptoms, along with your mood, energy and general fitness. Aim for at least 30 minutes of walking or physical activity five times a week.<\/li>\n\n\n\n<li><strong>Toilet habits:<\/strong>\u00a0Practice good \u201ctoilet hygiene\u201d by setting aside a time \u2013 ideally in the morning or about 30 minutes after a meal \u2013 to pass stool. When you feel the urge to defecate, ignoring it can significantly increase your chances of having constipation. Familiarity with local facilities can help ensure you can get to a bathroom quickly when you feel the urge. When you use the toilet, make sure you have enough time and privacy to pass stools comfortably.<\/li>\n\n\n\n<li><strong>Regular daily routine:<\/strong>\u00a0Strive to maintain a regular lifestyle. As a general rule, the more consistent your eating and sleeping patterns, the better your bowel function.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Constipation in Children<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation in children doesn\u2019t necessarily signal the same problems as it does in adults: children often develop constipation when they deliberately or subconsciously prevent themselves from passing stool. They may be reluctant to interrupt playtime, embarrassed to use a public washroom, or afraid to have an unpleasant bowel movement (a particular concern for kids at the potty-training stage).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Of course, some of the causes of adult constipation also apply to kids, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A low-fibre diet<\/li>\n\n\n\n<li>Certain medications, such as antacids, opioids or antidepressants<\/li>\n\n\n\n<li>Certain diseases, such as diabetes or Down syndrome<\/li>\n\n\n\n<li>Anatomic abnormalities such as Hirschsprung\u2019s disease Experts recommend having your child see a doctor if constipation symptoms last more than two weeks, and sooner than that if the constipation is accompanied by fever, vomiting, weight loss, blood in the stool, cracks in the skin around the anus, or rectal prolapse (intestine protruding from the anus)<\/li>\n\n\n\n<li>Treatment, which depends on the child\u2019s age and severity of the problem, may include changing diet, adopting a regular schedule for clearing bowels, and (in some cases, such as stool stuck in the bowel) taking laxatives<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Watch this educational video to learn how to\u00a0get things moving and get on with enjoying your life!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Understanding Constipation\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iS631iTPu_w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-1-b73deda4-0b59-4aca-a11c-d81785fded7a\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-b73deda4-0b59-4aca-a11c-d81785fded7a\" style=\"color: #1f1f1f; \">Signs and Symptoms<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-b73deda4-0b59-4aca-a11c-d81785fded7a\">\n\n<p class=\"wp-block-paragraph\">When you are constipated, you have to strain to defecate and you typically pass small, hard stools. You may also have a feeling that your rectum has not been completely emptied. Other signs and symptoms of constipation may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Abdominal discomfort or pain<\/li>\n\n\n\n<li>A sense that something is blocked in your rectum<\/li>\n\n\n\n<li>Excessive straining during bowel movements<\/li>\n\n\n\n<li>Lower frequency of bowel movements (compared to your normal)<\/li>\n\n\n\n<li>Change in type of stool<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Most people don\u2019t need extensive testing to identify constipation: you know it when you have it. Still, understanding what\u2019s normal can help you identify constipation earlier and explain it to your doctor.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Understanding Constipation with Dr. Armstrong<\/h3>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Constipation with Dr. David Armstrong\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/j1fKnfB15S4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">At the 2012 CDHF Digestive Health Public Education Forum, Dr. David Armstrong gave an interesting and educational presentation on Constipation to a capacity crowd.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Bristol Stool Chart<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Bristol Stool Chart classifies human feces into 7 categories based on shape and consistency.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Types 1 and 2<\/strong>\u00a0occur with constipation<\/li>\n\n\n\n<li><strong>Types 3 and 4<\/strong>\u00a0are considered normal<\/li>\n\n\n\n<li><strong>Types 5 to 7<\/strong>\u00a0occur with diarrhea<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading bottom-border\">Constipated<\/h3>\n\n\n\n<div class=\"wp-block-media-text alignwide bottom-border\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/test.webp\" alt=\"Bristol Scale - Type 1\" class=\"wp-image-163 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/test.webp\" alt=\"Bristol Scale - Type 1\" class=\"wp-image-163 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 1<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Separate hard lumps, like nuts (hard to pass)<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide margin-top-20\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-2.webp\" alt=\"\" class=\"wp-image-166 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-2.webp\" alt=\"\" class=\"wp-image-166 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 2<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sausage-shaped but lumpy<\/p>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading bottom-border\">Normal<\/h3>\n\n\n\n<div class=\"wp-block-media-text alignwide bottom-border\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-3.webp\" alt=\"\" class=\"wp-image-167 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-3.webp\" alt=\"\" class=\"wp-image-167 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 3<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Like sausage but with cracks on its surface<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide margin-top-20\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-4.webp\" alt=\"\" class=\"wp-image-168 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-4.webp\" alt=\"\" class=\"wp-image-168 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 4<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Like a sausage or snake, smooth and soft<\/p>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading bottom-border\">Diarrhea<\/h3>\n\n\n\n<div class=\"wp-block-media-text alignwide bottom-border\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-5.webp\" alt=\"\" class=\"wp-image-169 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-5.webp\" alt=\"\" class=\"wp-image-169 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 5<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Soft blobs with clearcut\u00a0edges (passes easily)<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide bottom-border margin-top-20\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-6.webp\" alt=\"\" class=\"wp-image-170 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-6.webp\" alt=\"\" class=\"wp-image-170 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 6<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fluffy pieces with\u00a0ragged edges, a mushy stool<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide bottom-border margin-top-20\" style=\"grid-template-columns:28% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-7.webp\" alt=\"\" class=\"wp-image-171 size-full lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/poop-type-7.webp\" alt=\"\" class=\"wp-image-171 size-full lazyload\"><\/noscript><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\" style=\"font-size:18px\"><strong>Type 7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Water, no solid pieces. Entirely liquid.<\/p>\n<\/div><\/div>\n\n\n\n<p class=\"margin-top-10 wp-block-paragraph\">When it comes to frequency of bowel movements, it\u2019s a little harder to draw the line between what\u2019s healthy and what\u2019s not because every individual has a different pattern of bowel movements: some people have bowel movements three or more times a day, while others only defecate a few times per week. Both patterns can still be normal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Alarm symptoms of constipation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Alarm symptoms are not typical constipation symptoms and may signal other, possibly more serious health issues. Consult your doctor if you experience any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rectal bleeding with or without dark red blood mixed in with the stool<\/li>\n\n\n\n<li>Unintended weight loss<\/li>\n\n\n\n<li>Fever (check your temperature to see if it is over 36.5\u00b0C)<\/li>\n\n\n\n<li>Nausea<\/li>\n\n\n\n<li>Vomiting<\/li>\n\n\n\n<li>Persistent diarrhea<\/li>\n\n\n\n<li>Anemia, especially iron-deficiency anemia<\/li>\n\n\n\n<li>Abdominal pain that is not relieved by a bowel movement or that wakes you up at night.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">As a rough guideline, you probably have a chronic (long-term) constipation problem if you\u2019ve experienced 2 or more of the following symptoms for at least 3 months:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Straining during more than 1 out of 4 bowel movements<\/li>\n\n\n\n<li>Hard stools more than 25% of the time<\/li>\n\n\n\n<li>Incomplete evacuation more than 25% of the time<\/li>\n\n\n\n<li>Fewer than 3 bowel movements in a week<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you have constipation for more than 2 weeks, be sure to see a doctor to find out why you have developed this problem and how you can treat it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the start, your doctor will generally ask you about your eating and drinking habits, your stress levels, your medications and any symptoms that may suggest that your constipation has a specific, treatable cause. Depending on your symptoms, your doctor may also perform a blood test to find out if you have anemia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Colon cancer is an important but uncommon cause of constipation. If you are over 50 years of age, have a first-degree relative (parent, sibling, or child) who has had colon cancer or if you\u2019ve had a positive stool test in a provincial colorectal cancer screening program, you will be offered a colonoscopy.<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-2-b73deda4-0b59-4aca-a11c-d81785fded7a\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-b73deda4-0b59-4aca-a11c-d81785fded7a\" style=\"color: #1f1f1f; \">Tests and Treatments<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-b73deda4-0b59-4aca-a11c-d81785fded7a\">\n\n<p class=\"wp-block-paragraph\">Constipation can usually be prevented or treated successfully. It is best to start with simple strategies and move on to stronger measures when necessary.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Although most of us will suffer from constipation at some point in our lives, chronic constipation is not normal. If you continue to be constipated after unsuccessfully trying the lifestyle changes suggested below it is important to speak with your doctor about treatment options.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Managing Constipation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Even if you can\u2019t prevent all constipation, you may be able to reduce its frequency or severity by eating enough fibre, drinking enough fluids, exercising, and maintaining good toilet habits. The following small changes in your daily habits may help relieve constipation:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Increasing the amount of fibre in your diet:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">For best general health and colon function, aim to consume about 20 to 30 grams of fibre every day. Derived from plants, fibre is the indigestible portion of food. Fibre may cause bloating and discomfort, especially if you\u2019re not used to it, so be sure to \u201cfibre up\u201d over several days or weeks by gradually increasing your intake of:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vegetables and fruits (ideally with the skin)<\/li>\n\n\n\n<li>Whole-grain breads, cereals and pastas<\/li>\n\n\n\n<li>Legumes such as beans and peas<\/li>\n\n\n\n<li>Nuts and seeds<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong>\u00a0If you have narrowings (strictures) or scar tissue in your digestive tract, significantly increasing your fibre intake can cause a bowel obstruction; if you have had any previous surgeries or blockages (e.g. due to adhesions), discuss this with your doctor before making any big changes in your diet.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">There are two types of fibre:<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Soluble fibre:<\/strong>\u00a0this type dissolves in water and keeps water in the digestive system. Sources include oatmeal, lentils, apples, oranges, nuts, beans, celery, and carrots. Pectin (found in apples, strawberries, lychees, and pears) is a form of soluble fibre.<\/li>\n\n\n\n<li><strong>Insoluble fibre:<\/strong>\u00a0this type does not dissolve in water and adds bulk or \u201croughage\u201d that helps move stool through the digestive system. Sources include whole grains, bran, seeds, nuts, celery, broccoli, dark leafy vegetables, fruit, and root vegetable skins.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">You can also eat foods with probiotics and prebiotics<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Such as yogurt, kefir, bananas, whole-grain breads and honey, which help soften stool and ease its passage through the colon.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Avoiding or limiting fat<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Foods that are greasy, fried, or high in animal fat or contain refined sugar, such as candy and rich desserts can contribute to constipation.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Increasing consumption of healthy liquids<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Aim for 8-10 glasses a day of liquid which can include water, juices, milk, soup or other beverages. Avoid liquids with caffeine, alcohol or are rich with lots of sugar or artificial sweeteners.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Increasing your activity level<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">A sedentary lifestyle can lead to sluggish bowels. Regular exercise \u2013 even walking \u2013 can help boost bowel activity.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Developing \u201cregularity\u201d in your lifestyle<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Try to find a consistent time every day to relax and have a bowel movement, your body will become accustomed to this pattern over time. Remember to avoid straining.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Try to eat at regular and consistent times<\/li>\n\n\n\n<li>Establish regular sleeping patterns<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Avoiding overuse of certain laxatives<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Regular use of certain stimulant laxatives may decrease your \u201cbowel tone,\u201d resulting in poor bowel function. Watch for herbal laxatives, which may contain stimulants. Other laxatives that help you retain more water and are safe for regular use. Always check with your doctor before using any laxatives on a regular basis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Taking care of your general well-being<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Don\u2019t smoke, limit alcohol, and adopt strategies to manage time and cope with stress.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How should I prepare for a doctor appointment about constipation?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Good communication with your doctor is an important part of managing your digestive health, regardless of your diagnosis. To ensure that all doctors have the most accurate information about you, it\u2019s a good idea to keep a journal in which you:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Write down the symptoms that are bothering you, and for how long you have had them.<\/li>\n\n\n\n<li>Write down key personal and medical information, including any recent changes or stressful events in your life.<\/li>\n\n\n\n<li>Jot down triggers (such as food, stress, activity, or menstrual cycle) that seem to make your symptoms worse.<\/li>\n\n\n\n<li>Make a list of medications are you taking, including the conditions you take them for; this should include any non-prescription medications, probiotics or herbal preparations you may use. Also note if any of your medications seem to affect your symptoms.<\/li>\n\n\n\n<li>Create a list of the health-related questions you would like your doctor to answer during your appointment.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Depending on your specific symptoms and diagnosis, here are some questions you may want to ask your doctor:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>What do you think is causing my symptoms?<\/li>\n\n\n\n<li>Are there other possible causes for my condition?<\/li>\n\n\n\n<li>What diagnostic tests do I need?<\/li>\n\n\n\n<li>Do these tests require any special preparation?<\/li>\n\n\n\n<li>What treatment approach do you recommend trying first?<\/li>\n\n\n\n<li>If the first treatment doesn\u2019t work, what will we try next?<\/li>\n\n\n\n<li>Are there any side effects associated with these treatments?<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Pharmacy products for constipation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If dietary and other lifestyle changes do not relieve constipation, you have several options for over-the-counter and prescription products.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Constipation \u2013 Selecting your Laxative<\/h4>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Constipation - Selecting your Laxative\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/c--GQ4RwJUY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation can happen when your stool moves too slowly through your colon, causing it to become dry and hard. When you have constipation, you want relief. Laxatives generally relieve constipation by increasing the frequency of bowel movements. In this animation you will learn about the mode of actions for three different types of laxatives Osmotic, Stimulant and Bulk-Forming.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Bulking agents<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Products such as psyllium or methylcellulose help hold water in the stool and add bulk to it, which stimulates normal bowel contractions.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Emollient laxatives<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Also known as stool softeners, these products contain a wetting agent that helps water penetrate and mix with the stool, so it becomes softer and easier to pass. It may take a week or longer for stool softeners to take effect. Examples include docusate sodium and docusate calcium.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Lubricant laxatives<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This type of laxative may contain mineral oil, which coats the particles of stool to prevent water from escaping. Because fat-soluble vitamins (A, D, E and K) dissolve in the oil, they will not be absorbed as well by the intestine. For this reason, lubricant laxatives should only be used short-term.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Osmotic laxatives<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">These medications help retain the water in the stool, making it softer. Products in this class contain polyethylene glycol, undigestible sugars (lactulose, sorbitol) or ions such as magnesium, sulfate, phosphate or citrate; some require a prescription but many are available, \u2018over-the-counter\u2019, without a prescription. Osmotic laxatives are not absorbed or are poorly absorbed by the bowel, have few side effects, and are generally safe for long-term use with your health care provider\u2019s recommendation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a general rule, try gentler products such as those listed above first. If they fail to provide relief move on to those that follow below.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Stimulant laxatives<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This group of laxatives causes the bowel muscles to propel their contents more rapidly and also increases the amount of water in the stool. While very effective, using them can lead to diarrhea, dehydration and intestinal cramping.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Although there is no proof that chronic use damages the colon or worsens constipation, most experts agree that these products should be used sparingly. Common stimulant laxatives contain cascara, senna, bisacodyl, or aloe.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Enemas and suppositories<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Enemas expand or irritate the rectum, which stimulates the colon to contract and eliminate stool. Especially useful when the stool is hardened and blocked (impacted) in the rectum, they are meant for occasional use and can disrupt the balance of fluids and electrolytes in the body if used regularly or in access. Suppositories also trigger bowel movements by stimulating or \u201cirritating\u201d the rectum.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Prokinetic agents (e.g. prucalopride)<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">These medications, available by prescription only, improve the motility (movement) and contraction of the bowel which speeds up the passage of stool through the bowel and increases stool frequency to relieve constipation.<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-3-b73deda4-0b59-4aca-a11c-d81785fded7a\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-b73deda4-0b59-4aca-a11c-d81785fded7a\" style=\"color: #1f1f1f; \">Frequently Asked Questions<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-3-b73deda4-0b59-4aca-a11c-d81785fded7a\">\n\n<p class=\"question wp-block-paragraph\"><strong>How often should I have a bowel movement?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to realize that the frequency of bowel movements varies from person to person. Some people may empty their bowels several times a day while others may only have a bowel movement once every few days. Whatever is normal for you, is fine. You should take note however, when your bowel patterns change.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Will a cleansing enema program help me?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is no evidence that there is a build-up of harmful toxins in the bowel when one has an irregular bowel pattern. The most important factor in treating irritable bowel syndrome is what you do on a daily basis including eating, physical exercise and stress management.<\/p>\n\n<\/div>\n\t\t<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Tips and tools to help you understand constipation and how to live with it.<\/p>\n","protected":false},"author":1,"featured_media":161,"template":"","categories":[],"tags":[8,41,53],"class_list":["post-160","digestive-condition","type-digestive-condition","status-publish","has-post-thumbnail","hentry","tag-bowel-concerns","tag-tags-constipation","tag-tags-ibs"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Constipation - Canadian Digestive Health Foundation<\/title>\n<meta name=\"description\" content=\"Learn about constipation, its causes, symptoms, and treatment options\u2014plus tips to manage both occasional and chronic cases.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Constipation - Canadian Digestive Health Foundation\" \/>\n<meta property=\"og:description\" content=\"Learn about constipation, its causes, symptoms, and treatment options\u2014plus tips to manage both occasional and chronic cases.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\" \/>\n<meta property=\"og:site_name\" content=\"Canadian Digestive Health Foundation\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/CDHFdn\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-18T17:46:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/constipation-scaled.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@TheCDHF\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\",\"url\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\",\"name\":\"Constipation - Canadian Digestive Health Foundation\",\"isPartOf\":{\"@id\":\"https:\/\/cdhf.ca\/en\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/constipation-scaled.webp\",\"datePublished\":\"2022-06-24T22:26:04+00:00\",\"dateModified\":\"2025-06-18T17:46:21+00:00\",\"description\":\"Learn about constipation, its causes, symptoms, and treatment options\u2014plus tips to manage both occasional and chronic cases.\",\"breadcrumb\":{\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/#primaryimage\",\"url\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/constipation-scaled.webp\",\"contentUrl\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/constipation-scaled.webp\",\"width\":2560,\"height\":1707,\"caption\":\"Mans legs with a toilet behind him\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cdhf.ca\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Digestive Conditions\",\"item\":\"https:\/\/cdhf.ca\/en\/digestive-conditions\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Constipation\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cdhf.ca\/en\/#website\",\"url\":\"https:\/\/cdhf.ca\/en\/\",\"name\":\"Canadian Digestive Health Foundation\",\"description\":\"Serving Canadians with the latest digestive health news &amp; 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