{"id":7880,"date":"2022-12-15T21:03:21","date_gmt":"2022-12-15T21:03:21","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=7880"},"modified":"2024-11-27T19:23:03","modified_gmt":"2024-11-27T19:23:03","slug":"what-causes-constipation-and-how-to-get-relief-during-the-holidays","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/what-causes-constipation-and-how-to-get-relief-during-the-holidays\/","title":{"rendered":"What Causes Constipation and How to Get Relief During the Holidays"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">During the holidays, many of us travel to visit friends and relatives, and eat lots of comfort foods. There\u2019s the stress and anxiety of bringing a new loved one to dinner, or the rush to make the perfect dish.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But with the changes in routine, the travel, and the jetlag, you might find yourself with abdominal pain or straining more than usual in the bathroom. According to a recent study published in Gastroenterology, one in four Canadians experience occasional constipation<a href=\"https:\/\/doi.org\/10.5430\/jer.v5n1p37\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[1]<\/sup><\/a>.<sup> <\/sup>During the holidays, the changes in your usual routine as well as the portion sizes and foods can have a negative impact on your <a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/about-our-digestive-system\/\">gastrointestinal health.&nbsp;<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This common predicament is nothing to be embarrassed about. There are plenty of proven tips and over-the-counter treatments that can prevent constipation and make it easier to pass your stools.<strong>&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is constipation?<\/strong>&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/constipation\/\">Constipation<\/a> is the most frequent gastrointestinal complaint that patients bring up to their physician<a href=\"https:\/\/gi.org\/topics\/constipation-and-defection-problems\/\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[2]<\/sup><\/a>. Imagine the gastrointestinal tract is a water slide and your stools are hitching a ride. If there isn\u2019t enough water lubricating the slide, it\u2019ll be tough to move through it.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, think of how a soft and buoyant inflatable tube has an easier time travelling through a slide than well, a rock or a couch. Similarly, when your stool becomes too dry or hard, it becomes more difficult for it to move through the gut. This leads to a lot more straining, and time spent on the toilet. Once you finally pass the stools, you might still feel like the rectum hasn\u2019t completely been emptied.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other signs and symptoms of constipation include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Abdominal pain&nbsp;<\/li>\n\n\n\n<li>Difficult and painful bowel movements&nbsp;<\/li>\n\n\n\n<li>Lower frequency of bowel movements (compared to your normal)&nbsp;<\/li>\n\n\n\n<li>Bloating&nbsp;<\/li>\n\n\n\n<li>Feeling tired or sluggish&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Diagnosing constipation<\/strong>&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">According to ROME IV criteria<a href=\"https:\/\/theromefoundation.org\/rome-iv\/rome-iv-criteria\/\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[<\/sup><sup>3<\/sup><sup>]<\/sup><\/a>, functional constipation can be diagnosed if two or more of the following symptoms occur over the course of the last three months with symptoms starting at least 6 months prior:&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Straining during more than \u00bc (25%) of defecations&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Lumpy or hard stools more than \u00bc (25%) of defecations&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Sensation of incomplete evacuation more than \u00bc (25%) of defecations&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>Sensation of obstruction\/blockage more than \u00bc (25%) of defecations&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>Manual maneuvers to facilitate more than \u00bc (25%) of defecations (e.g., digital evacuation, support of the pelvic floor)&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"6\" class=\"wp-block-list\">\n<li>Fewer than three bowel movements per week&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>Loose stools are rarely present without the use of laxatives&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>Insufficient criteria for irritable bowel syndrome&nbsp;<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What causes constipation<\/strong>&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A lot of the factors that contribute to constipation are front and center during the holidays. For most healthy individuals, regular bowel movements occur up to three movements a day or as few as three movements a week<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28762379\/\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[<\/sup><sup>4<\/sup><sup>]<\/sup><\/a>. During the holidays, this delicate balance is disrupted by changes in diet, sleep, and travel.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you\u2019re visiting family, you can guarantee a grandparent will offer you food every ten minutes. If you celebrate any holidays, you\u2019ll be eating delicious courses of holiday-centric foods. And of course, you\u2019re probably going to be drinking more alcohol than usual, after all you don\u2019t need to wake up and work the next day.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Let\u2019s break down the factors that can lead to gastrointestinal disruptions and long trips to the bathroom.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Holiday foods:<\/strong> These foods are a perfect recipe of factors that leads to pain, straining and constipation. There are lots of large portions of foods high in sugar, salt, and fat, as well as low levels of fiber. Large portions can disrupt the digestive process while sweet and salty foods are positively associated with symptoms of constipation <a href=\"https:\/\/www.webmd.com\/digestive-disorders\/features\/winter-holidays%22%20\/l%20%22:~:text=Lack%20of%20fiber.&amp;text=That's%20part%20of%20the%20problem,School%20of%20Medicine%20in%20Baltimore.\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[<\/sup><sup>5<\/sup><sup>]<\/sup><\/a><sup>,<\/sup><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8746799\/\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[<\/sup><sup>6<\/sup><sup>]<\/sup><\/a>.&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Sleepless nights: <\/strong>Many of us travel during the holidays and stay up late catching up with friends and family. These disruptions in your everyday schedule can lead to insomnia, which bears a strong link to constipation<a href=\"https:\/\/doi.org\/10.1016\/j.shaw.2022.01.001\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[<\/sup><sup>7<\/sup><sup>]<\/sup><\/a>.&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Not enough water: <\/strong>If you aren\u2019t drinking any water, it becomes easier for waste to get stuck in the colon and become drier and harder. Especially if you\u2019re travelling or busy getting everything ready for a family meal, it is easy to neglect hydration.&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Stress: <\/strong>Family get-togethers, preparing for large meals, and last-minute gift shopping are <a href=\"https:\/\/cdhf.ca\/en\/the-importance-of-managing-stress-for-people-who-suffer-from-ibs\/\">stressful<\/a>. This can slow gut transit, leading to constipation<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4249634\/\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[5]<\/sup><\/a>.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you want to lower your risk of constipation during the holidays, you\u2019ll need to make sure to get enough sleep and exercise. You might also need to consider compensating for heavy dinners with healthy lunch or breakfast rich in fruits, vegetables, and fibers.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Treating constipation with laxatives<\/strong>&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There are many over-the-counter <a href=\"https:\/\/cdhf.ca\/en\/constipation-selecting-your-laxative\/\">laxative<\/a> pills and powders that you can take until the constipation is resolved. While laxatives are safe for treating constipation, some will have side effects depending on their mechanism of action<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/constipation\/in-depth\/laxatives\/art-20045906\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>[9]<\/sup><\/a>.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stimulant laxatives: <\/strong>Much like caffeine gives the brain a much needed boost, these laxatives help stimulate the gut muscles to move waste through the gut. For painful bouts of constipation, these pills work in as little as six hours. The key ingredients in these products are sennosides and bisacodyl.\u00a0\u00a0<\/li>\n\n\n\n<li><strong>Osmotics<\/strong>: These laxatives work by moistening the colon, so when your gut muscles push the stool, it is easier to slide on through. The medicinal ingredient, polyethylene glycol, lubricates your gut but may take 2 to 4 days to produce a bowel movement.\u00a0<\/li>\n\n\n\n<li><strong>Bulk-forming laxatives<\/strong>: Often sold as powders that are stirred into a glass of water, these products add more mass to the stool, making it softer and easier to pass. These can take up to three days to work and key ingredients include psyllium and inulin.\u00a0<\/li>\n\n\n\n<li><strong>Stool softeners: <\/strong>These laxatives soften the stool by making it absorb more moisture. Rather than being hard and pellet-like, the stool becomes softer and squishier making it easier to expel. These may take one to two days to begin working. Check the label for docusate sodium and docusate calcium.&nbsp;<strong>&nbsp;<\/strong>&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Make sure to follow all the instructions on the labels, especially for powder-form laxatives that may need to be mixed with a glass of water or juice.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Conclusion<\/strong>&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">While holidays bring families and friends together, they may frequently lead to constipation. The travel, stress and dietary changes are a perfect storm leaving you with abdominal pain and straining in the bathroom. By being aware of these risk factors and having a variety of over-the-counter treatments at the ready, you\u2019re prepared all set to deal with the holiday poos.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These products may not be right for you. Always read and follow the label.&nbsp;<\/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-a5f3c7c7-2f9d-4db4-8ce0-89d3b081cccd\"><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<div class=\"gradient-divider\"><\/div><div class=\"sponsor-block\"><p><p>This article is sponsored by Lax-A Day\u00ae a registered trademark owned by Norwell Consumer Heathcare Inc. Save $2 on any Lax-A Family product <a href=\"https:\/\/www.laxasolutions.com\/coupon\">here.<\/a><\/p><\/p><div class=\"sponsor-details\"><div class=\"photo\" >\n<a target=\"_blank\" href=\"https:\/\/www.laxasolutions.com\/?utm_source=cdhf_en&#038;utm_medium=article_video&#038;utm_campaign=cdhf_laxa\"><img decoding=\"async\" class=\"lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/07\/Lax-a-day-logo.webp\"  \/><noscript><img decoding=\"async\" class=\"lazyload\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/07\/Lax-a-day-logo.webp\"  \/><\/noscript><\/a>\n<\/div>\n        <\/div><\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>References<\/strong>&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Werth, Barry L. &#8220;Epidemiology of constipation in adults: Why estimates of prevalence differ.&#8221;\u202f<em>J. Epidemiol. Res<\/em>\u202f5 (2019): 37.&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Wald, Arnold. \u201cConstipation and Defecation Problems.\u201d <em>American College of Gastroenterology<\/em>, 13 Oct. 2016, https:\/\/gi.org\/topics\/constipation-and-defection-problems\/.&nbsp;&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>\u201cRome IV Criteria.\u201d <em>Rome Foundation<\/em>, 19 Oct. 2020, https:\/\/theromefoundation.org\/rome-iv\/rome-iv-criteria\/.&nbsp;&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>Mitsuhashi, Shuji, et al. &#8220;Characterizing normal bowel frequency and consistency in a representative sample of adults in the United States (NHANES).&#8221;\u202f<em>Official journal of the American College of Gastroenterology| ACG<\/em>\u202f113.1 (2018): 115-123.&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>Griffin, R. Morgan. \u201cHoliday Foods, Upset Stomachs, Heartburn, and Digestive Problems.\u201d <em>WebMD<\/em>, WebMD, https:\/\/www.webmd.com\/digestive-disorders\/features\/winter-holidays.&nbsp;&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"6\" class=\"wp-block-list\">\n<li>Rollet, M.; Bohn, T.; Vahid, F.; on behalf of the ORISCAV Working Group. \u201cAssociation between Dietary Factors and Constipation in Adults Living in Luxembourg and Taking Part in the ORISCAV-LUX 2 Survey.\u201d <em>Nutrients<\/em> (2022): 14, 122. <a href=\"https:\/\/doi.org\/10.3390\/nu1401012\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.3390\/nu1401012<\/a>&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>Yun, Byung-Yoon, et al. &#8220;Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers&#8217; Health Check-up Data.&#8221; <em>Safety and Health at Work<\/em> 13.2 (2022): 240-247.&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>Chang, Yu-Ming, Mohamad El-Zaatari, and John Y. Kao. &#8220;Does stress induce bowel dysfunction?.&#8221;\u202f<em>Expert review of gastroenterology &amp; hepatology<\/em>\u202f8.6 (2014): 583-585.&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"9\" class=\"wp-block-list\">\n<li>Mayo Foundation for Medical Education and Research. (2022, March 3). <em>Over-the-counter laxatives for constipation: Use with caution<\/em>. Mayo Clinic. Retrieved June 2, 2022, from <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/constipation\/in-depth\/laxatives\/art-20045906\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.mayoclinic.org\/diseases-conditions\/constipation\/in-depth\/laxatives\/art-20045906<\/a>&nbsp;<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>During the holidays, many of us travel to visit friends and relatives, and eat lots of comfort foods. There\u2019s the stress and anxiety of bringing a new loved one to dinner, or the rush to make the perfect dish.&nbsp; But with the changes in routine, the travel, and the jetlag, you might find yourself with [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":55461,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"cdhf2022_sponsors_meta":[],"footnotes":""},"categories":[60],"tags":[8,41],"class_list":["post-7880","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","tag-bowel-concerns","tag-tags-constipation"],"acf":{"article_writer":[636]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/12\/thanksgiving-dinner.webp","author_info":{"display_name":"Sophie Allan","author_link":"https:\/\/cdhf.ca\/en\/author\/sophie-allen\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What Causes Constipation and How to Get Relief During the Holidays - Canadian Digestive Health Foundation<\/title>\n<meta name=\"description\" content=\"With the holidays here, you may be experiencing some unusual bowel patterns. 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