Understanding Constipation

Constipation is a common digestive complaint that affects people of all ages. When your bowels aren’t working as they should, it can leave you feeling bloated, sluggish, and uncomfortable. But it’s more than just a physical issue — it can affect your mood and energy too. While occasional constipation may not be serious, chronic or severe cases should not be ignored. We take a look at how to recognise constipation, what can cause it, and importantly, tips on how to get things moving again!

What is Constipation?

Constipation typically involves:

  • Fewer than three bowel movements per week
  • Hard lumpy stools
  • Straining or pain during bowel movements
  • A sensation of incomplete emptying

Common Causes of Constipation

Constipation typically involves:

1. Low-Fibre Diet

Fibre adds bulk to the stool and helps it pass more easily through the bowel. Lack of fibre is one of the leading causes of constipation.

2. Inadequate Fluid Intake

Water helps soften stool, making it easier to pass.

3. Lack of Physical Activity

Exercise stimulates intestinal activity. A sedentary lifestyle slows down the digestive process.

4. Changes in Routine

Travel, shift work, illness, or disruptions in sleep and meal times can affect your bowel habits. The digestive system thrives on routine, and disruptions can lead to sluggish bowel movements.

5. Ignoring the Urge to Go

Ignoring the natural urge to have a bowel movement can lead to harder stools and reduced sensation over time.

6. Hormonal Fluctuations (Especially in Women)

Hormones have a powerful effect on the digestive system. In women, fluctuations in progesterone and estrogen—particularly during the menstrual cycle, pregnancy, or menopause can slow down bowel motility. Many women notice they become constipated in the days leading up to their period, when progesterone levels are at their highest. Similarly, hormonal changes in pregnancy often lead to sluggish bowels.

7. Medications

Many common medications can contribute to constipation, including:

  • Painkillers (especially opioids)
  • Antacids containing calcium or aluminium
  • Iron supplements
  • Certain antidepressants
  • Blood pressure medications (like calcium channel blockers)

8. Medical Conditions

Several health conditions can affect the muscles, nerves, or hormones involved in digestion:

  • Irritable Bowel Syndrome (IBS) – particularly the constipation-predominant type
  • Diabetes – which can damage nerves that control the gut
  • Hypothyroidism – a low thyroid slows down metabolism and bowel function
  • Neurological disorders like Parkinson’s disease or multiple sclerosis

If you are suffering from persistent constipation symptoms, please see your doctor. If left untreated, it may lead to complications. Furthermore, it may be due to a medical condition that requires attention.

Disclaimer – This article is for general information and educational purposes only. It is not a substitute for professional advice. Always consult a registered health professional regarding any health-related diagnosis or treatment options.