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NHS Choices Condition

Content supplied by NHS Choices

Most cases of constipation are not caused by a specific condition, and it may be difficult to identify the exact cause of your constipation. However, there are several factors which can increase your chances of having constipation. These include the following:

  • not eating enough fibre, such as fruit, vegetables and cereals,
  • a change in your routine, or lifestyle, such as a change in your eating habits,
  • having limited privacy when using the toilet,
  • ignoring the urge to pass stools,
  • immobility, lack of exercise,
  • not drinking enough fluids,
  • being under, or overweight,
  • anxiety, or
  • depression.


Medication

Sometimes, constipation may be a side effect of a medicine that you are taking. Some of the most common types of medication which can cause constipation include:

  • aluminium antacids (medicine to treat indigestion),
  • antidepressants,
  • antiepileptics (medicine to treat epilepsy)
  • antipsychotics (medicine to treat schizophrenia, manic conditions and anxiety)
  • calcium supplements,
  • diuretics (water tablets), and
  • iron supplements.


If your constipation is being caused by medication, you will usually find that the condition eases once you stop taking the medicine. However, under no circumstances should you stop taking your medication unless your GP specifically advises you to.

Speak to your GP if you are experiencing constipation due to a medicine, because they may be able to prescribe an alternative medication for you.

Pregnancy

Constipation during pregnancy is very common. About 40% of women will experience some form of constipation during their pregnancy. Most pregnant women tend to be affected during the early stages of their pregnancy.

Constipation occurs during pregnancy as a result of the hormonal changes in your body. During pregnancy, your body produces more of the female hormone called progesterone. This hormone acts as a muscle relaxant.

Your bowel normally moves stools and waste products along to the anus by a process known as peristalsis. This is when the muscles which line the bowel contract and relax, in a rippling, wave-like motion. An increase in progesterone means that the bowel muscles find it more difficult to contract, making it harder to move waste products along.

If you are pregnant, there are ways that you can safely treat constipation which will not cause harm to you or your baby. See the 'treatment' section for more information about this.

Other conditions

The majority of constipation cases are not caused by a particular medical condition. However, constipation can very rarely be a sign of an underlying condition. In adults such conditions include:

  • colon or rectal cancer,
  • diabetes,
  • hypercalcaemia - when there is too much calcium in your bloodstream,
  • underactive thyroid,
  • muscular dystrophy - a genetic condition which causes muscle wasting,
  • multiple sclerosis - a condition which affects your nervous system),
  • Parkinson's disease - a brain condition that affects the coordination of body movements, such as walking, talking and writing,
  • spinal cord injury,
  • anal fissures - a small tear of the skin just inside your anus,
  • inflammatory bowel disease - a condition that causes the intestines to become inflamed, and
  • irritable bowel syndrome (IBS).


Babies and Children

Constipation in babies and children is quite common. For example, poor diet, fear about using the toilet and poor toilet training can all cause constipation in babies and children.

Poor diet

Children who are overfed are more likely to have constipation, as are those who do not get enough fluids. Babies who have too much milk are also more likely to get constipation. As with adults, it is very important that your child has enough fibre in their diet.

Toilet training

Make sure that you do not make your child feel stressed, or pressured, about using the toilet. It is also important to let your children try things by themselves (when appropriate). Constantly intervening when they are using the toilet may make them feel anxious.

Toilet habits

Some children can feel stressed or anxious about using the toilet. They may have a phobia about using the toilet, or feel that they are unable to use the toilets at school.

This fear or phobia may be the result of your child experiencing pain when passing stools. This can lead to poor bowel habits, where children ignore the urge to pass stools and instead withhold them, for fear of experiencing pain and discomfort. However, this will mean that their condition only worsens.

Medication

Constipation in children can sometimes be a side-effect of medicines such as:

  • antiepileptics - medicines to treat epilepsy,
  • sedating antihistamines - medicine to relive the symptoms of allergies, such as itching and inflammation, and
  • opioids - a type of painkilling medicine.


Other conditions

The majority of constipation cases are not caused by a particular medical condition. However, constipation can rarely be a sign of an underlying condition. In children such conditions include:

  • Hirschprung's disease - a condition that affects the large intestine, making it difficult to pass stools),
  • anorectal malformation - a condition where the baby's anus and rectum do not form properly,
  • spinal cord abnormalities - for example, rare conditions such as spina bifida, and cerebral palsy, and
  • cystic fibrosis - a genetic condition that causes the body to produce thick and sticky bodily substances which, in the digestive system, which can lead to constipation.
view information about Constipation on www.nhs.co.uk »

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The information provided on this website (including any NHS Choices medical information) is for use as information or for educational purposes only and is not a substitute for professional medical care by a qualified doctor or other qualified healthcare professional. We do not warrant that any information included within this site will meet your health or medical requirements. This Embarrassing Bodies site does not provide any medical or diagnostic services so you should always check with a health professional if you have any concerns about your health.


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