myUpchar प्लस+ के साथ पूरेे परिवार के हेल्थ खर्च पर भारी बचत

Summary

Constipation is a common condition in which the bowel movements are difficult and they occur less frequently. It can be related to several factors, such as diet, medical history, or presence of other health conditions. Sometimes, certain medicines can also cause constipation. Doctors are of the opinion that constipation is not a disease but the manifestation of an underlying digestive condition. Other causes of constipation include intestinal blockages, weak pelvic muscles, lack of fibre in the diet, or dehydration.

Constipation can be managed effectively with over-the-counter medications, which are known as laxatives. Although these medicines provide immediate relief, they must not be consumed regularly. Several home remedies may also come to the rescue. Chronic constipation can be problematic and may require several tests to be carried out by the doctor for determining the cause. Diet changes can prove to be very helpful in managing constipation. Compilations of constipation can arise if left untreated.

  1. What is constipation
  2. Types of constipation
  3. Constipation symptoms
  4. Constipation causes
  5. Prevention of constipation
  6. Diagnosis of constipation
  7. Constipation treatment
  8. Constipation prognosis & complications
  9. Medicines for Constipation
  10. Doctors for Constipation

What is constipation

Constipation refers to an uncomfortable condition in which a person may experience fewer bowel movements with difficulty in passing stools or a feeling of incomplete bowel movement. Constipation tends to be common in all age groups regardless of the gender since it depends on many factors common to all. Constipation is not a disease in itself but can be an indicator of some underlying digestive or nutritional problem. Mostly, this condition resolves by itself very quickly, but if not, it can be very uncomfortable and cause considerable discomfort. 

In most people, it is not a reason for concern and can be managed easily by monitoring the eating habits. As per experts, it is not essential to have a bowel movement every day. The frequency of bowel movements depends on many factors such as a person’s health and his/her eating habits. Different people can have different patterns of bowel movement. In a more precise medical definition, if a person is struggling with constipation, it indicates that he/she has had three or fewer bowel movements in a week. However, if a person notices a sudden change in the pattern of his/her bowel movement, he/she should seek medical advice.

What is Constipation?

Constipation is a common condition where a person has fewer bowel movements and/or has difficulty in passing stools. The person may experience a change in the number of times a person passes stools or a change in the quantity or quality of stool passed. This can be due to functional causes like stress, or due to serious conditions like piles, fissures, and rarely, cancer. Most often it is due to poor dietary patterns.

Types of constipation

Based on the duration of symptoms, a person may experience two types of constipation.

  • Chronic Constipation
    The symptoms of chronic constipation appear gradually. One may experience mild symptoms at first, but their intensity will gradually increase. Chronic constipation develops over time due to various factors, such as dehydration, poor diet, or continued medication intake. Hence, chronic constipation could be present for a few weeks or even for several months. Chronic constipation is much more likely to lead to complications.
  • Acute Constipation
    Acute constipation occurs suddenly and may last for a few days. This could again be due to several factors, but the symptoms are usually quite intense and harder to ignore. Acute constipation may be relieved easily by using medications. However, acute constipation could be the result of a serious health condition and hence must not be ignored.

Constipation symptoms

The symptoms of constipation are easy to identify and include:

  • Fewer bowel movements than usual.
  • A feeling of incomplete bowel movements.
  • Difficulty or pain in passing stools.
  • Hard stools.

These symptoms may be relieved within a few hours or may persist longer. However, if a person experiences the following symptoms, he/she must visit their doctor immediately:

Constipation causes

A person may experience constipation due to several reasons. The main cause of constipation is the slow movement of the stool in the digestive tract, which prevents its effective elimination by the rectum. This may also lead to the formation of hard stools that become more difficult to pass as constipation progresses. The common causes of chronic constipation include:

  • Blockages
    There could be a presence of some blockage, which is making it difficult for the stool to be passed effectively. Some of these blockages could be anal fissures, bowel obstruction, or cancerous growth in the rectal or colon area (colorectal cancer).
  • Problems with muscle movements
    Difficulty in the movement of the pelvic muscles involved in the bowel movements can also lead to chronic constipation. The muscle problems could include an inability to relax the pelvic muscles, an inability of the muscles to relax and contract properly, or weakening of the pelvic muscles.
  • Hormonal imbalances
    Hormones play a role in regulating the balance of fluids in one’s body. Hormonal imbalances due to certain health conditions, such as diabetes, thyroid problems, and pregnancy, can result in constipation. (Read more - Hyperthyroidism)
  • Neurological problems
    Presence of neurological diseases, such as multiple sclerosis, Parkinson’s disease, spinal cord injuries, or learning disabilities, can influence the nerves that regulate bowel movements. (Read more - Spinal fracture treatment)
  • Medications
    Certain medications, such as antacids and diuretics, can increase the risk of having constipation. In some cases, it has been reported that people who take iron supplements or biotin supplements may also experience temporary constipation.

Risk factors

There are various risk factors that can trigger constipation. These include:

  • Progressive age.
  • Staying dehydrated for a long time.
  • Eating a low fibre diet.
  • Limited physical activity.
  • Intake of certain medications.
  • Disturbed sleep cycle. (Read more - Insomnia causes)
  • Having an eating disorder.

Prevention of constipation

Constipation can be prevented in several ways. The most important step suggested by doctors is to find the underlying cause of constipation.

For example, some people report feeling terribly constipated after consuming milk. This must not be ignored, as it could indicate lactose intolerance, and once the person is aware of this condition, future episodes of constipation can be avoided.

There can be many lifestyle changes as well, which may be very helpful. These changes include

  • Getting regular physical exercise.
  • Avoiding processed foods.
  • Avoiding deep fried foods.
  • Drinking plenty of fluids throughout the day.
  • Eating a fibre-rich diet.
  • Avoiding dehydrating fluids.
  • Being aware of the side effects of the medications one takes.
  • Identifying foods that lead to constipation.
  • Preventing stress.

These factors are not only essential for preventing constipation but help in having good overall health as well.

Diagnosis of constipation

Doctors may use various tools and ways to determine the cause of constipation. These include:

Medical History

Providing the doctor with a medical history can prove to be very helpful in determining the underlying causes and pattern to constipation. The doctor will inquire about:

  • Any previous surgery.
  • Patterns of weight gain or weight loss.
  • A family history of anaemia or other diseases related to the digestive tract.
  • The pattern of bowel movement.
  • Duration of the symptoms.
  • Eating habits.
  • Nature of diet.
  • Level of daily physical activity.
  • Stress level.
  • Use of any supplements.
  • Use of Medications.

Hence, it is recommended that before going to the doctor, you should keep track of the bowel movements and be aware of the food habits as well. All the important details must be provided to the doctor for an accurate diagnosis.

Physical Examination

A physical examination will include

  • Checking the blood pressure.
  • Checking for any swellings, outgrowths, tenderness, and pain in the abdominal area.
  • Rectal examination.
  • Physical examinations can help the doctor determine the severity of the symptoms.

Laboratory Tests

Blood tests may be done to check for any hormonal abnormalities. Stool tests help in revealing the presence of blood or other signs of infection or disease. In contrast, a urine test may be performed to check for diabetes.

  • Endoscopy
    An endoscopy may be done for the doctor to locate any outward signs of digestive problems. A colonoscopy is done specifically to help determine the cause of constipation. A biopsy can also be performed to check for signs and symptoms of cancer.
  • Imaging Tests
    Imaging tests, which may be recommended by the doctor, include the lower gastrointestinal series, magnetic resonance imaging (MRI), or computed tomography (CT) scan.
  • Bowel Function Tests
    Bowel function tests help the doctor assess whether or not the bowel muscles are working efficiently.
  • Colorectal Transit Studies
    Colorectal transit studies help the doctor to visualize how well the stool is moving through the colon.

Constipation treatment

To provide immediate relief, your doctor may recommend laxatives. These laxatives help in treating constipation occasionally but do not cure the underlying cause. Overuse of laxatives can lead to several side effects and can prove to be harmful in the long run.

It is quite common for people with constipation to overuse laxatives, which can lead to various health problems. In people with eating disorders, the uninterrupted use of laxatives can prove to be very harmful and may damage the lining of the digestive tract. So, over-the-counter laxatives must be used cautiously to get relief.

A doctor must be contacted immediately if a person experiences the following symptoms after taking laxatives:

  • Bleeding while passing stools.
  • Bleeding from the nose.
  • Abdominal pain.
  • Nausea.
  • Change in the bowel movements.
  • Weakness.

There are several laxatives available in the pharmacies for treating constipation. Oral osmotic agents draw water into the colon to enable an easier passage of stools. Oral bulk formers act the opposite way by absorbing water to form stools, which can be passed easily. Other laxatives include oral stool softeners and oral stimulants.

Oral laxatives can interfere with the body’s ability to absorb certain nutrients and medications. Some laxatives may also cause electrolyte imbalance. Before taking the laxative, it is important to read the label to check the following things:

  • Side effects involved.
  • Drug interaction.
  • Presence of health conditions, such as diabetes, kidney issues, or pregnancy.
  • Children under the age of 6 years must not be given laxatives without prior doctor’s consultation.
  • Doctors recommend taking care of eating habits and diet as well to keep the problem of constipation at bay. If constipation is serious and worsens over time, the doctor may suggest some other medicines. In case of any blockage, the doctor may recommend surgical correction to fix it.

Home Remedies

Home remedies can also be very helpful in providing relief from constipation. Some easy home remedies are as follows:

  • Asafoetida
    Simply add two pinches of asafoetida to a glass of warm water and consume twice a day.
  • Carom Seeds
    Dry roast a teaspoon of carom seeds on a pan and then crush them into a powder. Swallow it with some lukewarm water.
  • Water
    If you experience mild constipation every now and then, begin your day with a glass of lukewarm water, which will enable bowel movements. Drink the water on an empty stomach every morning. Keep drinking water at regular intervals throughout the day to prevent dehydration.
  • Coffee
    Caffeine is a natural laxative and is quite mild in nature. Brew a cup of black coffee and have it in the morning. It is recommended that one does not grow dependent on this remedy as caffeine can lead to dehydration and may cause sleep difficulties when taken during bedtime.

Lifestyle management

Diet

  • The first and foremost step to achieve long-term relief from constipation should be taking care of one's diet. Diet can play a crucial role in this. To prevent constipation, it is important to include more fibre in the diet. Fibre-rich foods along with plenty of water greatly help in providing relief.
  • An average adult needs up to 25 grams of fibre each day. Good sources of fibre include whole grains, such as whole wheat bread, oatmeal, and cereals. Legumes, such as kidney beans and soybeans, are also rich in fibre. Green leafy vegetables not only provide fibre but also supply essential nutrients. Nuts, such as almonds and peanuts, can be consumed as healthy fats for added fibre.
  • It is very important to drink enough water every day to keep the digestive functions running smoothly. Water also helps in softening the stools and makes them easier to pass. One can also consume other fluids, such as fruit juices.
  • Consuming probiotic-rich foods also improves the digestive health and provides long-term benefits.
  • To prevent food-related constipation, refrain from eating processed foods, aerated drinks, and frozen food.

Exercise

Regular physical exercise helps in promoting digestive health and stimulates the bowel muscles. The doctor may also suggest bowel training to form a regular pattern and hence attain relief from constipation.

Medications

If you are taking any medications or supplements, consult your doctor to find out if these could be the cause of constipation. If so, you can request for an alternative medication.

Constipation prognosis & complications

Prognosis

Constipation tends to be diet-related in most cases and can be easily managed and prevented by maintaining a healthy diet as well as having a good intake of fluids. However, chronic constipation must not be ignored, as it could be indicative of some other digestive issue.

Complications

If chronic constipation is left untreated, it may result in the following complications such as:

  • Haemorrhoids
  • Anal fissures
  • Stool that cannot be expelled
  • Rectal prolapse
Dr. Krish Jivani

Dr. Krish Jivani

सामान्य चिकित्सा

Dr. Manoz Marwin

Dr. Manoz Marwin

सामान्य चिकित्सा

Dr. Prathamesh Mangale

Dr. Prathamesh Mangale

सामान्य चिकित्सा

Medicines for Constipation

Medicines listed below are available for Constipation. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
ColocleanColoclean Powder215.0
EndopegEndopeg Sachet92.0
PegmovePegmove 121.1 Gm Powder165.0
PegredPegred 17 Gm Powder192.0
PegvelPegvel 17 Gm Sachet37.0
ReluxRelux Oral Laxative Liquid190.0
DuphalacDuphalac 3.35 Gm/5 Ml Oral Solution463.0
EvictEvict Syrup92.0
LaxdayLaxday Syrup201.0
LaxilLaxil Solution108.0
LaxiwalLaxiwal Syrup205.0
LaxoseLaxose Solution201.0
LivolukLivoluk Kid Syrup61.0
LoozLooz 10 Gm Syrup Orange368.0
RapiduceRapiduce 3.35 G/5 Ml Suspension87.0
SmulaxSmulax Liquid102.0
BiomazeBiomaze Solution113.0
CadiloseCadilose 10 Gm Solution205.0
CremapilCremapil 10 Gm Syrup36.0
GerolacGerolac 10 Gm Syrup82.0
InluseInluse Syrup244.0
LacrestLacrest Syrup78.0
LactuloseLactulose Syrup121.0
LactusafeLactusafe Syrup198.0
LacxLacx Syrup65.0
LaxanLaxan Solution314.0
Laxat (Guj)Laxat Solution142.0
LaxolinLaxolin Solution57.0
LuxatinLuxatin Syrup129.0
MedilaxMedilax Syrup49.0
MtlacMtlac Syrup98.0
Nulax (Nulife)Nulax Solution149.0
RegutRegut Sachet23.0
RilizRiliz 10 Gm Solution155.0
StulaxStulax Syrup219.0
Bestoloos SyrupBestoloos Syrup166.0
Bowell SachetBowell Sachet15.0
BowleaseBowlease Solution84.0
BulkyBulky Syrup76.0
ConcureConcure Solution73.0
Con StopCon Stop Syrup190.0
DulaxDulax Syrup76.0
EldolucEldoluc 10 Gm Syrup56.0
EmtyEmty Oral Solution102.0
EsivacEsivac Oral Solution185.0
EvalexEvalex Syrup72.0
EzingEzing Solution119.0
FreelaxFreelax Liquid57.0
FreskyFresky Solution159.0
GentaloseGentalose Syrup349.0
Heptulac FiberHeptulac Fiber Solution102.0
KomfylacKomfylac Syrup137.0
LacsanLacsan Syrup54.0
LactolookLactolook Syrup102.0
LactomenLactomen Syrup76.0
LactopilLactopil Syrup79.0
LactudosLactudos Oral Solution306.0
LactulacLactulac 3.325 Gm Syrup220.0
Lactulax (Samarth)Lactulax 3.35 Ml Syrup65.0
LactulinLactulin Solution Orange60.0
LactunetLactunet Syrup105.0
LactusoftLactusoft Syrup158.0
LaxaidLaxaid Sachet8.0
LaxitoseLaxitose Syrup117.0
LaxiumLaxium Liquid178.0
LaxodocLaxodoc Solution83.0
Lose ItLose It 100 Ml Solution113.0
LuxolLuxol 10 Gm Powder140.0
NostipanNostipan Solution114.0
OalooseOaloose Oral Solution132.0
OsolacOsolac 3.32 Gm Syrup68.0
PurolacPurolac Syrup230.0
SacruloseSacrulose Syrup71.0
SafaxSafax Solution79.0
Safex (Zee)Safex Liquid81.0
SwiftolacSwiftolac Syrup155.0
SwilacSwilac Solution50.0
TotalaxTotalax Fiber Solution160.0
Tyulose SyrupTyulose Syrup115.0
SoftdropsSoft Drops Liquigel208.0
AqualubeAqualube 0.5 % W/V/1%W/V Eye Drop190.0
Just TearsJust Tears 0.3% W/W/1% W/W Ointment100.0
LavotearsLavotears 0.3%W/W/1%W/W Eye Ointment95.0
DelcolicDelcolic 10 Mg Injection9.75
AncoolAncool Sf Suspension144.0
Ccs UltraCcs Ultra Eye Drop280.0
Eco FreshEco Fresh Eye Drop250.0
FougFoug Eye Drop199.0
OcumoistOcumoist Eye Drop107.0
Peg TearsPeg Tears Eye Drop301.0
Systane UltraSystane Ultra Eye Drop376.0
MoistaneMoistane Eye Drop319.0
Normo TearsNormo Tears Eye Drop299.0
SensiyesSensiyes Eye Drop295.0
AraAra Eye Drop175.0
Cremalax TabletCremalax 10 Mg Tablet63.5
Dyrset EzeDyrset Eze Tablet22.0
DyrsetDyrset Tablet25.0
LaxecuteLaxecute 10 Mg Tablet49.0
NormalaxNormalax 10 Mg Tablet52.0
NovalaxNovalax Syrup55.0
OslaxOslax 5 Mg Syrup69.85
PiclinPiclin 10 Mg Tablet51.0
Picolax(Sp Pharma)Picolax Tablet30.0
PicsulPicsul 10 Mg Tablet38.5
PixitPixit 5 Mg/5 Ml Syrup75.0
SopilaxSopilax Tablet22.6
UltralaxUltralax 5 Mg Syrup60.47
AlpicnoAlpicno 5 Mg Syrup23.56
ColaxColax 10 Mg Tablet53.0
ColvacColvac 10 Mg Tablet54.0
Coso LaxativeCoso Laxative Syrup45.0
Galdom SpGaldom Sp Syrup53.91
Gerbisa LGerbisa L 5 Mg/5 Ml Syrup132.0
LaxeLaxe Suspension60.0
LaxsureLaxsure 10 Mg Tablet59.17
PicofastPicofast 5 Mg Syrup60.0
PicopilPicopil 5 Mg Syrup65.0
PicowinPicowin 5 Mg Syrup60.0
PicozanPicozan Syrup48.46
ConlaxConlax 10 Mg Suppository41.38
DulcoflexDulcoflex 10 Mg Suppository104.5
GerbisaGerbisa 10 Mg Suppository100.0
IglaxIglax Suspension80.0
JulaxJulax 10 Mg Tablet31.05
KilaxKilax Tablet24.2
LaxLax 10 Mg Tablet16.8
LupiplaxLupiplax Tablet10.5
BaxativBaxativ 5 Mg Suppository53.61
Bisafort TabletBisafort Tablet12.5
BisomerBisomer 5 Mg Tablet4.32
LaxidylLaxidyl Tablet4.35
SwilaxSwilax 5 Mg Tablet5.0
Bisacad TabletBisacad Tablet5.62
ConstezConstez 10 Gm Powder20.0
EncelaxEncelax 10 Gm Powder72.8
EvaqEvaq Syrup195.0
GutclearGutclear Syrup195.45
HapilacHapilac Syrup182.86
LacsyoLacsyo Syrup154.0
LacsypLacsyp Syrup169.0
LactironLactiron 10 Gm Syrup249.0
TorrelaxTorrelax Syrup180.0
Totalax NfTotalax Nf Syrup200.0
AqualacAqualac Syrup180.5
LaxitolLaxitol Powder179.05
OsmitolOsmitol Syrup235.0
ExitolExitol Granules29.5
LacrelaxLacrelax 1000 Mg Granules145.0
LactizipLactizip Syrup94.05
Hallens Glycerin (Adult)Hallens Glycerin (Adult) Suppository70.0
Hallens Glycerin (Pead)Hallens Glycerin (Pead) 75% W/W Suppository66.0
Hgs InfantHgs Infant 75% Suppository70.0
DuestomDuestom Gel Strawberry99.0
Cipla GlycerineGlycerin Suppository20.83
Bhandari Labs GlycerineGlycerine Liquid33.0
Zydus GlycerineGlycerin 2 Gm Suppository85.0
IbsinormIbsinorm 2 Mg Tablet28.93
Tegaspa(Lup)Tegaspa 6 Mg Tablet55.6
TegibsTegibs 2 Mg Tablet27.0
TegodTegod 6 Mg Tablet55.67
TibsTibs 6 Mg Tablet54.83
Magneon InjectionMagneon 50% Injection10.75
Magnesium Sulphate InjectionMagnesium Sulphate 0.25% Injection2.5
TroymagTroymag 50% Injection210.0
CarbociumCarbocium 10 Mg Tablet57.68
FibotabFibotab 500 Mg Tablet62.0
NormosysNormosys 500 Mg Tablet50.0
Deys Milk Of MagnesiaDeys Milk Of Magnesia 0.311 Gm Tablet5.5
Cotaryl AfCotaryl Af Cream100.0
Liquid ParafinLiquid Parafin68.0
LubowelLubowel 24 Mg Capsule292.5
CastopheneCastophene 0.19 G Tablet318.75
CelemixCelemix Infusion1656.25
LaxiconLaxicon Tablet18.65
FewashFewash 1.2% Liquid129.8
Endolac FortEndolac Fort Capsule125.0
Alkasol PAlkasol P 1000 Mg/125 Mg/50 Mg Liquid169.62
All KlearAll Klear Granules174.0
FiberlactFiberlact 10 Gm/3.5 Gm Syrup160.0
GushGush 10 Gm/3.5 Gm Powder219.5
GutfeelGutfeel 10 Gm/3.5 Gm Granules156.0
LactifiberLactifiber 10 Gm/3.5 Gm Granules294.0
LactihuskLactihusk 10 Gm/3.5 Gm Granules165.0
Laxovel LcLaxovel Lc Powder175.0
OptifiberOptifiber Powder178.0
CardiolaxCardiolax Powder177.5
Ezecor LxEzecor Lx Granules163.9
EzivacEzivac Granules160.0
FreegoFreego Granules317.1
Gudlax NfGudlax Nf 10 Gm/3.5 Gm Granules170.0
Itworks XlItworks Xl Granules205.0
LactigolLactigol Granules178.0
LactinovaLactinova Powder150.47
LactuviaLactuvia Powder178.0
LaispegLaispeg Granules180.0
LaxihuskLaxihusk Granules198.0
Laxitol HuskLaxitol Husk Granules179.05
LaxizaLaxiza Sachet28.47
PioridePioride 15 Mg/1 Mg Tablet53.83
OsmodropsOsmodrops 0.5% W/V/0.9% W/V Eye Drop170.5
Wet MouthWet Mouth 0.5%W/V/30% W/V Liquid43.5
ZonasoftZonasoft 0.05% W/V/0.05% W/V Eye Drop190.0
Osmo TearOsmo Tear Drop100.0
ColikyColiky Drop36.0
CremaffinCremaffin Mf Pink Syrup117.0
Mom PlusMom Plus Liquid82.0
Smuth SuspensionSmuth Suspension65.15
Softylax PlusSoftylax Plus Suspension65.0
LexatinLexatin Syrup27.5
IrrinilIrrinil Eye Drop52.5
NefacoolNefacool Eye Drop45.98
LactihepLactihep Syrup211.0
LactizLactiz 10 Gm/3.5 Gm Granules195.0
CachlaxCachlax Powder240.0
Evict FibreEvict Fibre Granules225.0
Fiber ForteFiber Forte Powder180.0
FiberfosFiberfos Powder219.5
IsablacIsablac Powder180.0
LactilaxLactilax Powder175.0
Livoluk FibreLivoluk Fibre Granules217.8
OsilaxOsilax Powder170.0
LaxarunLaxarun Syrup99.0
Picsul PlusPicsul Plus Syrup115.0
Trulax PlusTrulax Plus 3.33 Mg/1.25 Ml/3.75 Ml Liquid1.25
Gudlax PlusGudlax Plus Syrup70.0
Laxit PlusLaxit Plus Syrup109.71
SafolaxSafolax Suspension60.0
Sofject PlusSofject Plus Suspension118.8
Sp LaxSp Lax 10 Mg Tablet30.05
Picolax (Mmc)Picolax 3.75 Mg/5 Mg Suspension65.0
ZemisolZemisol Infusion100.0
KratolKratol Infusion120.0
NeurogylNeurogyl Infusion156.29
Neurotol (Venus)Neurotol Infusion237.15
AristozymeAristozyme Capsule47.25
ADEL Cascara Sagrada Mother Tincture QCascara Sag Mother Tincture Q225.0
DigeneDigene Assorted Tablet15.0
Gelusil MpsGelusil Mps Sachet8.0
K Mac B6K Mac B6 New Solution145.28
PodowartPodowart Paint141.0

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