Constipation is difficulty passing stool and infrequent bowel movements (three or fewer bowel movements per week).
A person suffering from constipation experiences two or more of these symptoms for a week:
Chronic constipation is the occurrence of these symptoms for more than three months.
Physicians at Orlando Gastroenterology perform physical examinations and certain tests to determine the causes of constipation. Tests include sigmoidoscopy, colonoscopy, colorectal transit studies, anorectal function testing, and defecography testing.
Constipation can usually be treated by a person drinking more water, exercising, and eating a higher-fiber diet.
Chronic or severe constipation may require more aggressive measures. Physicians at Orlando Gastroenterology may prescribe a laxative medication or may do minor surgery.
For constipation that does not respond to treatment, anorectal manometry can show whether the pelvic floor muscles are coordinating properly.
Occasional constipation is common and usually settles with more fluid, more fibre and more movement. Book an appointment if it has lasted more than three weeks, if it is a new change from your usual pattern, or if it comes with any of the following:
Common contributors include a low-fibre diet, not drinking enough, inactivity, ignoring the urge to go, and many medications — opioid painkillers, some antidepressants, iron supplements and certain blood pressure drugs among them. Thyroid problems, diabetes and pelvic floor dysfunction can also be involved, which is why a persistent pattern is worth investigating rather than simply treating with laxatives.
Constipation features in several conditions we treat, including diverticular disease, irritable bowel syndrome, celiac disease and fecal incontinence. Straining also contributes to hemorrhoids.
To discuss this with a gastroenterologist, call (407) 445-9224 or book at one of our four Orlando-area offices.