Constipation: Causes and Solutions for Digestive Discomfort

Constipation issues?

The ultrasound doctor told me that my intestines are blocked with fecal impaction, but even after taking a bedtime laxative, I still couldn't have a bowel movement.
In the morning, after drinking yogurt and taking a post-meal laxative, I was able to go, and the stool was light brown.
However, after taking the post-meal laxative at noon and in the evening, it was ineffective.
Now, I am experiencing pain in both the left upper abdomen and the right upper abdomen.
Why is this happening? Because of the pain, I can only eat a little bit of food.
I feel very uncomfortable, and the pain comes in waves.

Peipei, 10~19 year old female. Ask Date: 2016/11/03

Dr. Lin Minghui reply Gastroenterology and Hepatology

Generally, after waking up in the morning and having breakfast, the reflex actions of the intestines can facilitate bowel movements, often leading to the presence of retained stool.
This can cause abnormal intestinal peristalsis and abdominal pain.
It is recommended to increase the intake of vegetables and fluids to develop good bowel habits.
If abdominal pain and constipation persist without improvement, it is advisable to seek outpatient examination and follow-up.

Reply Date: 2016/11/03

More Info

Constipation is a common digestive issue that can lead to significant discomfort and distress. It is characterized by infrequent bowel movements, difficulty passing stools, or a feeling of incomplete evacuation. Understanding the causes and potential solutions for constipation can help alleviate symptoms and improve overall digestive health.

Causes of Constipation
1. Dietary Factors: A diet low in fiber can contribute to constipation. Fiber helps to bulk up stool and promotes regular bowel movements. Insufficient fluid intake can also lead to harder stools, making them more difficult to pass.

2. Lifestyle Choices: Sedentary lifestyles can slow down the digestive system. Regular physical activity is essential for stimulating bowel function. Additionally, ignoring the urge to have a bowel movement can lead to constipation over time.

3. Medications: Certain medications, including pain relievers (especially opioids), antacids containing aluminum, and some antidepressants, can cause constipation as a side effect. It's important to review any medications you are taking with your healthcare provider.

4. Medical Conditions: Conditions such as irritable bowel syndrome (IBS), hypothyroidism, diabetes, and neurological disorders can affect bowel function. If constipation persists, it may be necessary to investigate underlying health issues.

5. Psychological Factors: Stress and anxiety can impact digestion and lead to constipation. Mental health plays a significant role in gastrointestinal health, and addressing psychological factors can be beneficial.

Solutions for Constipation
1. Dietary Changes: Increasing fiber intake is crucial. Foods high in fiber include fruits, vegetables, whole grains, and legumes. Aim for at least 25-30 grams of fiber per day. Additionally, drinking plenty of water (at least 8 cups a day) can help soften stool.

2. Regular Exercise: Engaging in regular physical activity can stimulate bowel movements. Aim for at least 30 minutes of moderate exercise most days of the week.

3. Establish a Routine: Try to set a regular time each day for bowel movements, especially after meals when the digestive system is most active. This can help train your body to have regular bowel movements.

4. Over-the-Counter Remedies: Laxatives can be used for short-term relief, but they should not be relied upon long-term without consulting a healthcare provider. Options include fiber supplements, osmotic laxatives (like polyethylene glycol), and stimulant laxatives (like bisacodyl).

5. Consult a Healthcare Provider: If constipation persists despite lifestyle changes and over-the-counter treatments, it is essential to consult a healthcare provider. They can evaluate for underlying conditions, adjust medications, or recommend further treatments.

Addressing Your Symptoms
From your description, it seems you are experiencing significant discomfort, including abdominal pain and difficulty with bowel movements. The pain in your left and right upper abdomen, along with the changes in stool color and consistency, could indicate a more complex issue. It is crucial to seek medical attention to rule out any serious conditions, especially if the pain is severe or persistent.

In the meantime, consider the following steps:
- Hydration: Ensure you are drinking enough fluids throughout the day.

- Diet: Focus on a high-fiber diet, incorporating fruits, vegetables, and whole grains.

- Pain Management: If the pain is severe, discuss pain management options with your healthcare provider.

- Medication Review: Review any medications you are taking with your doctor to see if they could be contributing to your symptoms.

Conclusion
Constipation can be a frustrating and uncomfortable condition, but understanding its causes and implementing effective strategies can lead to relief. If your symptoms persist or worsen, it is vital to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Remember, you are not alone in this, and help is available to improve your digestive health and overall well-being.

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