Constipation: Symptoms and Solutions for Digestive Health - Gastroenterology and Hepatology

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Constipation issues?


Hello, doctor.
I have been experiencing constipation for almost a week.
The day before yesterday, I finally felt the urge to go, but only a small piece came out.
I drink plenty of water every day, and for the past couple of days, I've also had unsweetened yogurt, but I still haven't felt the urge to go.
I've been staying up late, going to bed around 5 or 6 AM, and today I woke up feeling a bit unwell with a sensation of nausea.
I'm not sure if it's due to lack of sleep.
Additionally, I've noticed that in the lower left abdomen, near the ribcage, there has been some slight pain when I press on it, almost like I'm touching cartilage.
When I press on it, I can clearly feel something, but it's not a sound that actually comes out.
The lower right abdomen doesn't have this sensation.
Is this normal? Previously, when I had normal bowel movements, there was a small soft spot around the anal area, but it didn't hurt and I didn't feel anything.
Doctor, what could these symptoms indicate? Or is it just simple constipation, and I have to wait for the urge to go? 😭

Doujiang, 20~29 year old female. Ask Date: 2021/12/05

Dr. Chen Shidian reply Gastroenterology and Hepatology


Incorporate more fruits and vegetables into your diet, engage in regular exercise, and perform abdominal massages in a clockwise direction.
If you still experience discomfort from not having a bowel movement for several days, it is advisable to take an oral laxative or use a simple rectal enema.
It is normal to have external hemorrhoidal tissue around the anal area.

Reply Date: 2021/12/05

More Info


Constipation is a common digestive issue that can significantly impact your overall health and well-being. It is characterized by infrequent bowel movements, difficulty passing stool, or the sensation of incomplete evacuation. In your case, experiencing constipation for nearly a week, coupled with discomfort in your left lower abdomen, warrants a closer look at potential causes and solutions.


Symptoms of Constipation
The symptoms of constipation can vary from person to person but typically include:
- Infrequent bowel movements (fewer than three times a week)
- Hard or lumpy stools
- Straining during bowel movements
- A feeling of blockage or obstruction in the rectum
- Abdominal discomfort or bloating
- Nausea or a feeling of fullness
In your situation, the discomfort you mentioned in your left lower abdomen, especially when pressing on that area, could be related to several factors. It’s important to note that while some discomfort can be associated with constipation, persistent pain or unusual sensations should be evaluated by a healthcare professional to rule out any underlying conditions.


Possible Causes
1. Dietary Factors: A diet low in fiber can lead to constipation. While you mentioned drinking plenty of water and consuming unsweetened yogurt, it’s essential to ensure you’re also getting enough fiber from fruits, vegetables, whole grains, and legumes.

2. Lifestyle Factors: Lack of physical activity, irregular eating habits, and stress can contribute to constipation. You mentioned experiencing some late nights, which can disrupt your body’s natural rhythms and potentially affect digestion.

3. Medications: Certain medications can cause constipation as a side effect. If you are taking any medications, it’s worth discussing with your doctor.

4. Medical Conditions: Conditions such as irritable bowel syndrome (IBS), hypothyroidism, or other gastrointestinal disorders can lead to constipation. The pain you feel when pressing on your abdomen could be indicative of a gastrointestinal issue that requires further investigation.


Solutions for Digestive Health
1. Increase Fiber Intake: Aim for a daily intake of 25-30 grams of fiber. Incorporate high-fiber foods such as fruits (e.g., apples, pears), vegetables (e.g., broccoli, carrots), whole grains (e.g., oats, brown rice), and legumes (e.g., beans, lentils).

2. Stay Hydrated: Continue to drink plenty of water, as hydration is crucial for softening stool. Aim for at least 8-10 cups of water daily, and consider warm beverages, which may help stimulate bowel movements.

3. Regular Physical Activity: Engage in regular exercise, such as walking, jogging, or yoga, which can help stimulate digestion and promote regular bowel movements.

4. 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 more regular bowel movements.

5. Consider Probiotics: Probiotics, found in yogurt and supplements, can help balance gut bacteria and improve digestive health. However, consult with a healthcare provider before starting any new supplements.

6. Monitor Stress Levels: Stress can significantly impact digestion. Consider relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress.


When to Seek Medical Attention
If your symptoms persist despite making these lifestyle changes, or if you experience severe abdominal pain, blood in your stool, or unexplained weight loss, it is crucial to consult a healthcare professional. They may recommend further evaluation, including imaging studies or laboratory tests, to determine the underlying cause of your symptoms.

In summary, while constipation can often be managed with dietary and lifestyle changes, it’s essential to listen to your body. If you have concerns about your symptoms or if they worsen, don’t hesitate to seek medical advice. Your health is paramount, and addressing these issues early can help prevent more significant complications down the line.

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