Struggling with Constipation: Tips for Relief and Better Mood - Nutrition

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Constipation... feeling quite down?


Hello Dr.
Tsai, I have been struggling with constipation for at least three months.
I eat a lot of vegetables (at least two bowls of salad without dressing each day).
I also consume yogurt and bananas, and at least one apple daily.
However, my bowel movements are still very irregular...
I think I haven't had a bowel movement for three days now, and my stomach feels very uncomfortable, which affects my mood.
I eat at least 1200 calories of food each day (including fruits and vegetables).
Massaging my abdomen helps a little, and I drink coffee, which sometimes helps but not always...
My stools are very hard.
Can constipation cause lower back pain? What could be the cause of my constipation? (I don't seem to be under stress...) Could it be that I'm too anxious to have a bowel movement? I am considering taking medication, but I'm afraid it might worsen the situation because I've heard that medications can slow down bowel motility.
Could you please give me some advice? Thanks a lot!

Amei, 10~19 year old female. Ask Date: 2005/03/01

Dr. Cai Xiuwen reply Nutrition


Hello! It seems that your fiber intake is sufficient, but have you been mindful of your daily water intake? It is recommended to consume more than 2000cc of water per day.
If your water intake is adequate, I suggest visiting a gastroenterology clinic for a specialist to check for any other underlying conditions that may be causing your constipation.
Wishing you good health.
This response is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Department of Health.

Reply Date: 2005/03/01

More Info


Constipation can be a frustrating and uncomfortable condition, and it sounds like you've been dealing with it for quite some time. It's great that you're reaching out for advice, as understanding the underlying causes and exploring potential solutions can help improve your situation and overall mood.

Firstly, let's discuss what constipation is. It is generally defined as having fewer than three bowel movements per week, or experiencing difficulty passing stools, which can often be hard and dry. Your description of having not had a bowel movement for three days, along with the hardness of your stools, aligns with this definition.
You mentioned that you consume a diet rich in fruits and vegetables, which is excellent since fiber is crucial for promoting regular bowel movements. However, it’s important to consider a few additional factors that may be contributing to your constipation:
1. Hydration: While you are eating fiber-rich foods, it's equally important to drink plenty of water. Fiber absorbs water, and without adequate hydration, it can lead to harder stools. Aim for at least 8-10 cups of water a day, and consider increasing this if you are physically active or in a hot climate.

2. Physical Activity: Regular exercise can stimulate bowel movements. If you have a sedentary lifestyle, try to incorporate more physical activity into your daily routine, such as walking, jogging, or yoga.

3. Stress and Mental Health: Although you mentioned that you don't feel stressed, it's worth noting that mental health can significantly impact digestive health. Anxiety, depression, and even the pressure to have a bowel movement can contribute to constipation. If you find yourself feeling anxious about your bowel habits, this could create a cycle of stress that exacerbates the issue.

4. Medication and Supplements: If you are considering taking medication for constipation, it’s essential to consult with a healthcare professional first. Over-the-counter laxatives can be effective, but they should not be used long-term without medical advice, as your body can become dependent on them. Instead, consider natural remedies such as magnesium supplements, which can help draw water into the intestines and promote bowel movements.

5. Routine: Establishing a regular bathroom routine can also help. Try to set aside time each day to sit on the toilet, even if you don’t feel the urge. This can help train your body to recognize when it’s time to go.

6. Dietary Adjustments: While you are consuming fruits and vegetables, consider incorporating other sources of fiber, such as whole grains, legumes, and nuts. Additionally, some people find that certain foods can trigger constipation, so it may be helpful to keep a food diary to identify any potential culprits.

7. Probiotics: Since you are already consuming yogurt, which contains probiotics, you might want to explore other probiotic-rich foods or supplements. Probiotics can help balance gut bacteria and improve digestion.

8. Consult a Professional: If your constipation persists despite making these changes, it may be beneficial to consult with a gastroenterologist. They can help identify any underlying conditions that may be contributing to your symptoms, such as irritable bowel syndrome (IBS) or other gastrointestinal disorders.

In conclusion, while constipation can indeed affect your mood and overall well-being, there are various strategies you can implement to find relief. Focus on hydration, physical activity, and a balanced diet, and consider seeking professional advice if necessary. Remember, it’s essential to be patient with your body as you work towards improving your digestive health.

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