What is Chronic Constipation and Its Consequences?

What is Chronic Constipation and Its Consequences?

What is Chronic Constipation and Its Consequences? Constipation is something most of us have experienced at some point in life. However, when it becomes a frequent issue—lasting for weeks or months—it is termed chronic constipation, and its consequences can be more serious than people realize.

What is Chronic Constipation?

Chronic constipation is defined as infrequent bowel movements (typically fewer than three per week), difficulty in passing stools, or a feeling of incomplete evacuation. It may be accompanied by hard or lumpy stools, straining, and even abdominal discomfort. The condition affects all age groups but is especially common in the elderly, women, and individuals with sedentary lifestyles.

Causes of Chronic Constipation

1. Poor dietary habits – Low fiber intake and inadequate hydration.
2. Lack of physical activity – Sedentary lifestyle slows intestinal movement.
3. Ignoring the urge to pass stool – Leads to desensitization over time.
4. Medication side effects – Painkillers, antacids, antidepressants, etc.
5. Underlying medical conditions – Diabetes, hypothyroidism, neurological disorders, or intestinal obstruction.

The Hidden Consequences

Chronic constipation is not just a minor inconvenience—it can lead to serious health issues if ignored:

1. Hemorrhoids (Piles)

Repeated straining increases pressure on rectal veins, causing swelling, pain, and bleeding.

2. Anal Fissures

Hard stools can tear the delicate lining of the anal canal, leading to fissures—painful cracks that cause bleeding and discomfort during bowel movements.

3. Rectal Prolapse

Chronic pushing can cause part of the rectum to protrude through the anus, requiring surgical correction.

4. Fecal Impaction

In severe cases, stool becomes so hard and packed that it cannot be passed naturally, sometimes needing manual removal or enemas.

5. Anal Fistulas and Abscesses

Chronic irritation and infection in the rectal area can cause abscesses and abnormal tunnels (fistulas), which usually require surgery.

6. Psychological Impact

Chronic constipation often causes anxiety, embarrassment, and a reduced quality of life. It may also lead to avoidance of social situations.

Prevention and Management

1. High-fiber diet: Include fruits, vegetables, whole grains, and legumes.
2. Stay hydrated: At least 2–3 liters of water daily.
3. Regular physical activity: Even brisk walking stimulates bowel movement.
4. Don’t ignore nature’s call: Train your body with a regular toilet routine.
5. Medical attention: Don’t delay treatment if constipation persists beyond two weeks.

Final Words

At Rana Hospital, Sirhind, we see many patients suffering from piles, fissures, and fistulas—many of which stem from chronic constipation. Early intervention through lifestyle changes, dietary improvement, and timely medical care can prevent these complications.

If you or a loved one is struggling with constipation or related issues, don’t suffer in silence. Consult a specialist. Your gut health is the foundation of your overall health.

(The Article is written by Dr. Hitender Suri, Piles & Fistula Specialist, MD, Rana Hospital, Sirhind)