What constipation means
Constipation is very common and is usually related to lifestyle factors such as diet and activity levels. A change in your usual bowel habit, however, always needs a review with a GP.
Causes of constipation
The most common causes of constipation are a low-fibre diet, inactivity and medicines such as opioid painkillers. Conditions such as irritable bowel syndrome (IBS) and hypothyroidism can also cause constipation.
Self-care for constipation
Eating more fibre, drinking plenty of fluids, staying active and keeping a regular toilet routine all help to prevent and relieve constipation. Try to respond to the urge to go rather than putting it off.
When constipation needs medical attention
See a GP if you notice blood in your stool, unexplained weight loss, or signs of bowel obstruction such as vomiting while unable to pass stool or wind — obstruction is an emergency. If you are eligible for NHS bowel screening, take part when invited.
Common questions about constipation
- How often should I have a bowel movement?
- Anything from three times a day to three times a week can be normal. Bowel habits vary a great deal between individuals, so what matters most is a change from what is usual for you.
- Which foods help relieve constipation?
- Foods that are high in fibre, such as wholegrains and prunes, can help relieve constipation. Drinking plenty of fluids alongside a high-fibre diet is also important.
- Can iron tablets cause constipation?
- Yes, constipation is a common side effect of iron tablets. If it is troublesome, speak to your GP, who may suggest a stool softener.
- When is constipation a sign of something serious?
- Constipation is more concerning when it is a new change in bowel habit, or when it comes with blood in your stool or unexplained weight loss. In these situations a GP will want to rule out bowel cancer.