Library · Disease

Constipation

Make it clearer

Constipation is having bowel movements that are hard to pass and few and far between: as a benchmark, three times a week or less.

There is no single cause behind it. Several things add up, and they are still not fully understood: the colon moving less, that is, having less motility; stool taking longer to travel through it; the rectum doing a poorer job of signaling that something is there; and the muscles of the pelvic floor, the ones that support everything from below and have to relax during a bowel movement, not coordinating well. It is a conveyor belt that moves slowly and an exit that does not open in time.

There is a very common type, in children and in adults, called functional constipation: bowel movements are infrequent and difficult, but no structural or organic cause is found to explain it, meaning nothing is broken or blocked.

In brief

Constipation is a pattern of difficult, infrequent bowel movements, generally three or fewer per week.

Its causes are many and not fully understood: reduced colon motility, slow stool transit, altered rectal sensation and poor pelvic floor coordination all play a part.

It is a conveyor belt that moves slowly and an exit that does not open in time.

Functional constipation, a common subtype in children and adults, follows this pattern with no obvious structural or organic cause.

Sources (1)
  1. National Center for Biotechnology Information, StatPearls PublishingConstipation, StatPearlsPublished

This page explains the topic in general terms; it does not tell anyone what treatment to follow.

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