Description Difficult, uncomfor...
Description
Difficult, uncomfortable, or infrequent bowel movements. The feces is typically hard and dry. Constipation is usually harmless, but it can indicate an underlying disorder. When severe constipation can lead to fecal impaction, and if not relieved can result in intestinal obstruction. The primary causes of constipation include dehydration, sedentary lifestyle, medications (especially narcotics), stress, pregnancy, laxative abuse, depression, a diet that is low in fiber, and low thyroid levels.
Symptoms
Inability to have a bowel movement, rectal pain, abdominal cramping, nausea, vomiting.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Generally no tests beyond an examination is needed although a blood thyroid test may be recommended. Occasionally a CT scan is performed to rule out other more serious causes of symptoms.
Tests:
CT Scan, X-ray
Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology
Workup:
A history and physical exam will be performed. Generally no tests beyond an examination is needed although a blood thyroid test may be recommended. Occasionally a CT scan is performed to rule out other more serious causes of symptoms.
Tests:
CT Scan, X-ray
Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology
Treatment
Treatment includes: medications to increase the water content of stool, laxatives, enemas, and/or digital disimpaction. Prevention of recurrence is important and involves increasing dietary fiber, exercise and staying hydrated. Chronic use of stool softeners may be needed. Changing medications that might be contributing to constipation (such as certain pain medications) may be helpful.