Chronic constipation in Tijuana: find the cause, not just a laxative
Going fewer than three times a week, straining or feeling that you never finish is not normal just because it has been that way for years. Constipation has causes, and most of them can be treated.
Chronic Constipation Treatment
Constipation means infrequent, hard or difficult bowel movements. Sometimes the colon moves slowly; sometimes the pelvic floor muscles do not relax when they should; often it is a mix of diet, medication and habits.
It also matters because of what it causes: hemorrhoids, fissures and diverticular disease are frequently the consequence of years of straining. And a recent change in bowel habits always deserves a closer look.
Signs worth evaluating
- Fewer than 3 bowel movements a week
- Hard or lumpy stools
- Straining or long time on the toilet
- A feeling of blockage or incomplete emptying
- Needing laxatives regularly
The diagnosis is confirmed at your evaluation.
How constipation is treated
From the simplest to the most specialized; we only move forward if needed.
Review habits and medication
Diet, fluids, activity and a list of the medicines you take: several common ones slow the bowel.
Fiber and laxatives, done right
The correct type and dose of fiber and osmotic laxatives, adjusted step by step instead of by trial and error.
Study the function
Colonoscopy, transit studies or anorectal manometry when symptoms persist or warning signs appear.
Targeted treatment
Pelvic floor biofeedback, prescription medication or, in rare selected cases, surgery.
How it is studied
Most people need only a careful history and exam. Tests are added when constipation is new after age 45, when there is bleeding, weight loss or anemia, or when well-conducted treatment has not worked.
What people ask most
How much fiber do I need?
Most adults benefit from 25 to 30 grams a day, increased gradually and with enough water. Too much too fast causes gas and bloating.
Are laxatives harmful long term?
Osmotic laxatives are considered safe for long-term use under medical guidance. Stimulant laxatives are useful occasionally; relying on them daily should be reviewed.
When does constipation need a colonoscopy?
When it is a recent change, when there are warning signs such as bleeding or weight loss, or when you are due for colorectal cancer screening.
This page offers general information and does not replace a medical visit. Every case is assessed individually; results and recovery times vary from person to person.
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