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Constipation occurs when stool passes through the large intestine too slowly. When stool stays in the large intestine too long, the intestine removes too much water, and the stool becomes hard and dry. Constipation may be present if you have three or fewer bowel movements in a week or if the stool is hard, dry, painful, or difficult to pass. Constipation affects almost everyone at one time or another.

In most cases, following these simple steps will help prevent constipation:

  • Eat a variety of foods, especially vegetables, fruits, and grains
  • Drink plenty of liquids
  • Exercise regularly
  • Visit the restroom when you feel the urge to have a bowel movement

Some lifestyle habits that may cause constipation include:

  • changing your normal diet, exercise, or travel habits
  • ignoring the urge to have a bowel movement
  • feeling a lot of stress
  • eating a low-fiber diet
  • not drinking enough liquids
  • taking calcium or iron supplements
  • taking medicines such as painkillers with codeine; diuretics, also known as water pills; medicine for depression; and some antacids

Some medical conditions that may cause constipation include:

  • pregnancy or having given birth
  • problems with the muscles and nerves in the intestine, rectum, or anus
  • irritable bowel syndrome, a condition in which the nerves that control the muscles in the intestine don’t function correctly; the intestine becomes sensitive to food, stool, gas, and stress
  • diabetes, a condition in which a person has high blood sugar
  • hypothyroidism, a condition in which the thyroid gland does not produce enough hormone to meet the body’s needs and many of the body’s functions slow down

Your doctor may suggest you take fiber pills or powder to help soften and bulk up the stool. You can buy fiber and other products in a pharmacy or grocery store without a prescription. Some fiber products are flavored while others are not. Be sure and take the fiber with plenty of water as directed.Some people have gas and bloating at first when taking extra fiber. So be careful in social settings.


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