Quick answer: Constipation can usually be relieved immediately by using osmotic laxatives (such as polyethylene glycol), suddenly increasing fluid intake and consuming soluble fibre. In cases of persistent symptoms, Endomedix Gastroenterology recommends a specialist examination, as well as a painless, colonoscopy under general anaesthesia to rule out any underlying serious causes (such as polyps or inflammation).
Constipation is one of the most common digestive problems, affecting people over the age of 50, and women in particular. Many people silently endure the discomfort because they are afraid of medical examinations or believe that infrequent bowel movements are simply a natural part of ageing. However, untreated constipation can lead to serious complications and significantly impair quality of life. This detailed guide explains the possible causes, outlines home remedies, and describes how Endomedix Gastroenterology can provide a scientifically sound, pain-free solution. Our aim is to provide you with accurate information so that you can take the necessary steps to look after your health without fear.
What is constipation, and when is infrequent bowel movement considered abnormal?
According to the gastroenterological definition, constipation (obstipatio) is defined as having fewer than three bowel movements per week. In addition to frequency, the consistency of the stools and the process of defecation are also important indicators. According to the Bristol Stool Scale, stools of types 1 and 2 (pellet-like, hard, difficult to pass) are clearly classified as abnormal.
Many patients experience constipation even when their bowel movements are regular. In such cases, passing stools is difficult and involves painful straining, or the patient constantly struggles with a feeling of incomplete bowel emptying. The gastroenterologists at Endomedix emphasise that chronic constipation is not merely a harmless symptom, but a condition that may have numerous underlying causes, ranging from lifestyle factors to organic disorders.
What are the most common causes of constipation in women over 50?
The causes of constipation can vary greatly. An accurate diagnosis is essential for determining a targeted and effective course of treatment.
- Lifestyle factors and diet: A diet low in fibre and inadequate fluid intake are among the most common causes. The lack of fibre reduces the bulk of the stool, whilst insufficient fluid intake makes it dry and hard. A sedentary lifestyle also slows down bowel peristalsis.
- Side effects of medicines: Many medicines commonly taken by people over the age of 50 can cause constipation. These include blood pressure-lowering medicines (particularly calcium channel blockers), painkillers (such as non-steroidal anti-inflammatory drugs and opioids), cholesterol-lowering statins, as well as certain antidepressants and iron supplements.
- Irritable bowel syndrome (IBS-C): The constipation-predominant form of IBS (IBS-C) is a common problem. It is characterised by recurrent abdominal pain, which is associated with a change in bowel habits and a change in stool consistency, in the absence of any underlying organic disease.
- Endocrine and metabolic disorders: An underactive thyroid (hypothyroidism), diabetes (diabetes mellitus) and high calcium levels (hypercalcaemia) can all slow down bowel function.
- Organ lesions: Polyps, tumours, strictures or chronic inflammation in the large bowel can create a physical obstruction to the passage of stools. Ruling this out is the primary task of Endomedix Gastroenterology when treating older patients.
What symptoms accompany constipation, and what are the possible complications?
As well as infrequent bowel movements, patients often complain of bloating, lower abdominal cramps, a feeling of fullness and loss of appetite. Constant straining and the passage of hard stools place considerable physical strain on the rectum and the anal region.
Persistent, untreated constipation can lead to serious complications. The most common consequence is haemorrhoids, which develop as a result of increased abdominal pressure and the dilation of veins. Anal fissures are also common; these are extremely painful, linear wounds in the anal canal caused by dry, hard stools. In severe cases, faecal impaction may also occur, where a dried-up mass of stool blocks the intestinal lumen, requiring immediate medical intervention.
How can you relieve constipation straight away using home remedies?
Although a medical examination is required for a long-term solution, there are a few safe methods you can try to relieve constipation straight away.
As a first step, it is recommended to increase fluid intake suddenly but gradually, as this helps to soften the stools in the bowel. At the same time, consuming soluble fibre (such as psyllium husk) can be effective. It is advisable to start with a low dose of soluble fibre (3–4 grams a day) and then increase it gradually to avoid unpleasant bloating. Insoluble fibre (such as coarse wheat bran) should be avoided at this stage, as it can worsen symptoms.
Among over-the-counter medicines, osmotic laxatives (such as preparations containing polyethylene glycol) are an effective first-line treatment. These agents retain water in the bowel, thereby softening the stools and increasing their volume, which stimulates bowel movements. It is important to note, however, that long-term use of irritant and stimulant laxatives can damage the normal innervation of the bowel; they are therefore only recommended as a temporary solution.
Why is it important to see a gastroenterologist if you suffer from chronic constipation?
If constipation becomes chronic, or if home remedies do not bring relief, you should definitely consult a doctor. This is particularly true if so-called „alarm” symptoms appear: unexplained weight loss, bloody or black stools, severe abdominal pain, or laboratory findings suggestive of anaemia.
Endomedix Gastroenterology’s professional expertise ensures that you receive the highest standard of care. The diagnostic process always begins with a thorough with a consultation with a specialist in gastroenterology begins. During the consultation, the specialist takes a detailed medical history, reviews the patient’s medication and dietary habits, and carries out a physical examination. Endomedix’s doctors place great emphasis on patient education and explain every step in plain language. Based on this thorough assessment, the doctor can determine whether the issue is a functional problem (such as IBS) or possibly an organic condition, and whether endoscopic examinations are required.
How do colonoscopies and gastroscopies help to identify the causes of constipation?
The most reliable method for ruling out organic causes and preventing bowel cancer is a colonoscopy. Many people are afraid of this procedure, but at Endomedix the examination is completely painless. It is important to emphasise that, for professional reasons, at Endomedix we only use general anaesthesia; we do not use sedation. The anaesthesia is administered by an experienced anaesthetist, who continuously monitors the patient’s vital signs throughout the examination. Propofol is a fast-acting anaesthetic that induces a deep sleep, so the patient feels nothing during the procedure and has no memory of it afterwards.
From COLONOSCOPY UNDER ANAESTHESIA During the procedure, the specialist uses a thin, flexible video-endoscope to examine the entire large bowel in detail. Endomedix employs a modern carbon dioxide insufflation method during the procedure. This means that carbon dioxide gas is used to distend the bowel, which is absorbed by the body much more quickly than room air. As a result, the patient will not experience any distressing tightness or abdominal cramps after the examination. If the doctor finds a suspicious lesion – such as a polyp – they will remove it immediately and painlessly, and send it for histological examination.
In some cases, constipation and digestive problems may be caused by issues in the upper digestive tract (such as coeliac disease or a stomach ulcer). In such cases, the specialist gastroscopy under general anaesthesia may also recommend. During a gastroscopy, the doctor examines the inner surface of the oesophagus, stomach and duodenum, and takes a biopsy (tissue sample) if necessary.
To ensure patients’ comfort and speed up diagnosis, Endomedix offers the option of GASTRIC AND COLONOSCOPY UNDER ANAESTHESIA to be carried out simultaneously. The major advantage of this is that the patient only has to undergo the bowel preparation process once, and only a single anaesthetic is required to thoroughly examine the entire digestive system. The procedure takes just 30–45 minutes, after which, following a short period of observation, the patient can return home accompanied by a carer.
Frequently asked questions about constipation
When should you see a doctor straight away for constipation?
Seek medical advice immediately if, in addition to constipation, you experience sudden, severe abdominal pain, blood in your stools, unexplained weight loss or repeated vomiting. These so-called ‘alarm symptoms’ may indicate a serious organ disorder, which Endomedix’s specialists can investigate quickly and accurately.
Is a colonoscopy painful?
At Endomedix, a colonoscopy is not painful at all. For medical reasons, at Endomedix we only use general anaesthesia rather than sedation, so you will be fast asleep during the procedure and will not experience any discomfort.
Which medicines can cause constipation?
Several common medicines can slow down digestion. In particular, blood pressure-lowering medicines (calcium channel blockers), strong painkillers (opiates), antidepressants, iron supplements and antacids can cause persistent constipation.
How should you prepare for a colonoscopy?
A clean bowel is essential for an accurate examination. On the day before the examination, you must follow a special, fibre-free diet and drink the laxative solution prescribed by your doctor. Endomedix uses state-of-the-art preparations which are effective even in small quantities and are easier to take.
How long does it take for over-the-counter laxatives to take effect?
The duration of action depends on the type of preparation. Osmotic laxatives (such as polyethylene glycol) generally take effect within 24–48 hours, whilst stimulant laxatives induce bowel movements within 6–12 hours. However, it is always advisable to consult a gastroenterologist before using them regularly.
The next steps towards healthy digestion
Constipation is not just a minor inconvenience, but a warning sign that needs to be taken seriously. A healthy diet, adequate fluid intake and exercise are essential for prevention, but in persistent cases, relieving constipation – both immediately and in the long term – requires medical advice. Don’t let fear or a lack of information hold you back from getting better!
Endomedix’s team of gastroenterology specialists is here to welcome you with empathy, a high level of professional expertise and the very latest, pain-free technologies. Please don’t put your health on the back burner! Book an appointment today for a thorough for a specialist gastroenterology consultation, and take the first step towards a trouble-free, peaceful everyday life.
