May 16th, 2008 McNeil Products Ltd.

If your system feels ‘bunged up’ and you find it hard to open your bowels, you’re probably suffering from constipation. This isn’t a serious digestive condition, but it can often be painful and uncomfortable. It’s also a fairly common complaint, so you don’t need to feel you’re alone. In fact, about 10% of the UK population is regularly constipated, rising to 20% in the elderly.

How do I know if I’ve got constipation?
If you don’t go to the toilet that often, it doesn’t necessarily mean you have constipation - because there’s no rule stating what a ‘normal’ frequency of bowel movements. Some people open their bowels as often as three times a day and others only three times a week. So, if going every other day is your norm, you only become constipated if this regular pattern changes and you start to go less frequently.

To find out more about why constipation happens and how you can treat it, simply click on the links on the left.


There are four main symptoms associated with constipation:
  • your bowel action becomes more infrequent
  • you feel discomfort and pain in your abdomen
  • you need to strain when you open your bowels
  • you pass hard, compacted stools

If this sounds familiar, you don’t need to worry because help is at hand. Simply continue onto the next page to find out more.



Once your food has passed through your stomach and the small intestine, all the vitamins, mineral and fats it contained have been absorbed by your body. At this point, it is in liquid form. It then passes to the large intestine where the water is absorbed and your waste food is turned into a solid (but moist) stool. When too much water is absorbed, your stools will become hard and compacted, leading to constipation. And the longer your stools stay in your large intestine, the more water is absorbed from them - and so the harder they become.

By understanding what’s actually happening to your body, it’s much easier to take control when you DO suffer from constipation.

There are a number of different reasons why you may get constipation:
  • you aren’t eating enough fibre (fruit, vegetables, wholemeal bread)
  • you aren’t drinking enough fluids
  • your lifestyle may not be active enough (this may cause the rate at
    whichyour food passes through your digestive system to slow down)
  • it may be the medicines you are taking (for example, painkillers
    which contain codeine, antacids, iron tablets and certain antidepressants)
  • you have changed your eating habits
  • you ignore the urge to go to the toilet (this keeps the stool in your intestines longer which means more water is absorbed from it
    and it becomes harder)
  • you have Irritable Bowel Syndrome
  • you have irregular eating patterns (this means your intestines are not being stimulated enough to move the food along)
  • pregnancy can also result in your being constipated

If you suffer regularly from constipation, don’t feel it’s a problem that won’t ever go away. It’s usually caused by what we eat and how active we are, so it can be quite easy to prevent constipation from happening at all.


It's all too easy to fall into bad eating habits, especially with today’s hectic lifestyles. But bad habits can be hard to break. The good news is you don't have to make drastic changes - just a few simple steps will help get your system back on track:
  • eat your way to a happier and healthier digestive system:
  • make sure you eat food that’s high in fibre so you get plenty of roughage every day (prunes, rhubarb and beans are especially good). A high-fibre diet will add bulk to the stools which make them softer and easier to pass. Fibre is lost when food is overcooked, so eat raw or ‘al dente’ vegetables.
  • cut down the amount of refined foods, such as white bread, cakes, biscuits and sugar.
  • drink 8 glasses of water a day so your system has plenty of fluid.
  • try to exercise more, as this will help speed your food through your system
  • always go to the toilet as soon as you feel the urge


Constipation is uncommon in children but if your child does have problems, discuss this with your pharmacist. There are certain treatments available for children and they will be able to advise on the right remedy.

You should seek the advice of your doctor if:
  • you find laxatives aren’t working even though you might take them regularly
  • your constipation results in piles.
  • you suddenly become constipated for no reason
  • you have blood or mucus in your stools
  • your constipation is accompanied by unexpected weight loss or loss of appetite - this could signal another underlying cause such as diabetes or a thyroid problem


There are four main types of constipation remedy (laxative) you can buy from the pharmacy:

Stimulants (bisacodyl and senna)
These increase the speed at which your stomach contents move through the bowel

Osmotics (mineral salts)
These help keep more water in your large intestine, so making your stools softer and easier to pass

Suppositories
These soften the stool and help stimulate the bowel into action

Bulk-forming laxatives (ispaghula husk, methlycellulose and sterculia)
These are fibre preparations which add bulk to the stools which make them softer and easier to pass.


A number of laxative products available over the counter are actually fibre-based and so are natural treatments. There are also some herbal remedies thought to aid constipation but the scientific evidence for their effectiveness is unclear. If you want to try a herbal alternative, consult a homeopath or a natural remedy retailer for further advice.



Laxatives are designed to aid digestion and the secretion of waste products from your system and should only be used when you are constipated. Some people find it tempting to use them as part of a diet, but prolonged use can harm your digestive system. If you find yourself using them often - or for the wrong reason - you should talk to your doctor.


If you don’t go to the toilet that often, it doesn’t necessarily mean you have constipation - because there’s no rule stating what a ‘normal’ frequency of bowel movements. Some people open their bowels as often as three times a day and others only three times a week. So, if going every other day is your norm, you only become constipated if this regular pattern changes and you start to go less frequently.



The British Digestive Foundation (The Charity for Research and Information on all Digestive Disorders)
PO Box 251 Edgware, Middlesex, HA8 6HG
Telephone: 0207 487 5332

IBS Network : St John House, Hither Green Hospital, Hither Green, London SE13 6RU
Members receive a quarterly newsletter, " Gut Reaction", which is written and read by sufferers of IBS. Members also receive a Can’t Wait Card
Telephone: 0114 261 1531 (ansaphone)
General Enquiries 0208 698 4611

Incontact (an organisation for people with bladder and bowel problems)
Doughty Street, London, WC1N 2PH
Telephone Helpline : 0191 213 0050

NACC (The National Association for Colitis and Chron’s Disease)
Tel: 01727 844296

Spinal Injuries Association : 76 St James Lane, London N10 3DF.
Telephone: 0208 444 2121.
A factsheet is provided on bowel and bladder management for the disabled.

Stay Informed! Get free updates, advice on digestive care and more!
 
 
   

© McNeil Products Ltd. 2001-2007. Site designed by Liquorice Ltd