Understanding the Causes of Chronic Constipation | Gleneagles Hospitals Malaysia
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Understanding the Causes of Chronic Constipation

01 October 2025 · 5 mins read

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Chronic constipation causes discomfort and bloating. Learn about its triggers, prevention, and expert care at Gleneagles Hospitals for better relief.

Chronic constipation, defined as infrequent bowel movements or difficulty passing stool for several weeks or longer, is a prevalent digestive concern. It can affect individuals across all age groups, leading to discomfort, bloating, and potential complications if left unmanaged. Understanding its underlying causes is essential for effective treatment.

At Gleneagles Hospitals, specialists provide comprehensive support for individuals experiencing chronic constipation, offering tailored medical interventions and lifestyle guidance to promote better digestive health.

Common Causes of Chronic Constipation

1. Insufficient Fibre Intake

A diet low in fibre is a primary cause of constipation. Fibre adds bulk to stool, facilitating smoother passage through the intestines. Diets rich in processed foods often lack adequate fibre, leading to hardened stools that are difficult to expel. Increasing the consumption of fruits, vegetables, legumes, and whole grains can significantly alleviate symptoms.

2. Inadequate Hydration

Water plays a crucial role in digestion by softening stool, making it easier to pass. When fluid intake is insufficient, the colon absorbs excess water from the stool, resulting in dry and hardened waste. Maintaining hydration through regular water consumption and water-rich foods such as cucumbers and melons can improve bowel regularity.

3. Lack of Physical Activity

A sedentary lifestyle slows digestion and weakens intestinal contractions, contributing to constipation. Regular exercise, such as walking, jogging, or swimming, enhances gut motility and promotes overall digestive health. Older adults, in particular, benefit from maintaining an active lifestyle to support bowel function.

4. Delaying Bowel Movements

Ignoring the body’s natural urge to defecate can exacerbate constipation. When stool remains in the colon for extended periods, more water is absorbed, making it harder to pass. Establishing a routine and responding promptly to bowel urges can help prevent constipation.

5. Medication Side Effects

Certain medications may contribute to constipation as a side effect. These include opioid pain relievers, specific antidepressants, antihistamines, and some antacids. Consulting a healthcare provider at Gleneagles Hospitals can help determine alternative medications or supportive treatments to mitigate constipation.

6. Underlying Medical Conditions

Chronic constipation can be a symptom of various medical conditions such as irritable bowel syndrome (IBS), diabetes, hypothyroidism, and neurological disorders like Parkinson’s disease or multiple sclerosis. Seeking gastroenterology specialist care can help diagnose and manage these conditions effectively.

7. Hormonal Imbalances

Hormonal fluctuations influence digestive processes. Women may experience constipation due to hormonal changes associated with menstruation, pregnancy, or menopause. The regulation of hormones plays a crucial role in maintaining normal bowel function.

8. Age-Related Changes

As individuals age, intestinal motility may slow down, increasing susceptibility to constipation. Contributing factors include decreased physical activity, changes in dietary habits, medication use, and reduced fluid intake. Older adults can benefit from increased hydration, a fibre-rich diet, and regular physical activity to support bowel health.

9. Psychological Stress

The gut-brain connection highlights the impact of stress on digestion. High stress levels can slow bowel movements and disrupt digestive processes. Engaging in relaxation techniques such as meditation, deep breathing exercises, and mindfulness can support a healthy digestive system.

Frequently Asked Questions (FAQs)

1. What is the gut microbiome, and how does it affect digestion?

The gut microbiome consists of beneficial bacteria that aid digestion, support immunity, and promote overall health. A balanced microbiome ensures efficient digestion and helps prevent digestive disorders.

2. Are laxatives a safe solution for chronic constipation?

Laxatives can provide temporary relief but should not be used as a long-term solution without medical advice, as overuse may lead to dependency and reduced natural bowel function.

3. Can probiotics help improve digestion?

Yes, probiotics support gut health by maintaining a balanced microbiome, which can aid digestion and alleviate conditions such as irritable bowel syndrome (IBS) and diarrhoea.

Schedule an Appointment at Gleneagles Hospitals

Persistent constipation can significantly impact daily life and overall well-being. Early intervention is crucial in managing symptoms and identifying any underlying causes. At Gleneagles Hospitals, experienced gastroenterologists provide personalised treatment plans, including dietary modifications, lifestyle recommendations, and medical interventions tailored to each patient’s needs.

For expert care in digestive health, schedule an appointment with a specialist at Gleneagles Hospitals, or download the MyHealth360 health application from the Google Play Store or Apple App Store. Our team is dedicated to providing comprehensive support to help individuals manage and overcome chronic constipation effectively.

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