Constipation means different things to different people. For many people, it simply means infrequent stools. For others, however, constipation means hard stools, difficulty passing stools (straining), or a sense of incomplete emptying after a bowel movement. The cause of each of these “types” of constipation probably is different, and the approach to each should be tailored to the specific type of constipation.

What Can You Do About Severe Constipation?

If you are here looking for information about severe constipation, you obviously have a problem and you want to do something about it. Or you know someone who does. The answer you seek is that you have to clear the drain pipe, get all that stuff out of the colon and stop it from being a breeding ground for parasites.

Severe Constipation Causes 

The tests the doctor performs depend on the duration and severity of the constipation, the person’s age, and whether blood in stools, recent changes in bowel habits, or weight loss have occurred. Most people with constipation do not need extensive testing and can be treated with changes in diet and exercise.

Low fiber diet

Dehydration

Decreased mobility

Medications, especially narcotics (e.g., Codeine), tricyclic antidepressants (e.g., Elavil), and Verapamil

Colonic lesions, e.g., Colon Cancer

Diagnosis of Severe Constipation

The diagnosis is essentially made from the patient’s description of the symptoms. Bowel movements that are difficult to pass, very firm, or made up of small rabbit-like pellets qualify as constipation, even if they occur every day. Other symptoms related to constipation can include bloating, distention, abdominal pain, or a sense of incomplete emptying.

Treating Severe Constipation

A two-step process

What about the mechanics of dealing with constipation? The development of chronic constipation involves the accumulation of hardened stool, with stretching and loss of function of the colon (large intestine) and anus. Because of this, the first step in treatment is usually to clean out the old, hard stool from the colon. The second step is to keep BMs soft and regular.

There are various types and brands in each group. The one recommended depends on factors such as your own preference, possible unwanted effects, other conditions that you may have, and cost. You can buy some laxatives at pharmacies, and get them all on prescription if needed. The different groups are briefly discussed below.

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