Here's a look at the causes, symptoms, diagnosis, treatment, and prevention measures associated with chronic idiopathic constipation (CIC).
It is difficult to pinpoint the exact cause of chronic idiopathic constipation, hence the term "idiopathic." However, several factors may contribute to its development, including:
Stool moves slowly through the colon (colonic inertia)
Colon and rectum muscle dysfunction
Dietary fiber and fluid intake are inadequate
Physical inactivity
Medications or medical conditions that affect bowel function
There are many symptoms associated with chronic idiopathic constipation, but these are the most common:
Having fewer than three bowel movements per week (infrequent bowel movements)
Stool passing difficult, requiring excessive strain or effort
Hard or lumpy stools
After bowel movements, feeling of incomplete evacuation
Abdominal discomfort or bloating
Rectal pain or discomfort
A feeling of obstruction or blockage in the rectum
A thorough medical history, physical examination, and sometimes additional tests are typically required to diagnose chronic idiopathic constipation.
Examining the rectum and anus for abnormalities or blockages with a digital rectal examination.
To check for inflammation, infection, or other underlying conditions, stool samples may be collected and analyzed.
A colonoscopy or sigmoidoscopy involves inserting a flexible tube with a camera into the colon or rectum to identify any abnormalities.
Stool transit studies may be performed to determine if there are any obstructions or dysfunctions in the digestive tract.
Chronic idiopathic constipation is treated to relieve symptoms, improve bowel function, and prevent complications.
Increasing fiber intake through fruits, vegetables, whole grains, and fiber supplements can soften stool and promote regular bowel movements.
Constipation can be relieved by regular exercise, adequate hydration, and establishing a consistent bowel routine.
To stimulate bowel movements or soften stool, over-the-counter laxatives, stool softeners, or prescription medications may be prescribed.
Biofeedback therapy involves techniques to improve awareness and control of pelvic floor muscles, especially in individuals suffering from dysfunctional urination.
Rectal surgery or sacral nerve stimulation may be considered in severe cases of chronic idiopathic constipation that do not respond to other treatments.
Certain lifestyle modifications and habits can reduce the risk of developing or exacerbating chronic idiopathic constipation, regardless of the exact cause. These include:
Consuming fruits, vegetables, and whole grains that are rich in fiber
Drinking plenty of fluids, particularly water
Maintaining a healthy weight and exercising regularly
Having a regular bowel routine and not ignoring or delaying the urge to poop
Congestion-causing medications should be avoided or minimized
An infrequent bowel movement and difficulty passing stool are characteristic of chronic idiopathic constipation, a common gastrointestinal disorder. A proper diagnosis, treatment, and preventive measure can help individuals with CIC manage symptoms and improve their quality of life. To evaluate and manage constipation symptoms properly, it is crucial to consult a healthcare professional if you experience persistent or severe symptoms.
