Chronic constipation is not only discomforting but also has serious health consequences. Approximately, 20 per cent of people between the ages of 45-65 suffer from this chronic constipation and have the chance of suffering from complications like piles (hemorrhoids) and anal fissures. In severe cases, excessive straining due to constipation can cause blood clotting, increasing the risk of heart attacks and strokes. Addressing constipation is essential to enhance the quality of life.
Chronic constipation means infrequent, difficult, or painful bowel movements lasting for weeks or longer. Symptoms are bloating, abdominal pain, straining during bowel movements, and a feeling of incomplete evacuation. If left untreated, the excessive pressure can damage rectal tissues, causing hemorrhoids (piles) and anal fissures which are small tears in the anal lining that lead to pain and bleeding.
Dr Lakin Vira, general surgeon, Apollo Spectra, Mumbai said, ” The causes of chronic constipation are lack of fiber in the food and exercise, eating processed foods, certain medications, conditions like Irritable bowel syndrome, Ignoring the urge to have a bowel movement, pregnancy, old age. Chronic constipation puts excessive strain on the rectal veins, leading to swollen and inflamed hemorrhoids. Persistent straining can also cause a frustrating condition called anal fissures, which are small but extremely painful tears in the anal lining. Approximately, 20% of people between the ages of 45-65 come with complaints of inability to empty their bowels. Daily, 2 in 10 people come with constipation and are at risk of piles and fissures because of straining. Patients are educated about the link between constipation and piles or fissures and are also advised to take stool softeners, if necessary.”
Dr Hemant Patel, general & leproscopic surgeon, Zynova Shalby Hospital in Ghatkopar said, “Currently, a large number of people are suffering from constipation. Around, 15% of people aged 45-65 visit with the inability to empty their bowels, bloating, and abdominal pain. Daily, 1-2 in 10 people come with constipation and may have chances of getting piles and fissures because of constant pressure while emptying bowels. Piles and anal fissures can lead to blood clot formation due to prolonged straining and pressure in rectal veins. Constant Straining while dedication can lead to heart attack and Stroke. Managing constipation will prevent complications like piles and fissures that steal one`s peace of mind. A fiber-rich diet inclusive of berries, apples, chia seeds, carrots, and beets, regular physical activity, and adequate water intake will improve bowel function. Avoiding excessive straining and incorporating probiotics can also help maintain gut health. Timely treatment can prevent long-term damage and reduce the risk of complications like piles and fissures.”
Dr. Lakin added, “Treatment for these conditions includes increasing dietary fiber, staying hydrated, and using stool softeners if necessary. In severe cases, minimally invasive procedures or surgery may be required to manage these conditions. Preventing constipation by drinking enough water, eating fiber-rich food, and exercising daily is important for everyone. By making simple lifestyle changes and seeking medical guidance when necessary, individuals can prevent the painful consequences of chronic constipation and protect their long-term health.”