World Constipation Month is celebrated in December and therefore it is a good opportunity to reflect on health problems that most people tend to overlook, such as constipation. Although it is one of the most common cases in the world, more than 90% of these people have no idea what is wrong with them, which is quite scary. Over the years, I have managed many patients who were seeking self-medication or who chose to turn their attention to other issues, believing that this would be temporary. But in reality, constipation is a major problem and it is alarming to stay asleep because it could mean something is wrong in your digestive tract.
Over the years, I have had the chance to speak to many patients facing such problems. This is why I would like to address some of the questions and misconceptions that tend to surround this very topic of digestion and bowel movements. This could enable you to take better action against any major issues affecting your body while also informing you not to take medical advice lightly.

Myth 1: It is necessary to have a bowel movement every day

It is commonly accepted that bowel movements should occur once a day, but that is not how it works. Everyone is different. Some people go three times a day; others, three times a week. It is common to have a bowel movement once a day. But you can go a few days without it, as long as you feel good. If you consume less than three per week, you are constipated. It’s serious if you take less than one per week.

Myth 2: Constipation is a condition that only older people face.

People share the misconception that constipation only occurs in older people. There is no doubt, at our level of understanding, that age is crucial for the digestive system, but it cannot be underestimated that adolescents, young adults and adults can also face constipation. Witnesses from young professionals, students and even teenagers brought these facts to my attention. Stress, diet, little or no exercise, or even prescription medications can all be factors, so you can’t just assume that your younger age makes it easier for you. Every part of your body can tell you if something is wrong and that’s when help needs to be found so you don’t waste any more time.

Myth 3: Using laxatives can cure your constipation.

Laxatives are a common form of treatment for many forms of constipation, but are sometimes unable to offer a perfect solution. I have so many patients who have been dependent on laxatives for several weeks or even months without any improvement. Although they provide temporary relief to the general problem which is usual throughout the society. And even, there are times when overconsumption of laxatives creates a need that becomes chronic. The most effective way to overcome constipation in the long term is to completely change your lifestyle, that is, to include high-fiber foods, plenty of water and exercise, and to control the stress in your daily routine. A healthcare professional should be consulted if this is unrelenting. constipation persists.

Myth 4: Stress does not affect digestion at all

Stress is traditionally considered a mental health problem, but in reality it also has a notable effect on the digestive system. Over the years, I have noticed how stress has always had a negative impact on the proper functioning of the intestine. Stress engages our metabolism which revolves around the fight or flight response, thus leading to factors such as constipation and diarrhea. So, if there have been several stressful incidents at one time, this could influence the functioning of the digestive system. It would then be logical to say that practicing yoga, meditation, or even going on vacation, would then help with digestion.

Myth 5: Eating more fiber alone will solve constipation

With all due respect, I disagree with this because although fiber is important, it should not be overused as it is not an antidote to constipation. From my personal perspective, drinking enough water is just as beneficial, if not more. Fiber causes more water to be absorbed, and even if it is dry, it can make constipation worse. In particular, they dry out the stools. So, along with your fibrous diet, make sure you drink enough water.

Myth 6: Meat facilitates digestive processes

Some people think that eating more meat will improve their digestive health, but it is one of the main reasons that contribute to constipation. A high intake of animal protein and a low level of fiber fuel the digestive tract. On the other hand, a healthy lifestyle incorporating whole grain foods, fruits, vegetables, and legumes can lead to fluid stools. If you often experience a feeling of heaviness or constipation after eating, it is wise to seek out more plant foods and possibly relieve the discomfort.

Myth 7: Having constipation means you still have an underlying health problem

Although it is rational to associate constipation with serious conditions such as gastrointestinal diseases or cancer, such assumptions are only accurate in rare cases. The majority of cases of constipation are linked to diet, lifestyle or stress. People should avoid jumping to conclusions or self-diagnosing, as unnecessary worry often leads to more stress. Instead, consulting a healthcare professional early on is the best approach to avoid further complications. A specialist can determine whether the problem is minor or indicative of a more serious problem in just one visit. However, some alarming features of constipation require immediate medical attention. These include blood in the stool, unintentional weight loss, loss of appetite, feeling of obstruction when passing stools, no or partial response to laxatives, severe and persistent bloating, abdominal pain and vomiting, anemia, any visible lump in the abdomen, or a family history of colon or gastrointestinal cancer. Recognizing these warning signs and seeking timely care can help identify and effectively manage potential underlying conditions.
Reasons to avoid self-medication
A key message I want to convey to you today is: avoid self-medication. I recognize the appeal of using over-the-counter treatments or heeding suggestions from friends or relatives. However, treating constipation without knowing the underlying cause can lead to more serious problems later. Many patients seek my help after having suffered from constipation themselves for months or even years, only to realize that they could have resolved the problem much sooner.
If you are experiencing constipation or digestive issues, it is always wise to be cautious and consult a healthcare professional. A doctor can help you determine the root cause and direct you to a treatment strategy tailored to your needs.
Pay attention to your body and act accordingly
As we celebrate World Constipation Month, I encourage you to pause and think about your digestive well-being. Your body communicates with you and it is crucial to pay attention to these signals. Constipation isn’t just a little nuisance: it can indicate that something needs attention. If you have constipation or persistent stomach problems, don’t wait until it gets worse. Schedule a visit with your doctor today.
Keep in mind that taking initiative now can help you avoid future complications and improve your overall quality of life. Don’t delay, your health is important.
Dr Purushottam Vashistha, Senior Consultant Gastroenterology, Apollo Hospitals Navi Mumbai