Constipation is the most common digestive complaint in the United States and accounts for more than 2.5 million physician visits per year. —21 There is an age-related increase in the incidence of constipation, with 30 to 40 percent of adults over age 65 citing constipation as a problem. 2 22 Pathophysiology
The cause of constipation is usually multifactorial. Dietary intake affects bowel motility. Diminishing intake of fiber associated with decreased fluid intake can result in constipation. In addition, exercise, medical conditions, and medications affect gut motility. Sedentary patients often become constipated. Medical conditions such as hypothyroidism, hyperparathyroidism, lead poisoning, and chronic neurologic disorders are well-known causes. Some anal pathologic conditions cause painful defecation and in turn can result in constipation due to consequent fear, particularly in children. Patients confined to a hospital bed after an orthopedic injury, for example, may become constipated due to their inability to use a bedpan successfully. Certain medications, such as calcium-channel blockers, iron, narcotic analgesics, and antipsychotics, are also common causes of constipation. Indeed, constipation is a complicated condition with multiple causes ( T§ble,,Z9,-3).
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.