Functional constipation

Functional constipation
Synonyms	Chronic idiopathic constipation
Pronounce	N/A
Specialty	N/A
Symptoms	Infrequent bowel movements, hard stools, straining during defecation
Complications	Hemorrhoids, anal fissures, fecal impaction
Onset	Any age, more common in children and elderly
Duration	Long-term
Types	N/A
Causes	Unknown, possibly dietary factors, lifestyle, psychological factors
Risks	Low fiber diet, sedentary lifestyle, dehydration
Diagnosis	Based on Rome IV criteria, physical examination, medical history
Differential diagnosis	Irritable bowel syndrome, obstructive defecation syndrome, colonic inertia
Prevention	N/A
Treatment	Dietary changes, laxatives, behavioral therapy
Medication	Osmotic laxatives, stimulant laxatives, stool softeners
Prognosis	N/A
Frequency	Common
Deaths	Rare

Functional Constipation Functional constipation is a common digestive disorder that affects individuals of all ages. It is characterized by infrequent bowel movements, difficulty passing stools, or the sensation of incomplete evacuation. Unlike other forms of constipation, functional constipation does not have an identifiable organic cause. It is diagnosed based on symptoms and the exclusion of other gastrointestinal disorders.

Causes and Risk Factors

The exact cause of functional constipation is not well understood, but it is believed to involve slow movement of stool through the colon. Several factors can increase the risk of developing functional constipation, including:

• Low fiber intake
• Inadequate hydration
• Limited physical activity
• Certain medications
• Stress and psychological factors
• Aging

Symptoms

Symptoms of functional constipation may include:

• Less than three bowel movements per week
• Hard, dry, or lumpy stools
• Difficulty or straining during bowel movements
• Feeling of incomplete evacuation after a bowel movement
• Abdominal discomfort or bloating

Diagnosis

Diagnosis of functional constipation is primarily based on the Rome IV criteria, which are standardized diagnostic criteria for functional gastrointestinal disorders. A healthcare provider may also perform a physical examination and order tests to rule out other conditions, such as:

• Blood tests
• Colonoscopy
• Anorectal manometry

Treatment

Treatment for functional constipation often involves lifestyle and dietary changes, such as:

• Increasing dietary fiber intake
• Drinking more fluids
• Engaging in regular physical activity
• Establishing regular bowel habits

In some cases, over-the-counter or prescription medications may be recommended, including:

• Laxatives
• Fiber supplements
• Stool softeners
• Lubricants

Prevention

Preventive measures for functional constipation include maintaining a healthy diet rich in fiber, staying hydrated, exercising regularly, and avoiding prolonged periods of inactivity.

See Also

• Irritable Bowel Syndrome
• Gastrointestinal Tract
• Dietary Fiber

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