The definition of constipation is not clear.
But most doctors define as when your stools are hard, lumpy, or difficult to pass. It can also mean going to the toilet less often than usual.
Causes: It can happen if you do not drink enough fluid. Being less active, taking certain medicines, or sudden changes in your routine can also cause constipation.
1. Hard or lumpy stools
Normal: Occasional hard stools are nothing to worry about.
When to see a doctor: If it lasts more than 2-3 weeks or causes pain.
2. Straining or pain when going
Normal: Sometimes passing stool takes effort.
When to see a doctor: If the pain is strong, constant, or getting worse.
3. Bloating or discomfort
Normal: Feeling a bit bloated after meals happens.
When to see a doctor: If bloating is constant or very uncomfortable.
4. Less frequent bowel movements
Normal: Going a day or two later than usual is fine.
When to see a doctor: If there is a sudden change or very long gaps.
Note. The change is bowel habit is key. Bowel habit is very variable – from 3x a day, to 3x a week.
5. Blood in your stools – Always check with your GP.
6. Black, tar-like stools – It could indicate bleeding, get medical advice.
7. Vomiting or nausea – Might suggest a blockage, get checked.
8. Unexplained weight loss – Do not ignore sudden weight loss.
9. Pencil-thin stools – Could mean narrowing of the bowel, get medical advice.
10. Family history of bowel cancer with new symptoms – Speak to your GP without delay.
Most constipation isn’t serious, but if you notice any of these signs, it’s worth checking with your GP. A quick visit can help you feel better sooner and avoid problems.
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