Uncomplicated constipation

Very low urgency
Common-

It is an alteration of the intestinal transit that causes a reduction in the frequency of defecation (less than three bowel movements per week), generally of scanty and hard stools. It is a frequent reason for consultation in older adults. 

The main cause is the slowing of bowel movements and a low or fiber-free diet; certain diseases favor it. 

The diagnosis is clinical, by means of interrogation and physical examination. Dietary habits, drug intake and concomitant diseases should be questioned. Depending on the symptoms, it may be necessary to perform tests to determine the cause: abdominal X-ray, colonoscopy, etc. 

Treatment will focus on solving the cause. In most cases, it will be recommended to add fiber to the diet, drink abundant water and do sports regularly.

Bibliographic references
  1. Satish SC Rao. Constipation in the older adult. UpToDate. Marzo 2015
  2. Arnold Wald. Management of chronic constipation in adults. UpToDate. Junio 2015
  3. Tramonte SM. The treatment of chronic constipation in adults. A systematic review. J Gen Intern Med 1997; 12:15.
  4. Badiali D. Effect of wheat bran in treatment of chronic nonorganic constipation. A double-blind controlled trial. Dig Dis Sci 1995; 40:349.
  5. Koloski NA. Impact of persistent constipation on health-related quality of life and mortality in older community-dwelling women. Am J Gastroenterol 2013; 108:1152.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Defecates less than three times a week - constipation


    Lower abdominal pain


    Stomach rumbling


    Alternate between constipation and diarrhea


    Localized abdominal pain

Symptoms to watch out for

Blood in stool
Difficulty breathing
A feeling of shortness of breath
Severe belly pain
Fever not relieved by antipyretics (paracetamol, ibuprofen)
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
Expectoration containing mucus and pus

Self-care

It is recommended to follow a balanced diet, consume water-soluble fiber (fruits and vegetables), avoid gas-producing foods (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners and refined sugar.
Maintain hydration of half a gallon per day. Avoid soft drinks and fruit juices with high sugar content.
Consult your primary care physician regarding the use of laxatives.