Lately you've been feeling a little -- to put it delicately -- backed up. You're not "going" as often as you should, and you feel bloated and uncomfortable.
Don't be embarrassed. A lot of Americans -- more than 4 million by some estimates -- deal with constipation on a regular basis. Women are the most frequent constipation sufferers. This may have to do with the slower movement of food through a woman's intestines, as well as with the effects of female hormones on the GI tract.
First, your health care provider will look at your anal area, perhaps by inserting a lubricated gloved finger or an anoscope (a hollow, lighted tube for viewing the lower few inches of the rectum) or a proctoscope (which works like an anoscope, but provides a more thorough rectal exam).
More procedures may be needed to identify internal hemorrhoids or rule out other ailments that frequently cause anal bleeding, such as anal fissure, colitis, Crohn's disease, and colorectal cancer.
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So what do you do when you just can't go? Here are a few effective constipation treatments.
If you're constipated, it's often because there isn't enough water in your stool, a problem that occurs when too much fluid gets absorbed in your intestines.
According to the National Digestive Diseases Information Clearinghouse, part of the National Institutes of Health, constipation is a condition in which you have fewer than three bowel movements in a week, and your stools are hard, dry, and small, making them painful and difficult to pass. Some women naturally have a bowel movement a few times a day, while others go just a few times a week. You don't need constipation treatments unless you're going to the bathroom a lot less often than usual.
Constipation Treatments -- Starting With Good Habits
One way to keep things moving is by getting enough fiber in your diet, which makes stool bulkier and softer so it's easier to pass. Gradually increase the amount of fiber in your diet until you're getting at least 20 to 35 grams of fiber daily.
Good fiber sources include:
Bran and other whole grains found in cereals, breads, and brown rice
Vegetables such as Brussels sprouts, carrots, and asparagus
Fresh fruits, or dried fruits such as raisins, apricots, and prunes
While you're having an issue with constipation, limit foods that are high in fat and low in fiber, like cheese and other dairy products, processed foods, and meat. They can make constipation worse.
And on the subject of diet, water is important for preventing constipation, too. Try to drink at least 8 glasses of water a day.
Also, exercise regularly. Moving your body will keep your bowels moving, too.