Constipation

Definition
Constipation is a bowel condition characterised by infrequent, difficult, or incomplete bowel movements. It may involve passing stool less often than usual, straining, hard or lumpy stools, or the sensation of incomplete emptying. Constipation can be occasional or chronic and often causes discomfort or bloating.

Symptoms

• Fewer than three bowel motions per week

• Hard, dry, or lumpy stools

• Straining or needing extra effort to pass stool

• Sensation of incomplete emptying

• Abdominal bloating or discomfort

• Needing manual assistance to empty the bowels

• Leakage of liquid stool around hard stool (overflow incontinence)

Who is Most Affected?
Constipation is common in:

• Women during and after pregnancy

• Children, often due to diet, hydration, or toileting habits

• Older adults with slower bowel motility or multiple medications

• People with pelvic floor dysfunction or poor coordination

• Individuals taking opioids, iron, or antidepressants

Common Causes

• Low fibre or inadequate fluid intake

• Pelvic floor muscle dysfunction

• Poor toileting habits or straining

• Hormonal changes such as pregnancy or menopause

• Medications or neurological conditions

• Structural changes such as rectocele or rectal prolapse

Management Approaches
Pelvic Floor Osteopathy can support people experiencing constipation by:

• Teaching pelvic floor relaxation and coordination techniques

• Using manual therapy to improve abdominal and pelvic mobility

• Educating on correct toileting posture and healthy bowel habits

• Encouraging hydration, fibre balance, and physical activity

• Providing abdominal massage for gentle stimulation

Key Point
Constipation is common but highly manageable. By addressing underlying factors—such as diet, movement, pelvic floor function, and daily habits—many people find lasting relief from constipation and improved bowel comfort.