Everyday symptoms
Constipation Relief: What Works and When to Seek Help
Gentle, effective ways to get things moving, which remedies to try first and the symptoms that mean it is time to see a provider.
What counts as constipation
Constipation means fewer than three bowel movements a week, or stools that are hard, dry or difficult to pass. Everyone’s normal is different; what matters is a change from your usual pattern or straining and discomfort.
What works
- Fiber, slowly. Fruit (pears, berries, prunes, kiwi), vegetables, beans, oats and whole grains. Add a little at a time to avoid bloating.
- Water. Fiber needs fluid to soften stool.
- Move. A daily walk helps the bowel move too.
- Use the urge. Go when you feel it, and try a regular time, such as after breakfast.
- Posture. A small footstool that raises your knees makes passing stool easier.
Over-the-counter help: fiber supplements (psyllium) or polyethylene glycol are gentle options for most adults. Stimulant laxatives are fine occasionally but are not meant for daily long-term use without advice.
Causes worth checking
Medicines such as iron, opioid pain relievers, some antidepressants, calcium channel blockers and antacids with aluminium or calcium can cause constipation. So can an underactive thyroid, diabetes, pregnancy, irritable bowel syndrome and low activity. We review all of these with you.
How we can help
We help you find what works for your body and rule out other causes. That might mean a medicine change, a thyroid test, or a referral for a colonoscopy if you are due for colon cancer screening or have warning signs. Many people only need a video visit.
Questions people ask
How long is too long without a bowel movement?
Going more than three days can be uncomfortable but is not usually dangerous. If you have pain, vomiting, a swollen belly or cannot pass gas, get help.
Are laxatives safe to use?
Fiber and osmotic laxatives are safe for most adults. Stimulant laxatives are best used occasionally. Ask us before using any of them every day for a long time.
Do I need a colonoscopy?
Adults at average risk should start colon cancer screening at 45. Warning signs such as bleeding or weight loss may need one sooner.
Talk it through with Lydia
Tired of feeling backed up? We can help you get comfortable again. See a board-certified nurse practitioner virtually anywhere in Virginia, in our Woodbridge office, or straight to your front door in much of Northern Virginia.
Visits start at $85, and every membership comes with a 30-day trial.
Prefer to ask first? Text us at (571) 402-2102 or message us on WhatsApp.
