Constipation

Concerned about symptoms?

Most patients are seen within one to two weeks at Cobalt Hospital.

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TRUSTED INFORMATION

National health information service, digestive symptom guidance.

What is constipation?

A common digestive complaint that usually responds well to simple changes, though persistent cases deserve a proper look.

Constipation causes are usually simple to explain, though not always. Constipation means passing stools less often than usual, with stools that are hard, dry, and difficult to pass. It is very common, but persistent cases can affect quality of life.

New constipation, or constipation with other symptoms, deserves a proper assessment. Patients from Newcastle, Durham, North Tyneside, Gateshead and Sunderland see Dr Kejariwal for exactly this reason.

Chatgpt Image Sep 3, 2026, 04 16 40 Am (3)

Causes and risk factors

Common causes include a low-fibre diet and inadequate fluid intake. Lack of activity and certain medications also contribute, as set out by NHS inform (2026). An underactive thyroid or IBS can be underlying causes too.

Symptoms

  • Fewer than three bowel movements per week
  • Hard, dry or lumpy stools
  • Straining or discomfort when passing stools
  • A feeling of incomplete emptying
  • Bloating and abdominal discomfort

When to seek help: Get prompt assessment for new constipation over 50, especially with weight loss, bleeding or pain.

How is constipation diagnosed?

Assessment usually starts with a review of diet, medication and bowel habit. Blood tests or a colonoscopy may follow for new or persistent symptoms with warning signs.

What are the treatment options?

Treatment typically starts with dietary change, such as more fibre and fluid. Appropriate laxatives are used where needed. Underlying causes, such as IBS or medication side effects, are addressed directly.

Living with constipation in 2026

Constipation is one of the most common digestive complaints. It affects people of all ages. Most cases respond well to simple dietary and lifestyle changes. New or worsening constipation, especially in older adults, benefits from proper assessment.

Self-care and prevention

Gradually increase dietary fibre and drink more fluids. Stay physically active and set a regular toilet routine, without rushing. Sudden large increases in fibre can worsen bloating, so go gradually.

What happens at your appointment?

You meet Dr Kejariwal at Cobalt Hospital for a full consultation. He reviews your symptoms, history, and any past tests. He explains what he thinks is happening in plain English. Together you agree a clear next step, whether that means more tests, starting treatment, or simple monitoring. A written summary goes to you and your GP after every visit. Most patients are seen within one to two weeks, and urgent concerns are prioritised.

When to see a specialist

See a specialist if constipation is new, persistent, or comes with bleeding, weight loss or pain.

Frequently asked questions about constipation

What is the most common cause of constipation?
Common causes include a low-fibre diet, insufficient fluid intake, lack of activity, and certain medications.

When should constipation be investigated further?
If it is new, persistent, or comes with bleeding, pain or weight loss, see a specialist rather than self-treat.

Can constipation cause other symptoms like bloating and pain?
Yes. It commonly causes bloating, discomfort and a feeling of fullness, which usually improve once bowel habit returns to normal.

Can constipation be a sign of something serious?
Usually it has a simple, treatable cause. New constipation in older adults, especially with weight loss or bleeding, should always be checked.

Can exercise help with constipation?
Yes. Regular physical activity helps stimulate the bowel and can meaningfully improve constipation for many people.

Are laxatives safe to use long term?
Some laxatives are safe for longer use under medical guidance, but persistent reliance on them should be reviewed by a doctor.