Mild constipation is common, and these bouts are not usually a cause for concern. Medication and lifestyle changes can help relieve mild constipation, and symptoms of it include:
- three or fewer bowel movements per week
- dry, hard, or lumpy stool
- difficult or painful bowel movements
- feeling unable to empty the bowels fully
The following sections look at some warning signs that can accompany constipation to constitute an emergency.
Dark stool or blood in the stool
Bleeding in the stomach or intestines can lead to dark or tarry stool.
Dark blood in stool indicates bleeding high up in the digestive tract. The blood has had time to travel through the person’s system and lose oxygen, giving it a darker color. Bright-colored blood may indicate bleeding lower in the digestive tract.
Everyday factors can also cause dark stool, such as eating blueberries or licorice or taking iron tablets. However, if a person is bleeding from the rectum or they notice blood in their stool, they should speak to a doctor right away.
People with chronic constipation may strain too much and develop hemorrhoids. These are small pockets of tissue around the rectum and a common site of bleeding in the lower gastrointestinal tract.
Hemorrhoids can cause small amounts of bright red blood to appear in stool.
Minor hemorrhoid bleeding is not a cause for concern, but a large amount of bright red blood in stool constitutes an emergency. It could indicate a damaged area of the intestinal tract that requires swift medical attention.
Severe abdominal pain
Severe abdominal pain and constipation can result from several urgent health issues that may require surgery to correct.
- Appendicitis: This involves the appendix becoming inflamed and sometimes infected. Symptoms include constipation, a lack of appetite, a fever, and severe abdominal pain, usually in the lower right part of the stomach.
- Diverticulitis: This involves small pouches in the intestines — diverticula —becoming infected or inflamed. Some symptoms include nausea, vomiting, fever, and pain that feels worse in the left lower part of the stomach.
- A strangulated hernia: A hernia can become incarcerated, or stuck. If this happens, the area may be painful and feel firm. A hernia can also quickly become strangulated, which means that the bowel is not getting enough blood flow, leading to constipation and intense abdominal pain. It is a medical emergency.
People should not ignore severe abdominal pain, especially when it accompanies constipation. Seek immediate medical treatment when these symptoms occur together.
Vomiting stool or bile
Vomiting stool is a medical emergency that requires decompression of the stomach. If possible, the doctor will insert a tube through the nose — a nasogastric tube — and use it to suck out the stomach contents.
This procedure will also remove any excess air that causes discomfort and swelling in the bowel.
Long term constipation can develop into fecal impaction, which involves hard, dry stool becoming stuck in the rectum and blocking other stool from passing.
A person with fecal impaction may feel the need to have a bowel movement but be unable to push anything out.
Fecal impaction can cause pain and vomiting. People may need emergency treatment or a hospital visit.
Some people have a greater risk of fecal impaction. Certain medications can slow down movement in the intestines, leading to severe constipation and impaction. Dehydration and chronic use of laxatives can also increase these risks.
To treat fecal impaction, a medical professional may need to perform disimpaction. This involves removing the blockage from the rectum, which, in many cases, allows a person to have usual bowel movements again.
Very few bowel movements
Doctors usually define constipation as going to the bathroom fewer than three times a week. Having fewer bowel movements than this may signal a more severe problem.
If a person is eating regularly but not having bowel movements, stool can quickly become backed up.
Sometimes this back-up is due to issues with the intestines, such as scarring or a tumor that is pressing on an area of the bowel, leaving little room, if any, for stool to pass. Doctors call this a bowel obstruction.
Obstructions can affect any part of the intestines, and they constitute medical emergencies. A back-up of stool can cause the intestines to rupture, which can be life-threatening.
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