What Are the Two Main Causes of Constipation? How to Solve it

Understanding the Causes of Constipation: Primary vs. Secondary

Constipation refers to infrequent bowel movements, typically occurring once every 2–4 days, or the hardening of stool, making elimination difficult and requiring excessive straining. In South Korea, over 16% of the population suffers from constipation, with women and the elderly being particularly prone to it. But what causes constipation? While there are various factors, they can generally be categorized into two main types: primary and secondary causes.


Primary vs. Secondary Causes of Constipation: Key Differences

  • Secondary Constipation: This type is caused by underlying medical conditions such as diabetes, hypothyroidism, Parkinson’s disease, irritable bowel syndrome (IBS), diverticulitis, hemorrhoids, and certain medications like painkillers or antacids. These conditions disrupt the normal functioning of the digestive system and lead to constipation.
  • Primary Constipation: The most common form, accounting for over 90% of cases, occurs without an underlying disease. It is usually linked to poor lifestyle choices such as lack of exercise, poor diet, and stress. In this case, improving lifestyle habits is key to solving the issue.

If constipation is severe or accompanied by other symptoms like weight loss, blood in the stool, abdominal pain, or bloating, it is essential to consult a gastroenterologist. There could be an undiagnosed digestive issue, such as inflammation or even a tumor.


Effective Ways to Resolve Constipation: Lifestyle Changes and Remedies

When secondary causes aren’t present, addressing primary constipation primarily involves lifestyle adjustments. Although medications may provide temporary relief, lasting improvement comes from consistent efforts.

The first area to focus on is diet. Many people who suffer from constipation don’t drink enough water or consume sufficient dietary fiber. A lack of water makes stool dry and difficult to pass. To help prevent constipation, aim to drink 1.5–2 liters of water daily.


Foods That Help Prevent Constipation: What to Eat for Digestive Health

Fiber-rich foods, especially fruits and vegetables, can soften stool and help promote regular bowel movements. It’s not about relying on one or two magic foods, but rather maintaining a balanced diet with an emphasis on fiber. Consuming enough fiber daily is essential to avoid constipation.

Another common issue contributing to constipation is inactivity. As people age, the risk of constipation increases due to a decline in digestive function and physical activity. Regular exercise plays a crucial role in stimulating the digestive system. Aim for at least 30 minutes of exercise, 3–4 days a week. Activities like jogging, cycling, or even strength training can help maintain digestive health.


Correcting Bathroom Habits and Posture: Key Tips to Relieve Constipation

Correcting your posture and bathroom habits can also help alleviate constipation. For instance, try sitting in a way that brings your legs closer to your abdomen, either by leaning forward slightly or using a small stool under your feet to raise them.

If this posture adjustment doesn’t work and you’re still unable to pass stool, avoid straining for long periods. Straining for more than 10 minutes can lead to complications like hemorrhoids or acid reflux.


Abdominal Massage and Heat Therapy: Simple Techniques for Relief

Abdominal massage is a simple and effective remedy. While lying down comfortably, use your fingers to gently press your abdomen, starting from the belly button and moving in a circular motion in a clockwise direction. This can help stimulate the digestive process and encourage bowel movements.

In addition, applying a warm compress to your abdomen can help promote digestion. The warmth increases blood flow, which stimulates digestive activity and can provide relief from constipation. Constipation is more common in winter because cold temperatures tend to slow down digestion, while warmth encourages digestive function.


Managing Stress: The Gut-Brain Connection and How to Improve Digestion

The gut and brain are closely connected, which means that stress can significantly impact bowel movements. Chronic stress and anxiety can lead to constipation in some people and diarrhea in others. To improve digestive health, it’s important to manage stress levels. Activities like meditation, yoga, or Pilates can help calm the mind and support healthy digestion.


Probiotics for Constipation Relief: How They Help Your Gut

Probiotics are beneficial bacteria that help support digestive health. They can improve gut function, enhance nutrient absorption, and aid regular bowel movements. Probiotics are found in fermented foods like kimchi, miso, and cheese. You can also take probiotic supplements to support gut health and relieve constipation.


Conclusion: The Best Constipation Solutions for Better Digestive Health

To summarize, if constipation becomes chronic, it’s important to first identify any underlying health issues through medical testing. If no serious conditions are found, lifestyle changes can significantly improve constipation.

The key elements for managing constipation are:

  1. Adequate hydration
  2. Increased fiber intake
  3. Regular physical activity
  4. Stress management

By focusing on these areas, you can improve digestion and prevent the discomfort of constipation, ensuring a better quality of life.