Where should you start with constipation?

Gradually increasing fibre, adequate fluids and daily movement are usual first steps.

Where should you start with constipation?

Increase fruit, vegetables, pulses and whole grains gradually to avoid marked bloating. Physical activity and a regular toilet routine can also help. Constipation with blood in the stool, persistent abdominal pain, vomiting, fever, inability to pass gas or weight loss needs prompt assessment.

Medical principle

Many digestive symptoms are temporary, but their intensity, duration, pattern and accompanying signs determine whether self-care is enough. Broadly eliminating foods without a diagnosis can cause nutritional deficiencies.

Practical steps that may help

  • Record symptoms, foods, medicines and bowel patterns for several days to help identify connections.
  • Eat slowly, increase fibre gradually and drink adequate fluids.
  • Do not use over-the-counter digestive medicines long term without investigating the cause.

When should you seek medical care?

Bleeding, black stools, persistent vomiting, fever, weight loss, severe or worsening pain, a rigid abdomen, inability to pass gas or dehydration need prompt assessment.

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