Constipation is a digestive problem that is usually caused by dehydration or by not eating enough fibre.

How do I know if I am constipated?

Some people poo every day, others poo every two or three days. If you are not going as much as you would normally, this is constipation. Other symptoms may include:

• Stomach ache
• Feeling sick
• Loss of appetite
• Feeling bloated

If you are constipated you may have to strain when you go to the loo and this can lead to bleeding and haemorrhoids (swollen veins in your bottom, sometimes called piles) and this can be painful. If you are bleeding regularly you should talk to your doctor about this.
If constipation has given you a sore bottom you may feel scared to go again as it may hurt. Problem is if you avoid going to the loo, your poo will get harder and make it even more painful when you finally do go.

What should I do?

Most constipation is caused by not drinking enough or eating the right food. So to help with constipation and to stop it from happening again:

• Drink lots
• Eat lots of fibre (Bran-flakes, fruit and vegetables are full of fibre)
• Use the loo regularly – never hold it in for long periods
• If you have a tear in the skin around your bottom use an anaesthetic gel to help the pain
• Avoid caffeine, alcohol and fizzy drinks

Constipation will usually clear up after a few days and it is unlikely that you will need medical treatment. If you still have constipation after 2 weeks talk to your doctor.

If you get constipation and diarrhoea in alternation this might mean that you have Irritable bowel syndrome (IBS).

For more help and information

Visit NHS Direct or speak to your doctor.

Last reviewed by Great Ormond Street Hospital: 13 March 2007

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