Common Symptoms of Constipation
Constipation manifests differently for everyone and may involve one or more of the following:
Hard, dry or pellet-like stools
Fewer bowel motions than usual
Straining or spending a long time on the toilet
A feeling of blockage or incomplete emptying
Needing to press around the vagina or perineum to help empty the bowel
What Causes Constipation?
Common lifestyle causes include inadequate fibre or fluid intake, reduced physical activity, sudden changes in routine, ignoring the urge to go, and certain medications.
Constipation may also be associated with underlying medical conditions, slow movement of stool through the colon, or difficulty relaxing and coordinating the pelvic floor muscles during a bowel motion. Structural conditions, such as a rectocele or rectal prolapse, can also make emptying difficult.
What May Help?
For mild or occasional constipation, several conservative measures may provide relief:
Gradually increasing dietary fibre
Drinking adequate fluids throughout the day
Engaging in regular physical activity
Promptly responding to the urge to open your bowels
Placing your feet on a small stool, leaning forward, and avoiding forceful straining
Seeking medical advice about an appropriate laxative when required
Note: Increasing fibre does not help every type of constipation and may worsen bloating in some people. Persistent symptoms require individual clinical assessment.
Pelvic Floor Physiotherapy for Constipation
Some people tighten their pelvic floor muscles instead of relaxing them when trying to pass stool. This is sometimes called pelvic floor dyssynergia or a defecatory disorder.
A specially trained pelvic floor physiotherapist can help with:
Correct toilet positioning and breathing techniques
Pelvic floor relaxation and muscle coordination
Establishing healthy bowel habits and an individualised bowel routine
Abdominal techniques where appropriate
Biofeedback to retrain the muscles involved in bowel emptying
Pelvic floor physiotherapy may be particularly helpful if you frequently strain, feel blocked, cannot empty completely, or spend a long time on the toilet. Treatment for constipation often focuses on relaxation and coordination—not simply strengthening the pelvic floor.
When Should You Seek Medical Advice?
See your doctor if constipation is persistent, worsening, does not improve with simple measures, or regularly requires laxatives, suppositories, or enemas.
When to Seek Urgent Medical Attention
Seek prompt medical attention if constipation occurs with blood in the stool, unexplained weight loss, significant abdominal pain, vomiting, fever, or marked abdominal swelling.
Emergency Warning: Go directly to an emergency department if you experience severe abdominal pain and are unable to pass stool or wind, particularly if accompanied by vomiting.
How Elevio Can Help
At Elevio, our multidisciplinary colorectal and pelvic floor team thoroughly assesses persistent constipation and complex bowel-emptying difficulties.
Depending on your symptoms and clinical needs, your care plan may include specialist colorectal review, anorectal physiology testing, pelvic floor imaging, and targeted treatment with a qualified female or male pelvic floor physiotherapist (including biofeedback therapy where appropriate).
Disclaimer
This information is general in nature and does not replace individual medical advice. If you have persistent bowel concerns, abdominal pain, or changes in bowel habits, please seek personal assessment from your doctor or healthcare professional.