Diagnosis and Treatment of Constipation

Constipation is a common condition that leads to frequent clinical visits and has significant familial and social impacts. Given the influence of multiple etiological factors, especially in severe and treatment-resistant cases, evaluating secondary causes is essential. A cost-effective diagnostic approach tailored to the large number of affected patients is crucial.

During history-taking and examination, it is important to clarify the patient’s perception of constipation and identify warning signs indicating secondary causes, such as:

• Weight loss
• Gastrointestinal bleeding
• Anemia

In the absence of alarming symptoms, initial treatment includes dietary fiber intake, proper nutrition, adequate hydration, increased physical activity, and avoiding constipation-inducing medications. If treatment response is inadequate, further evaluation should assess defecation disorders, slow colonic transit, and secondary causes like malignant or metabolic conditions.

Defecation disorders, often resistant to conventional treatment, respond well to biofeedback therapy. Long-term use of medications for constipation should consider potential side effects and therapeutic efficacy. Surgical intervention may be considered when other treatments fail.

One effective approach to treating constipation is using supplements such as glucomannan. This product contains konjac fiber, which not only increases stomach volume and induces satiety but also effectively alleviates constipation.