When to See a Doctor for Constipation

Signs It's Time to See a Doctor

Though most causes are not serious, chronic constipation can sometimes signal a blockage or abnormality in the colon. As colorectal surgeon Dr Ho Kok Sun emphasises, "constipation can be more than a nuisance — it may be your body’s way of alerting you to deeper health issues." Here are some signs that indicate it might be time to seek medical advice.

Persistent Constipation Lasting More Than Two Weeks

If your condition does not improve after two weeks of home measures such as increasing fibre or fluids, consult a doctor. Long-term constipation can also lead to complications like haemorrhoids or anal fissures.

Severe Abdominal Pain or Bloating

Constipation accompanied by intense pain, bloating or cramping could suggest an intestinal obstruction or a more serious gastrointestinal condition that needs urgent attention.

Blood in the Stool

Blood that is bright red, dark red, or black and tarry is a warning sign that should never be overlooked. Possible causes include rectal bleeding, polyps, or colorectal cancer, particularly in those over 50.

Unexplained Weight Loss

Unintentional weight loss along with constipation could point to serious conditions such as colorectal cancer and should not be ignored.

In addition to the primary warning signs, you should also seek medical attention if your constipation is accompanied by fever, nausea or vomiting. Other symptoms to look out for include liquid or soft stools leaking from the anus, constipation that alternates with diarrhoea, or a history of Inflammatory Bowel Disease (IBD).

Early diagnosis and treatment not only relieve discomfort but also rule out serious conditions like colorectal cancer. If you notice any of these indicators, book an appointment with our colorectal surgeon for a detailed evaluation.

Diagnostic Approaches

Identifying the cause of constipation or other colorectal concerns often requires a careful and systematic approach. Understanding these approaches can help you know what to expect during evaluation and make informed decisions about your care.

• Physical Examination:

  Your doctor will review your symptoms in detail and perform a physical exam to check for any abnormalities.

• Blood Tests:

  These are used to identify possible infections, inflammation or other systemic issues contributing to constipation.

• Imaging Tests:

  Tests such as an abdominal X-ray or ultrasound may be performed to detect blockages or structural changes in the digestive tract.

• Colonoscopy:

  This procedure allows direct visualisation of the colon and rectum to detect polyps, strictures, tumours or other abnormalities.

Treatment Options

Treatment for constipation depends on its cause and severity. Common approaches include:

• Dietary Modifications:

  Increasing your intake of fibre-rich foods such as vegetables, fruits, and whole grains, along with drinking plenty of fluids, can help promote regular bowel movements.

• Laxatives:

  These may be recommended for short-term relief but should always be taken under medical supervision to avoid dependency or side effects.

• Biofeedback Therapy:

  This technique can be effective for patients with pelvic floor dysfunction, helping them retrain muscles involved in bowel movements.

• Surgical Intervention:

  In rare cases, surgery may be necessary to correct structural abnormalities or remove obstructions causing severe or chronic constipation.

Most cases of constipation are harmless and respond well to lifestyle adjustments. However, if symptoms persist or worsen, it is important to seek professional care. Consulting a colorectal specialist like Dr Ho Kok Sun ensures early diagnosis, effective management and prevention of potential complications.