Infrequent, difficult, or painful bowel movements. One of the most common digestive complaints, affecting up to 1 in 4 Australians at some point.
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Call 000 or go to your nearest emergency department
Normal bowel habits range from 3 times a day to 3 times a week. What matters more than frequency is consistency and comfort. If your pattern has changed or you're uncomfortable, that's worth discussing with a doctor.
See a doctor if constipation is new and persistent (especially after age 50), accompanied by blood in the stool, associated with unintentional weight loss, or causing severe pain. New-onset constipation after 50 may warrant bowel cancer screening.
Start with osmotic laxatives (like Movicol/macrogol) — they draw water into the bowel and are safe for long-term use. Stimulant laxatives (Senokot) work faster but shouldn't be used regularly. Fibre supplements (psyllium) are effective for ongoing management.
Chronic constipation can contribute to haemorrhoids, anal fissures, rectal prolapse (in severe cases), and urinary retention. It also significantly affects quality of life and mental wellbeing.
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