Chronic constipation is a common issue that affects approximately 20% of people between the ages of 45 and 65, increasing the risk of complications such as piles (hemorrhoids) and anal fissures. Beyond discomfort, chronic constipation can lead to serious health consequences. In severe cases, excessive straining due to constipation can cause blood clotting, raising the risk of heart attacks and strokes.
Addressing constipation is essential for improving quality of life. In a conversation with Jagran English, Dr. Lakin Vira, General Surgeon at Apollo Spectra, Mumbai, and Dr. Hemant Patel, General & Laparoscopic Surgeon at Zynova Shalby Hospital, Mumbai, discussed how chronic constipation triggers piles and anal fissures in adults aged 45-65.
Understanding Chronic Constipation And Its Symptoms
Chronic constipation refers to infrequent, difficult, or painful bowel movements lasting for weeks or longer. Common symptoms include:
- Bloating
- Abdominal pain
- Straining during bowel movements
- A feeling of incomplete evacuation
If left untreated, excessive pressure on the rectal tissues can lead to the development of hemorrhoids (piles) and anal fissures, which are small tears in the anal lining that cause pain and bleeding.
What Experts Say? Dr. Lakin Vira, General Surgeon, Apollo Spectra, Mumbai
Dr. Vira explains, "The primary causes of chronic constipation include a lack of dietary fiber, insufficient exercise, processed food consumption, certain medications, irritable bowel syndrome (IBS), ignoring the urge to have a bowel movement, pregnancy, and old age. Chronic constipation puts excessive strain on rectal veins, leading to swollen and inflamed hemorrhoids. Persistent straining can also cause anal fissures—small but extremely painful tears in the anal lining.
Approximately 20% of people between 45 and 65 experience difficulty in emptying their bowels. Daily, 2 in 10 patients come in with constipation, increasing their risk of piles and fissures due to excessive straining. Patients are educated about the connection between constipation and these conditions and are advised to take stool softeners if necessary."
Dr. Hemant Patel, General & Laparoscopic Surgeon, Zynova Shalby Hospital, Mumbai
Dr. Patel adds, "Currently, a large number of people suffer from constipation. Around 15% of individuals aged 45-65 visit with complaints of difficulty emptying their bowels, bloating, and abdominal pain. Daily, 1-2 in 10 patients experience constipation and may develop piles and fissures due to constant pressure while passing stool. Prolonged straining can lead to blood clot formation in rectal veins, increasing the risk of heart attacks and strokes.
Managing constipation can prevent complications like piles and fissures, which significantly impact one's quality of life. A fiber-rich diet—including berries, apples, chia seeds, carrots, and beets—along with regular physical activity and adequate water intake can improve bowel function. Avoiding excessive straining and incorporating probiotics can also support gut health. Timely treatment can prevent long-term damage and reduce the risk of complications."
What Are It's Treatment & Prevention?
Dr. Lakin Vira emphasises, "Treatment for chronic constipation includes increasing dietary fiber, staying hydrated, and using stool softeners if necessary. In severe cases, minimally invasive procedures or surgery may be required. Preventing constipation by drinking enough water, consuming fiber-rich foods, and exercising daily is crucial.
By making simple lifestyle changes and seeking medical guidance when needed, individuals can prevent the painful consequences of chronic constipation and safeguard their long-term health."