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3 Reasons You May Have Chronic Constipation

If you struggle with constipation for three months or longer, it's considered chronic. As a board-certified gastroenterologist, Dr. Bharat Pothuri of GastroDoxs treats patients to help them improve this frustrating, uncomfortable, and, sometimes, painful condition.

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3 Reasons You May Have Chronic Constipation

Feeling constipated, bloated, and tired every day? You’re not alone. Chronic constipation affects millions of people in the U.S., including many in Houston. At Gastrodoxs, we understand how frustrating it is when you're straining on the toilet or dealing with constant belly pain. In this post, we’ll explain three common reasons for chronic constipation. We’ll also answer questions like “Can constipation cause back pain?” and “Can stress cause constipation?” Dr. Bharat Pothuri, a Houston gastroenterologist, shares expert tips to help you feel lighter and more comfortable.

Table of Contents

1. Why Chronic Constipation Matters

Chronic constipation means you have fewer than three bowel movements a week, often lasting weeks or months. Stools may be hard, dry, or tough to pass.

Common symptoms include:

If left untreated, constipation can lead to problems like hemorrhoids or rectal prolapse.

“Constipation can affect your quality of life,” says Dr. Bharat Pothuri. “It can drain your energy, interrupt your sleep, and even affect your mood.”

2. Reason 1: Diet & Hydration Habits

What you eat and drink has a big effect on your digestion. You might wonder, “Does constipation cause back pain?” While your diet doesn’t directly cause back pain, the straining and bloating can make your back ache.

Common culprits:

2.1 Low Fiber Intake

Fiber helps bulk up your stool and keep it soft. Without enough fruits, veggies, legumes, and whole grains, your stool can become dry and hard. Adults need about 25–30 grams of fiber daily.

2.2 Not Enough Water

Water helps fiber work well. It also keeps your gut hydrated. If you don’t drink enough—especially in hot Houston weather—digestion slows down. Aim for 8–10 cups a day.

2.3 Too Many Processed Foods

Fast food, chips, and baked goods are low in fiber and high in fat. These foods slow your digestion and can leave you feeling sluggish.

Dr. Pothuri’s Tip: “Start your day with a fiber-rich smoothie—spinach, berries, chia seeds, and yogurt. It’s an easy way to help your bowels stay regular.”

3. Reason 2: Stress, Sleep & Lifestyle

Ever searched “Can stress cause constipation?” Yes, it can. When you’re stressed, your body puts digestion on hold. Over time, this can lead to chronic constipation.

3.1 Stress Slows Digestion

Stress hormones like cortisol and adrenaline reduce blood flow to your gut. This slows bowel movements, causing stool to stay in the colon longer and dry out.

3.2 Poor Sleep Affects Gut Health

Good sleep helps your body heal and keeps digestion on track. One study found that people with poor sleep had more constipation issues.

3.3 Lack of Physical Activity

Sitting all day can slow your bowels. Regular movement—like walking or stretching—helps keep things moving. Try to get at least 30 minutes of activity a day.

Dr. Pothuri’s Quote: “Think of your gut like a garden hose. Stress and sitting too long can kink the flow. Deep breathing and light movement can really help.”

4. Reason 3: Underlying Health Conditions

Sometimes constipation isn’t caused by food or stress. Health problems can affect how your gut works.

4.1 Hypothyroidism

If your thyroid is underactive, it slows your whole body—digestion included. Watch for fatigue, weight gain, or cold intolerance.

4.2 Nerve-Related Issues

Conditions like Parkinson’s, spinal injuries, or multiple sclerosis can affect the nerves that help move your bowels.

4.3 Diabetes

High blood sugar can damage gut nerves. This may slow digestion or lead to a condition called gastroparesis.

4.4 Medications

Painkillers, antidepressants, and some antacids can slow bowel movement. Always review your meds with a doctor.

4.5 IBS with Constipation (IBS-C)

This type of IBS causes belly pain, bloating, and irregular bowel habits. Stress or diet changes often make it worse.

Dr. Pothuri says: “Knowing the root cause is key. A GI doctor can help you find answers and the right treatment.”

5. When to See a Constipation Doctor Near Me in Houston

Many people manage mild constipation at home. But if it lasts or worsens, it’s time to call a doctor. Search “constipation doctor near me” to find local gastroenterologists. In Houston, you can:

Visit Dr. Bharat Pothuri at GastroDoxs or another trusted Houston GI expert. Early care helps prevent long-term problems.

6. Symptom Comparison Table

Symptom Mild Moderate Severe
Bowel movements per week 2–3 1–2 Less than 1
Stool texture Slightly hard Hard and lumpy Dry, pellet-like
Belly pain or bloating Sometimes Often Constant
Stress-related constipation Rare Yes Yes, very likely
Constipation with back pain Unlikely Possible Common
Constipation with fever No Rare Very rare
Feeling tired and bloated Mild fatigue Moderate fatigue High fatigue

7. Top Tips to Relieve Chronic Constipation

Here’s how to ease constipation and feel better:

7.1 Increase Fiber Slowly

7.2 Drink More Fluids

7.3 Get Moving

7.4 Stress Less

7.5 Build a Routine

7.6 Short-Term Relief Options

Talk to your doctor before starting any medicine.

7.7 Prescription Help

If home changes don’t work, your GI doctor may suggest:

8. External Resources

Conclusion

Chronic constipation often comes down to diet, stress, or a health condition. You can feel better by eating more fiber, drinking more water, staying active, managing stress, and seeking expert care when needed. If you ever wonder “Can constipation cause fever?”—don’t wait. See a doctor. For ongoing issues, search “constipation doctor near me” in Houston. At Gastrodoxs, we’re ready to help you get your digestion—and your life—back on track.

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

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Frequently Asked Questions

1. Can constipation cause back pain?

Yes. Straining and bloating can make your back muscles sore.

2. Does it only happen in severe cases?

It’s more likely in moderate or severe constipation.

3. Can stress lead to constipation?

Yes. Stress hormones slow digestion.

4. Is fever a symptom of constipation?

No. Fever may signal an infection. See a doctor.

5. What if I feel constipated, bloated, and tired?

This could mean slow digestion, poor diet, or a health issue.

6. When should I see a doctor?

If symptoms last over 3 months or keep coming back, get help.

7. How fast can I feel better?

Some feel better in days. For others, it takes weeks.

8. Are laxatives safe long-term?

Fiber-based ones are. Avoid regular use of stimulant types.

9. Can kids get chronic constipation?

Yes. Causes often include diet or holding in stool. A pediatrician can help.

10. Where can I find help in Houston?

Search “constipation doctor near me” or visit GastroDoxs to see Dr. Pothuri.

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