19 Constipation Myths and Facts


1. You Should Have a Bowel Movement Every Day

Myth. Everyone is different. Some people go three times a day; others, three times a week. It’s common to have a bowel movement once a day. But it's OK to go a few days without one as long as you feel fine. If you have fewer than three per week, you’re constipated. It’s severe if you have fewer than one a week.

2. It Creates Toxins

Myth. Some people believe that constipation causes the body to absorb poisonous substances in stools, leading to diseases such as arthritis, asthma, and colon cancer. There's no evidence that the stools produce toxins or that colon cleansing, laxatives, or enemas can prevent cancer or other diseases. And constipation itself isn’t a disease.

3. You Just Need More Fiber

Myth. It’s true that most people fall short, so it’s probably a good idea to eat more veggies, fruits, whole grains, and other plant foods -- and drink more water. Add fiber gradually, so your body gets used to it. If you’re still constipated after that, there could be other reasons, like a medical condition or a side effect from some medicines.

4. Swallowed Gum Can Get Stuck

Fact. It's true, but only in rare cases, and mostly in little kids who don't know better. Sometimes downing large amounts of gum or many pieces in a short time can form a mass that blocks the digestive tract, especially if you swallow it with other indigestible things like seeds. The blockage can cause constipation. But for most people, gum moves through, and out of, your body just like other foods do.

5. Your Vacation Could Be an Issue

Fact. Travel changes your daily routine and diet. While you're away, drink plenty of water -- bottled, if you can’t drink the tap water at your destination. Stay active, too. Walk while you wait for your flight, and stretch your legs on a road trip. Limit alcohol, and eat fruits and vegetables -- preferably cooked, if you need to avoid salads or raw items in the area you visit.

6. Your Mood Matters

Fact. Depression may trigger constipation or make it worse. Reducing stress through meditation, yoga, biofeedback, and relaxation techniques helps. Acupressure or shiatsu massage could, too. Massaging your belly relaxes the muscles that support the intestines, which could help you become more regular.

7. Holding It Won't Hurt

Myth. Do you feel too busy at work to go? Ignoring the urge may make you physically uncomfortable, and it can cause or worsen constipation. Some people find it helps to set aside time after breakfast or another meal for a bowel movement, when these signals are strongest. But no matter when nature calls, answer.

8. Your Meds Could Be a Cause

Fact. Some drugs for pain, depression, high blood pressure, and Parkinson's disease are linked to constipation. Tell your doctor what’s going on. You may be able to take something else. Calcium and iron supplements, especially if you also take something else that affects your stool, can also cause problems.

9. All Fiber Is the Same

Myth. There are two kinds. Insoluble fiber adds bulk to stool and helps it pass through your intestines faster. Good sources are whole-grain breads, pasta, and cereal. Soluble fiber dissolves in water. It’s in beans, peas, and some other plant foods.

10. Prunes Are Powerful

Fact. This small, dried fruit has earned a big reputation as "nature's remedy" for constipation. Prunes (also called dried plums) are rich in insoluble fiber, as well as the natural laxative sorbitol. Children who don't like them might eat prune juice ice pops or sip prune juice mixed with another juice to hide the taste.

11. More Water Helps

Fact. Getting enough water keeps your stools soft and eases constipation. You can get it from drinks or water-rich foods, such as fruits and vegetables. Limit or avoid caffeine and alcohol, which can lead to dehydration.

12. Workouts Get You Going

Fact. Too much downtime makes constipation more likely. After you eat a big meal, wait at least an hour before you exercise so your body has time to digest your food. Then get going! Take a 10-to-15-minute walk several times a day. Harder workouts are also fine to do. Your whole body will benefit.

13. Coffee Is a Good Fix

Myth. It's true that the caffeine can stimulate the muscles in your digestive system to contract, causing a bowel movement. But because caffeine is dehydrating, it's not recommended. So if you’re constipated, avoid it or choose decaf.

14. Colon Cleansing Helps

Myth. Enemas and colon irrigation (high colonics) remove body waste. But they're not an effective way to prevent or cure constipation. Enemas can actually cause constipation for older people who get them regularly. Colonic irrigation, which is usually done by colonic hygienists or therapists, can damage the colon and lead to other problems. Talk to your doctor first.

15. Laxatives Work Immediately

Myth. It depends on the type. A suppository or enema might work within an hour. A bulk-forming product may take several days; a stimulant one, a few hours. Don't use them for too long, or they could cause other digestive problems. Constipation usually lasts a few days. Talk to your doctor if you need to use laxatives for more than 2 weeks.

16. Stool Softeners Are Laxatives

Fact. They prevent constipation by allowing stools to absorb more water from the colon. Softer stools are easier to pass. Like other laxatives, you should only use them for a short time.

17. Castor Oil Is a Cure-All

Myth. This powerful laxative is an old-school remedy. But ask your doctor first. Like other laxatives, you shouldn’t use it for long, or it can make it harder for your body to absorb nutrients and some drugs. If you overdo it, that can damage your bowel muscles, nerves, and tissue -- which can cause constipation.

18. It Naturally Happens With Age

Myth. Older people are more likely to become constipated. But it’s not a normal part of aging, and it can also happen when you’re younger. It’s very common and usually doesn’t last long, and most cases aren’t serious. But tell your doctor if it doesn’t ease up when you eat more fiber, drink more water, and get more exercise.

19. It's Normal to Have Bloody Stool

Myth. Blood in a bowel movement is not always serious. But you should call your doctor ASAP if it happens. Bright red blood is usually from hemorrhoids or tears in the anal lining called fissures. Constipation and straining during bowel movements can cause it. Maroon or tarry black blood or clots often means bleeding is coming from higher in your digestive system.