What should you know about mild constipation?

You may pass small, dry or lumpy stools, strain, feel bloated, or sense that your bowel has not emptied fully. Changes in routine, less activity, low fibre intake, dehydration, travel and some medicines can contribute. Constipation can also occur with conditions such as hypothyroidism or irritable bowel syndrome, but a symptom alone cannot identify its cause.

Sip fluids regularly unless a clinician has told you to restrict them. Add fibre gradually through vegetables, fruit, beans, whole grains or other foods that suit you; a sudden increase can worsen gas. Walking and other gentle activity can encourage bowel movement. Sit on the toilet when you feel the urge, allow time, and consider a footstool so your knees are slightly higher than your hips. Avoid repeated straining or taking laxatives regularly without advice.

Arrange medical advice if constipation keeps returning, does not improve with self-care, or comes with unexplained weight loss, blood in the stool, persistent abdominal pain, vomiting, fever or marked swelling. Seek urgent care for severe or worsening pain, repeated vomiting, a very swollen abdomen, or inability to pass stool and gas. A clinician may review medicines, examine you and consider tests for problems such as thyroid disease or dehydration.

Could a medicine, thyroid problem or change in diet be contributing? Which fibre or laxative option is suitable for me? What symptoms should prompt urgent review?