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Constipation is a common gastrointestinal issue that affects people of all ages, affecting approximately over 4 million people in the United States. While it is often perceived as a minor inconvenience, chronic constipation can have far-reaching consequences, especially when it comes to pelvic floor health. The pelvic floor, a group of muscles and connective tissues, plays a vital role in various bodily functions, including bowel movements. In this blog, we will explore the connection between constipation and pelvic floor health, understanding how they are interrelated and what you can do to maintain a healthy pelvic floor.
What is constipation?
Constipation is usually defined by the following factors:
--Bowel movements happen less than three times a week
--Difficulty passing stools often accompanied by straining 
--Hard, lumpy or dry stools
The Bristol Stool Chart, also known as the Bristol Stool Scale, is a common medical reference for classifying types of stool. Typically type 1 and type 2 on the Bristol Stool Chart would be considered constipation. 

Types of constipation
Occasional constipation
It is very common to experience occasional constipation, as described earlier. It is estimated that between 2-28% of the population experience occasional symptoms of constipation. Women also report experiencing constipation as much as ten times more frequently than men.
Chronic Constipation
If the difficulty with passing stool remains for more than three months, or you pass less than three stools in a week, this is referred to as Chronic Constipation. These prolonged effects can impact both health and quality of life, as the symptoms begin to interfere with daily life. 
While occasional constipation can lead to the need for medical intervention, typically it is those experiencing chronic constipation who find themselves having to receive emergency treatment.
Chronic Constipation Symptoms
The symptoms of chronic constipation are similar to those of regular constipation, but other more serious symptoms can also occur. These include:

--Back pain due to the build-up of stools pressing on the nerves in your lower back
--A swollen tummy
--High or low blood pressure
--A fast heart rate
--Dizziness
--Sweating
--A fever  
--Confusion
--Feeling or being sick
--Abdominal pain
--Dehydration
--Explosive diarrhea 

When is constipation an emergency?

While most constipation related issues resolve themselves with time, chronic constipation may require medical assistance. If you’ve had constipation related symptoms for more than three weeks, have severe stomach pain or spot blood in your stool, you should speak with your doctor. 

Without treatment, chronic constipation may also result in the following complications:
--Hemorrhoids (swollen veins around your anus)
--Anal Fissures (tears in your skin)
--Rectal Prolapse (Straining can cause a small amount of the rectum to stretch and protrude from the anus)
--Fecal Impaction 

Fecal impaction is a large build-up of dry, hard stool in the back passage (rectum) that is too hard to push out. As a result, your bowel may begin leaking out watery stools, which can soil your underwear and is referred to as overflow diarrhea. If this happens, you should not take any anti-diarrhea medication, as this may further harm the situation. If you experience severe constipation, followed by diarrhea, speak with your doctor as further treatment may be required. 
Conclusion
Understanding the connection between constipation and pelvic floor health is crucial for maintaining overall well-being. Chronic constipation can have a significant impact on the pelvic floor, leading to various complications. By adopting a proactive approach to managing constipation and promoting pelvic floor health through diet, exercise, and proper habits, you can reduce the risk of developing related issues and enjoy a better quality of life. Remember, seeking professional advice is always a wise decision if you're dealing with chronic constipation or pelvic floor problems.