Did you know constipation could be caused by tumors? π€― Most people think it's just lack of fiber or exercise, but sometimes it's a sign of something serious. Today, we're dropping truth bombs about the real cause of constipation that many overlook.
The Two Faces of Constipation: Organic vs. Functional
Constipation is broadly divided into organic and functional types. Organic constipation happens when tumors or abnormal tissues block the stool passage. It can affect not only the entire colon but also the rectum and transverse colon. On the other hand, functional constipation is mainly due to slowed bowel movements. Some people poop within 12-24 hours after eating, while others have sluggish guts leading to bloating and no bowel movement for days.
Medical Criteria: Less Than 3 Times a Week is Constipation
Medically, constipation means having fewer than three bowel movements per week. But more important than frequency is the cause. In traditional Korean medicine, it's divided into excess and deficiency types. Excess type occurs in younger people due to heat, while deficiency type happens in the elderly due to lack of energy and blood, slowing bowel movements.
Case Study: A 50-Year-Old with Organic Constipation
Recently, a 52-year-old patient came in with severe constipation for six months. Even with lots of fiber and probiotics, nothing worked. A colonoscopy found and removed a 3cm adenoma (polyp) in the rectum. After removal, constipation completely disappeared. So if you have persistent constipation with no obvious reason, you must get a colonoscopy to rule out organic causes.
Over 45? Get a Colonoscopy ASAP!
If you're over 45 and have chronic constipation, get a full colonoscopy at the hospital. Once organic causes are ruled out, you can manage functional constipation with more veggies, regular exercise, and plenty of water. For functional constipation, medications or herbal treatments that promote bowel movement can help.
Constipation isn't just a minor inconvenience—it could be a serious warning sign. Especially if you have a family history of colon cancer, blood in stool, or weight loss, pay extra attention. Checking your gut health now is the first step.