Chronic Constipation — Know When to Seek GP Help

What chronic constipation means

Constipation does not only refer to “infrequent bowel motions.” It can also mean difficulty passing stool, a feeling of incomplete emptying, hard or lumpy stool, excessive straining, or discomfort around bowel movements. Chronic constipation refers to symptoms that persist over time rather than occasional short-term change.

Why it matters

Ongoing constipation can affect comfort, appetite, sleep, mood, and confidence. It may lead to complications such as haemorrhoids, anal fissures, faecal impaction, or worsening abdominal discomfort. While many causes are benign, persistent constipation deserves proper assessment rather than long-term self-treatment without guidance.

Common contributors

Constipation can relate to diet, low fibre intake, dehydration, reduced physical activity, stress, changes in routine, pregnancy, ageing, or pelvic floor dysfunction. It can also be linked to certain medicines or underlying medical conditions such as bowel disorders, hormonal changes, neurological disease, or metabolic problems.

When to see your GP

Seek review if constipation lasts several weeks, keeps returning, significantly affects daily life, or is accompanied by abdominal pain, rectal bleeding, unexplained weight loss, vomiting, anaemia, or changes in stool shape. Sudden severe constipation, especially with pain and vomiting, needs urgent care.

What your GP does

Your GP will assess symptoms, review medicines, consider lifestyle contributors, and determine whether further tests, imaging, or referral are needed. Management may include dietary changes, hydration guidance, appropriate use of laxatives when needed, pelvic floor support, and treatment of underlying causes. Care is individualised — not every person needs the same approach.

Why self-care alone is not always enough

Over-the-counter treatments may help short-term symptoms, but ongoing constipation should not be ignored. A GP review supports safer, clearer, and more effective management.

Constipation is common — but chronic symptoms deserve thoughtful care, reassurance, and a clear plan.

This article provides general health information only and does not replace medical advice. Please speak with your GP for personalised care.