Here is the medical definition of real constipation:
A person has constipation when bowel movements are
too hard to pass easily or are so infrequent that uncomfortable symptoms result.
Constipation does not mean failure to pass a stool daily; this may be imaginary
constipation. Hard movements that require straining can bring about rectal
troubles such as hemorrhoids and fissures or may aggravate a hernia or the
tendency to hernia. Constipation may cause uncomfortable symptoms such as
nausea, heartburn, headache, or distress in the rectum or intestines,
continuing until the stool is passed.
Notice that we say uncomfortable rather
than harmful symptoms; that are because these symptoms stem from nerve impulses
to various parts of the body when the rectum is distended by retained fecal
matter. They are not due to "autointoxication," or absorption of
poisons from the fecal matter. It has actually been established that similar
symptoms can be brought on when cotton is placed in the rectum after all fecal
matter has been removed. Some people suffer more than others from these
symptoms, not because of their imagination but because they are actually more
sensitive.
In imaginary constipation, the bowel movements are not difficult to
pass; they cause no unpleasant symptoms; they simply do not take place as often
as the individual thinks they should. Often, it is a mother or other relative
who insists the movements should be more frequent. The fact is that bowel
movements can be normal without being "average." While the
"average person" has a movement daily, usually immediately after
breakfast, countless people are normal even though they have more than one
movement a day, or a movement only every second day, or every third, fourth,
fifth, or even eighth day.
People vary markedly in body makeup, type of
intestine, eating habits, physical activity, and custom. By self-induced
constipation, we mean the kind caused by one or more of the following: improper
diet (eating the wrong things or eating too little); the use (that is, abuse)
of laxatives, cathartics, etc.; irregularity in habits of elimination.
Modern living, with its strains, stresses, and
sedentary habits, helps promote constipation; indeed, in some primitive
languages there is no word such as constipation because the need for it does
not exist. Functional constipation can also be caused by
"sluggishness." As we have seen, after food has been digested in the
stomach and intestines, the residue, a watery material, enters the colon. Water
is absorbed in the colon; that is why the feces may become hard and difficult
to pass if they remain too long in the colon. The stools are propelled along by
a series of wavelike, peristaltic movements. Usually the waves are strongest in
the morning, which is why it may be easiest to have a bowel movement before or
just after breakfast. In some people, peristalsis is weak.
This may happen with increased age, and some elderly
people may require an aid to elimination. Mineral oil is the best remedy. But
we think it wise to accept as helpful virtually any method that an elderly
person has long used and found satisfactory -whether it is hot lemon water
early in the morning or the enema that some elderly people believe has magical
virtues. In such cases, the important thing is to watch for any sudden change
in established bowel habits. How to Cure-and Prevent-Functional Constipation If
you now do have constipation, there are certain things you can do to Cure it,
and these same methods will also prevent you from becoming constipated.