
Introduction to Constipation
Constipation A Complete, Evidence-Based Guide for the General Public Constipation is one of the most common digestive problems worldwide, affecting people across all demographics—children, adults, seniors, athletes, office workers, and those who otherwise maintain healthy lifestyles. In most cases, constipation is not caused by a single factor but develops when several physiological systems fall out of balance. This guide presents information according to what is most likely and most important for the majority of people, with less common causes included in proper perspective. The Priority Hierarchy: What to Address First Most constipation (70-80%) resolves by addressing these four factors in order: Priority 1 Insufficient Fiber (especially soluble fiber like psyllium) Priority 2 Insufficient Hydration (2-2.5 liters daily for most adults) Priority 3 Insufficient Movement (minimum 30 minutes daily walking) Priority 4 Poor Bowel Habits (ignoring urges, poor timing, inadequate posture) The remaining 20-30% involves: pelvic floor dysfunction, medications, stress, hormonal