Constipation – Difficulty Passing Stools

Constipation is when bowel movements become infrequent, hard, or difficult to pass. You might strain, feel incomplete emptying, or go several days without a proper movement. This page focuses on functional constipation — where the bowel structure is normal, but movement or muscle coordination is impaired.


Common Triggers

  • Low dietary fibre — insufficient bulk slows transit and dries stool
  • Dehydration — colon reabsorbs too much water, hardening stool
  • Pelvic floor tension — tightness blocks the outlet even with the urge
  • Abdominal muscle bracing — chronic “holding in” restricts movement
  • Sedentary lifestyle — lack of motion reduces gut motility
  • Ignoring the urge — waiting allows stool to harden and enlarge
  • Certain medications — opioids, aluminium antacids, iron supplements, some antidepressants
  • Dietary patterns — low-fibre processed foods, excess dairy in sensitive people
  • Stress and anxiety — sympathetic arousal slows digestion and tightens muscles
  • Poor toilet posture — hips at 90° kink the rectum; squatting straightens it

How to Solve It

  • Use positions that align the rectum and allow gravity to help
  • Release pelvic floor and abdominal tension before and during a bowel movement
  • Stimulate natural peristalsis with gentle movement and abdominal massage
  • Support stool softness with hydration and fibre
  • Time bowel movements to coincide with natural gastrocolic reflex (often after meals)

Expanded Step-by-Step Relief Program

Step 1 — Left-Side Lying with Knee Hug (5–10 minutes)
Goal: ease stool movement and release trapped gas from the splenic flexure

  1. Lie on your left side with knees bent; place a pillow between knees.
  2. Hug knees gently toward chest — avoid compressing the belly too tightly.
  3. Inhale through the nose, expanding the belly; exhale slowly, letting pelvic floor soften.
  4. Imagine stool sliding down the descending colon toward the rectum with each breath.

Why it works — follows the colon’s natural path, uses gravity, and relaxes outlet muscles for easier passage.

Step 2 — Wind-Relieving Pose (Apanasana, 1–2 minutes)
Goal: massage intestines and stimulate peristalsis

  1. Lie on your back; bring both knees toward your chest.
  2. Wrap arms around shins; rock slowly side-to-side.
  3. Inhale belly expansion into thighs; exhale and imagine trapped gas or stool moving along.

Imagery — picture your colon as a soft, flexible tube being gently massaged from inside.

Step 3 — Seated Forward Rock (1–2 minutes)
Goal: promote stool movement without lying down

  1. Sit with feet flat, knees apart, leaning forward so belly rests lightly between thighs.
  2. Rock gently forward and back, breathing slowly.
  3. Exhale and imagine your pelvic outlet opening like a soft drawstring loosening.

Step 4 — Toilet Release Sequence (during bowel movement)
Goal: empty fully without straining

  1. Feet elevated on a small stool, knees above hips; lean forward slightly.
  2. Inhale belly expansion; exhale slowly while letting pelvic floor drop and anus soften.
  3. Option: gentle forward-back rocking to stimulate rectal reflex.

Imagery — think of a flower slowly opening on the exhale rather than pushing hard.

Step 5 — Gentle Post-Movement Walk (5–10 minutes)
Goal: support remaining stool movement and prevent blockage

  1. Walk slowly, keeping posture upright and abdomen soft.
  2. Focus on relaxed breathing — no holding tension in belly or glutes.

When to Seek Medical Help

  • Severe or sudden abdominal pain
  • Blood in stool
  • Unexplained weight loss
  • No improvement after 3 weeks of consistent changes

Existentialists is a philosophical movement that emphasizes individual existence, freedom, and choice. Existentialists believe that individuals are responsible for creating their own meaning and purpose in life, as opposed to relying on external sources such as religion or societal norms. Key concepts in existentialism include:

1. Existence precedes essence: Existentialists assert that individuals exist first and then define themselves through their actions and choices.

2. Freedom and responsibility: Existentialists emphasize the freedom of individuals to make their own choices, but also highlight the responsibility that comes with this freedom. They believe that individuals must take responsibility for their actions and their impact on the world.

3. Anxiety and authenticity: Existentialists often discuss the experience of anxiety that arises from the awareness of one’s freedom and responsibility. They advocate for authenticity, which involves being true to oneself and living in accordance with one’s own values and beliefs.

4. Absurdity: Existentialists contend that the universe is inherently meaningless, and that individuals must create their own meaning in a world that lacks inherent purpose or order.

5. Authenticity: Existentialists encourage individuals to live authentically by making choices that align with their true selves, rather than conforming to societal expectations or external influences.

Overall, existentialism emphasizes the importance of individual experience, choice, and responsibility in creating meaning and purpose in life.