Chronic Idiopathic Constipation: Its Causes, Diagnosis, and Treatments (Updated 2023)

Published On: September 9, 2021Last Updated: December 7, 2022By Categories: Health & Wellness

Constipation means decreased intensity, or just under three days a week, of stools, or even both. Seats are characterizing by constipation. The passion three days a week varies from one individual to another. A few other people can have this as a common symptom, and constipation has deemed some improvement or decreased intensity.

Trying to pass stools is unpleasant to contend with, such as squeezing, irregular bowel movements, or a sensation of inadequate elimination accompanying feces and urine, hard/bulbous stools, and a prolonged intervallic interval between two bowel movements.

The surgical elimination of the deteriorated and affected heat may have required under challenging situations. The tissue around the penis may also become wounded and bleeding because of a hardened heart’s passing.

The chronic existence of such signs is known as chronic idiopathic constipation (CIC). The trigger of such constipation is unexplained and just not induced by underpinning medicine or disease. It is considered idiopathic.

An approximated 14% of individuals are chronically constipated. There is a more significant likelihood to women, senior citizens, and individuals of less financial standing.

Causes Of Chronic Idiopathic Constipation


It is not a well-defined psychological disorder. Thus, chronic idiopathic constipation correlates with many causes. It indicates a drop in substance and fiber consumption, improvements in the hydrological cycle, and metabolism variations for the bowel.

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Motility variations result in changes in contractility and the frequency during which Muscles move the human waste in the bowel to the large intestine. The fecal surface area consumes further water as the flow slows down. It’s harder and drier as well as harder to go around. These challenging, dry heaters can be small and lack the mass to induce a failure, resulting in unusual bowel movements.

Symptoms of chronic idiopathic constipation can often have intensified whenever gastrointestinal perceptual anomalies or shifts compromise the central nervous system. This disease may indeed increase the blood pressure of the abdomen. Visceral insensitivity can cause a decreased stimulation of the rectum, diminishing the need for deficiency.


Chronic idiopathic constipation can occur in up to 35 million people in the United States. The figures could be larger because not all patients seek medical attention. Research suggests that just approximately 12 percent pursue medical assistance with either the disease. More than 40% of chronic idiopathic constipation cases have been under treatment nowadays.

In women (56%) and adults aged 35 years and older, it is a bit more popular (84 percent). The White people (82 percent) are by far the worst influenced than others.

Chronic Idiopathic Constipation Symptoms

The primary symptoms of CIC include:

  • Bowel movements are unusual
  • Outbreak
  • Hard stools or wrinkly.
  • Inadequate evacuation experience
  • Starting to feel it restricts the stool without moving out
  • You have to use your fingertips to move through stool (digital evacuation and vaginal splinting)

In addition to the above, several individuals with chronic idiopathic constipation experience the following symptoms:

Meaning Of The Term Chronic Idiopathic Constipation

The chronicle existence of these signs is known as Chronic Idiopathic Constipation (CIC). The trigger of this form of constipation is unclear, and underlying disease or medication does not trigger that. It is considered idiopathic.

The occurrence of these symptoms during at least six months further refer to as chronic constipation. 75% of cases of chronic constipation are idiopathic constipation.

Types Of Idiopathic Constipation

Two types of idiopathic constipation are distinguished:

  1. Slow transit constipation This disorder occurs whenever the human waste does not usually pass via the colon. There is no apparent explanation for this.
  2. Functional outlet obstruction or evacuation disorders are also called spastic pelvic floor syndrome, paradoxical pub rectal contraction in research. An infection can cause an obstacle in the muscles of the pelvic floor. The puborectalis muscles contract rather than relax when squeezing feces in these diseases and the nasal cavity is blocked. It avoids defecation.


Your physician will operate to exclude recognizable underlying cause) unless you consider your condition idiopathic if you have chronic constipation.

You will more than probably undergo a medical examination as well as some blood work. Depending on your symptoms and patient condition, you may also request other diagnostic exams.

FGDs are famous for functional constipation as per the Rome IV criteria,2. Your medical workout does not reveal any evidence of disorder to detect functional constipation.

These guidelines try to measure the symptoms of chronic idiopathic constipation and suggest that:

  • Somewhere around three bowels per week
  • Additional signs happening at least 25% of the time
  • Uncommon loose stools (only when a colon cleanser are cast-off)

Symptoms do not satisfy the specifications for irritable bowel syndrome (IBS). They should be valid for at least three months, with a beginning period of at least six months before symptoms seem with chronic idiopathic constipation.

CIC vs. Irritable Bowel Syndrome

The prevalence of IBS-C is comparable in several ways to chronic constipation Irritable bowel syndrome. However, CIC is identified by description only because the IBS requirements are not fulfilling.

Thereby, several physicians will advise their patient(s) that they will have IBS if they are chronically constipated without the need for an identifiable cause, irrespective as to whether distress surrounds bowels’ movements. Instead, the treatment guidelines for IBS-C include chronic pain with bowel motions.

A few other scientists agree that the two diseases are not that different and are differentiating from one another on a scale. Numerous people diagnosed with idiopathic constipation have pain and distressed abdomen, and several people can move over time through one treatment to another.

Another significant difference would seem to be that of care since IBS-C people tend to become more inclined to answer discomfort reduction medication. In contrast, CIC people are likely to be ideal for treatments that work in the abdominal cavity.

No bowel movement associated with pain  The bowel movement is related to distress
The improved reaction towards muscle-based medicines The better approach to pain-focused medications

Warning Signs For More Severe Conditions

These red flags include

  • Stool’s Blood
  • Symptoms start around 50 years of age
  • Bowel and infectious bowel diseases such as colitis ulcerative and Crohn’s disease have a family background.
  • Existence of lower serum levels and temperature
  • High constipation is not treatable
  • Described loss of weight

Confirming The Diagnosis

The diagnostic checks with colonoscopy, imaging tests, including MRI scanning and anal manometry.

Treatment For Chronic Idiopathic Constipation

The severity of the disease symptoms determines treatment techniques. Adjustments in dietary and exercise involving regular exercise are endorsed. The individuals are allowed to increase the consumption of nutrition, water, and safe and healthy foods.

A journal of symptoms can significantly assist causes that can prevent exacerbating symptoms and potential dietary and other triggers.

Over-the-counter laxative pills and stool softer included in the medications included.

There is no particular CIC treatment, but both you and your physician get to choose from a wide range of treatments, including:

  • The fiber of the food
  • Drugs, sedatives included
  • Biofeedback

Dietary Fibre

Your physician likely suggests increasing your nutritional fiber intake because fiber will support soften stools and allow their transmission smoother.

The foods you eat or a fiber substitute will improve your consumption of dietary fiber.

Just so many fibers can cause gas and clutter symptoms quite early, but you can prevent everything by slowly increasing the consumption to help your body adapt. It is easier to tolerate dietary fibers.

Medications For Chronic Idiopathic Constipation

The simple terms relaxation from constipation offered by sedative medicine. Two forms exist:

  • Osmotic laxatives that raise liquid in the big intestine
  • Laxatives enhancing the activity of the stomach

There are several sedatives on the shelf. There is no confirmation, though, of CIC’s value for long-term sedative consumption.

Prescription medications can give further treatment. Many of them are frequent:

  • Amitiza (lubiprostone)
  • Linzess (linaclotide)
  • Motegrity (prucalopride)


If your physician considers that dissolvable feces (abdominal soil disorder) have a part in your chronic idiopathic constipation, the doctors recommend you to seek biofeedback 5. It aims to teach you about the pathways of your body to maintain them.

This procedure has proven effective in enhancing the pelvic floor muscles’ synchronization in the bowel transmission phase.

Exercises For Chronic Idiopathic Constipation (CIC)

Constipation is among the most widespread gastrointestinal tract diseases. In general, there is no established root cause of chronic idiopathic constipation.

Various demographic groups such as the children and the elderly suffer constipation. Constipation is hard to get by stools. Various risks linked towards constipation are correlated. Close to zero physical activity and lack of physical activity are a significant risk factor.

Sedentary Lifestyle And Risk Of Constipation

The likelihood of constipation appears to increase with age and lack of physical activity. More studies have shown that individuals are much more dominant in age, lack physical activity and constipation than females.

Both sexes have beneficial effects on constipation from walking and increased consumption of fiber.

A few other researches on women also have shown that a risk factor of constipation may be associated with insufficient regular exercise.

Benefits Of Regular Physical Activity

Researches have shown that moderate regular physical activity reduces the likelihood of chronic GDC symptoms.

Researchers mentioned the explanations for these advantages:

  • Blood supply boost to the bottom Digestive system
  • Improvements in specific hormonal imbalances and neural pathways

Body Mass Index (BMI) And Constipation

The study also indicates that the association between an increase in body weight and body mass indexes and constipation exists. A rise in BMI, together with unsanitary fiber and fast food, is also closely attributed to the sedentary lifestyle and lack of physical activity.

Moderate Exercise And Frequency Of Defecation

A few other researches has shown that reasonable bicycling and walking or running activity per hour a day at a maximum oxygen level of 50 percent improves bowel movement and positively impacts feces intensity.

Good cardiovascular workouts frequently treat individuals with slow constipation. The intestinal transit rises, but perhaps the rate of feces has little gain. On the other hand, practice to produce power (force) improves bowel transit time, moves bodily fluids quicker, and helps physically active men of medium age.

Abdominal Massage For Constipation

One other method of constipation treatment utilized around 1870 is abdominal massage. Its medicinal application has reduced over the years.

But several experiments also investigate the feasibility of this treatment procedure again. A few other findings indicate that the spastic abdomen massage on an upward, transversal, and declining trail for 15 to 20 minutes a day will tend to expand the bowels within a half-hour of the massage without laxatives.

A Word From Very Well

Chronic idiopathic constipation can, in a sense, become a dysfunctional diagnosis. You usually have a much more straightforward approach to treating the real mechanism of any symptoms. Those of us with CIC will therefore be relieved. Speak honestly to your physician and pursue further consultations if your treatment plan is also not as successful as it should.

Wellbeing provides high-quality references alone to endorse the evidence in our papers, like peer-reviewed research. Reading our publishing survey ensures a little more about how we correctly, efficiently, and trustfully verify and maintain the material.

About the Author: Personal Care Truth

Personal Care Truth is your trusted source for evidence-based information on personal care and wellness. A dedicate health advocate who is passionate about empowering individuals to make informed choices when it comes to their personal care.

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