constipation that comes and goes
Informed by recognized medical guidance
Overview
Constipation that comes and goes means you have times when it is hard to pass stools (poo), followed by times when your bowel movements return to normal. This pattern can last for weeks or months. It is a common digestive issue, not a disease itself.
Key facts
- Constipation that comes and goes is often called 'intermittent constipation'.
- It is usually not a sign of a serious problem, but it can affect your quality of life.
- Simple lifestyle changes often help improve symptoms.
- If you have blood in your stool or severe pain, see a doctor right away.
Yes, many people experience constipation that comes and goes at some point in their lives. It is one of the most common digestive complaints worldwide.
It can affect people of all ages, but is more common in women, older adults, and people who eat a low-fiber diet or take certain medications.
Symptoms
- Severe or sudden abdominal pain that does not go away
- Unable to pass gas or stools at all (possible bowel obstruction)
- Vomiting or nausea with abdominal swelling
- Blood in the stool (bright red or black/tarry)
- ⚠Constipation that lasts longer than 3 weeks despite trying home remedies
- ⚠Painful or bleeding hemorrhoids that get worse
- ⚠Unexplained weight loss or loss of appetite
- ⚠Constipation after starting a new medication (ask your doctor if it is safe to stop)
Common symptoms
- Having fewer than three bowel movements per week
- Stools that are hard, dry, or lumpy
- Straining or pain when passing stools
- Feeling like you haven't fully emptied your bowel
- Bloating or discomfort in your abdomen (belly)
- Symptoms that come and go, with normal bowel movements in between
Symptoms in children
- Small, hard stools that look like pebbles
- Crying or arching the back when trying to poo
- Holding in stool (avoiding the toilet) due to fear of pain
- Soiling (liquid stool leaking around a hard lump)
Symptoms in older adults
- Longer periods between bowel movements
- Increased straining and feeling of incomplete emptying
- Confusion or worsening of other health conditions due to severe constipation
- Dark or black stools (may indicate bleeding)
Causes
Main causes
- Low fiber diet (not enough fruits, vegetables, or whole grains)
- Not drinking enough fluids (dehydration)
- Lack of physical activity
- Delaying the urge to have a bowel movement
- Changes in routine (like travel or shift work)
- Certain medications (painkillers, antidepressants, iron supplements)
Risk factors
- Being over 60 years old
- Being pregnant
- Having a condition that affects digestion, like irritable bowel syndrome (IBS) or diabetes
- A family history of constipation
- Mental health conditions such as depression or anxiety
When to see a doctor
See a doctor urgently if:
- You have sudden, severe abdominal pain or vomiting
- You see blood in your stool or black/tarry stools
- You have not passed gas or had a bowel movement for 3 days and feel unwell
Book a routine appointment if:
- Constipation that comes and goes for more than 3 weeks
- You have tried home remedies (more fiber, fluids, exercise) with little improvement
- Constipation that interferes with your daily activities or causes significant discomfort
- You notice a change in your bowel habits that lasts longer than a few weeks
Diagnosis
Your doctor will ask about your symptoms, medical history, and any medications you take. They may perform a physical exam, including gently pressing on your belly.
Tests that may be done
- Blood tests to check for conditions like thyroid problems or diabetes
- Stool sample test to look for blood or infection (if recommended)
- Abdominal X-ray or ultrasound (if your doctor suspects a blockage or other issue)
- Colonoscopy (a camera test inside the bowel) if you have warning signs like blood or weight loss
What to expect at your appointment
Most people do not need any special tests. Your doctor may suggest keeping a bowel diary for a week or two to track your symptoms. They will work with you to find what helps.
Treatment
Treatment focuses on relieving symptoms and preventing them from returning. This often starts with simple lifestyle changes and may include gentle over-the-counter products or prescribed medicines if needed.
Self-care at home
- Drink plenty of water (aim for 6-8 glasses a day)
- Eat more fiber-rich foods like oats, beans, lentils, fruits, and vegetables
- Add fiber gradually to avoid gas and bloating
- Get regular physical activity, such as walking for 20-30 minutes most days
- Set a regular time each day to try to use the toilet, such as after meals
- Don't ignore the urge to go — use the toilet as soon as you feel the need
Medical treatments
If self-care is not enough, a doctor may recommend a gentle stool softener or a bulk-forming laxative for short-term use. These help make stools softer and easier to pass. In some cases, a doctor may prescribe medicines that help the bowel move more regularly. Always follow your healthcare provider's advice and do not use laxatives for more than a few weeks without medical supervision.
When is surgery considered?
Surgery is rarely needed for constipation that comes and goes. It may be considered only if there is a physical problem like a blockage or severe damage to the bowel, and only after other treatments have failed.
Living with this condition
Living with intermittent constipation often means adjusting your daily habits. You may need to plan meals with fiber, stay active, and give yourself time to relax. Keeping a simple diary of when symptoms happen can help you and your doctor find patterns.
Lifestyle tips
- Eat meals at regular times and chew food well
- Stay active with gentle exercises like walking, yoga, or swimming
- Consider using a small step stool to put your feet up while on the toilet (this can help with the angle)
- Manage stress with deep breathing, meditation, or talking to a friend
Diet and exercise
A diet rich in fiber (aim for 25-30 grams per day) and plenty of water are key. Good sources include whole grains, bran, oats, berries, apples, pears, carrots, and pulses like beans and lentils. Physical activity helps move waste through your bowel, so even a short daily walk can make a difference.
Mental health and emotional wellbeing
Constipation that comes and goes can feel frustrating and embarrassing. It may cause anxiety about using public toilets or planning trips. These feelings are normal. Talking to a healthcare professional or a counselor can help. You are not alone.
Prevention
For many people, constipation that comes and goes can be prevented or reduced by staying hydrated, eating a high-fiber diet, staying active, and responding to the urge to go. However, some causes (like medication side effects or medical conditions) may not be fully preventable.
Complications
If left untreated
- Hemorrhoids (swollen veins in the rectum) from straining
- Anal fissures (small tears) that can cause pain and bleeding
- Fecal impaction (hard stool stuck in the bowel that needs medical treatment)
- Abdominal discomfort and bloating that can affect daily life
Long-term outlook
The outlook is very good. With simple lifestyle changes and, if needed, short-term treatment, most people see improvement. Even if symptoms come back, you can manage them with the help of your healthcare team. Constipation does not usually lead to serious health problems.
Find support
International organisations
Local organisations
- NHS ↗ · UK
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
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Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 30, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.