Constipation

There are actually two different kinds of constipation and treatment varies depending on which one you have (or you may have both):

1. Peristaltic Constipation

This type of constipation can consist of many different symptoms or factors, but the defining elements are as follows:

You just don’t often (or rarely, never) feel the urge to have a bowel movement. You can have stool building up in your colon for days, but no urge or urgency to poo.
If you’ve been constipated for a long time, this build up of stool may not even be uncomfortable anymore.
When you do have a bowel movement, your stool is large and fairly wide. Even if it is in hard balls, the diameter can be larger than half an inch.

2. Stenosis Constipation

The name for this type is based upon the medical label of anal stenosis (narrowing, tightness or stricture of the anal canal). Stenosis constipation means that:

You often feel the urge to defecate. In some cases, the urge can be frequent or continual. You may even feel the stool pushing against your anus, but when you try to poo, it is very difficult to pass stool and sometimes nothing comes out.
If you’ve had this type of constipation for a long time, then your urge to defecate may have greatly lessened, if not disappeared (remember the bowel is easily trained), however, passing stool is still extremely difficult and your anus/rectum can spasm and be very tight, small.
When you do manage to pass stool, the stool is very narrow. Sometimes only the width of a flattened pencil. You strain and push mightily and it may feel like you’re passing a huge stool, but when you look in the toilet there’s only a very narrow or small amount of stool. Stool can be soft, hard, balls, or cylinders, but rarely larger than 1/4 inch – 1/3 inch in diameter and the maximum diameter is 1/2 inch.

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