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Types of Functional Constipation

What is Functional Constipation?

It is a medical condition or causes medication that you take or your body’s waste discharge system is not in work as it should, is called functional constipation. It is constipation not caused by something else, & it is more common in young children & older adults.

Types of Functional Constipation

Functional constipation can be divided into three different types:

  • normal transit,
  • slow transit, &
  • outlet constipation.

Possible causes of Functional constipation include medication use, as well as medical conditions, like hypothyroidism or irritable bowel syndrome.

Normal transit constipation:

Normal transit functional constipation is the most common. When you have this, muscles in colon squeeze & relax the way they should: not too fast & not too slow. The waste moves at the right speed. Still, stool may be hard & challenging to pass. You may have belly pain or bloating, too.

Normal transit functional constipation usually gets better by eating extra fiber-rich foods or by spending a certain type of laxative.

Slow transit constipation:

Slow transit functional constipation means the colon is not moving waste fast enough. Doctors do not know exactly why this happens. But it could be because your nerves are not signaling colon muscles to move the way they should.

Signs of this type of constipation include:

  • Non-feeling the need to go to the washroom.
  • Pooping less than once a week
  • Passing dry, hard stools
  • A bloated or painful belly

This type is more common in young women. Doctors are not sure why.

Outlet Functional constipation

Laxatives & fiber may not work for outlet functional constipation, but behavioral training (biofeedback) may relieve. Surgery may also be an option. Once the diagnosis affirmed & medical management has failed, there are several treatment options.

  • Biofeedback,
  • sacral nerve stimulation,
  • segmental colectomy, &
  • subtotal colectomy with various anastomoses has all been used.

Of those treatments, a subtotal colectomy with ileorectal anastomosis is often useful with the data to support its use.


Defecation disorders:

It takes coordinated muscle movements in the pelvic floor to move stool out of the body. These muscles, including anal sphincter, necessity to relax at the right time for poop well. If you have this type of constipation, you may feel the need to go but have a hard time doing it. It may be painful.

You may have this problem if you:

  • Spend a lot of time on the toilet straining & pushing to move bowels
  • Use fingers to get the stool out or use enemas frequently.
  • Laxatives or fiber supplements do not relieve constipation.

Men, women, & children with this type often have haemorrhoids, cracks here & there the anus called fissures, & hard, shape stools. These problems need treatment because they can make it even more difficult & painful to go.

It is not clear-cut what brings this type of constipation on, but it most treated with behavioral & rest exercise. Dyssynergic defecation treatment consists of

  •  standard treatment for constipation,
  •  biofeedback therapy, &
  •  other measures, including botulinum toxin injection, myectomy, or ileostomy.

Biofeedback treatment has suggested as the first-line of treatment for dyssynergic defecation. Here, we supply an overview of a load of illness & pathophysiology of dyssynergic defecation, & how to identify & treat this condition with biofeedback treatment.

Read in detail


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