Constipation

What is it?

Constipation is an alteration of intestinal transit that can present as difficulty passing stool, a feeling of incomplete bowel evacuation, excessive straining, or decreased bowel movement frequency.

Although it is often only associated with diet, bowel function also depends on the coordination between the nervous system, the diaphragm, the abdominal musculature, the pelvic floor, and visceral mobility.

Most Common Symptoms

• Difficulty passing stool.

• Sensation of incomplete bowel evacuation.

• Decreased frequency of bowel movements.

• Excessive straining during evacuation.

• Sensation of abdominal heaviness.

• Bloating or digestive discomfort.

Why does it occur?

Constipation can be related to various factors:

• Chronic stress.

• Nervous system dysregulation.

• Decreased physical mobility.

• Alterations in abdominal or pelvic floor muscle tone.

• Changes in daily habits.

• Impaired coordination between breathing, the abdomen, and bowel movements.

The Importance of the Digestive System and Movement

The bowel requires movement, coordination, and proper regulation of the nervous system to function correctly.

The mobility of the diaphragm, the viscera, and the pelvic floor directly influences digestive function. Therefore, physiotherapy treatment aims to improve the mobility of these tissues, promote more efficient breathing, and optimize nervous system regulation, including targeting the vagus nerve when indicated.

Therapeutic Approach

Treatment may include:

• Visceral therapy.

• Respiratory re-education.

• Diaphragmatic release and training.

• Adapted hypopressive exercises.

• Nervous system regulation techniques.

• Education on habits and physical movement.

Treatment Goals

• Promote intestinal transit.

• Improve abdominal and visceral mobility.

• Optimize diaphragm and pelvic floor function.

• Regulate the nervous system response.

• Reduce abdominal tension.

• Promote overall digestive well-being.