
While it may seem humorous to some, constipation is a serious issue that can cause back pain. The back pain caused by constipation can be quite uncomfortable and may leave you feeling bloated, gassy, and uneasy. When the bowels get blocked, it can increase pressure on the internal organs, local tissues, and nerves in your lower back, leading to a dull, heavy ache. This can be treated by drinking water, eating high-fiber foods, and exercising. If the pain lasts longer than a few weeks, it is recommended to seek medical advice.
| Characteristics | Values |
|---|---|
| Can having to defecate badly cause back pain? | Yes, constipation can lead to back pain. |
| How does constipation cause back pain? | When the bowels get backed up, they can increase pressure on the internal organs, local tissues, and nerves in the lower back. |
| What are the symptoms of constipation? | Abdominal pain, bloating, cramping, rectal bleeding, urinary changes, and dizziness. |
| What are the negative effects of constipation? | Brain fog, mental health changes, and disruption of gut health. |
| What are some treatments for constipation? | Drinking water, eating high-fiber foods, and exercising. |
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What You'll Learn

Constipation can cause back pain
Constipation can be an uncomfortable and embarrassing issue, but it need not remain that way. It is a leading cause of back pain and can leave you feeling bloated, gassy, and uncomfortable. When you are constipated, your bowels get blocked up, and this excess stool buildup puts extreme pressure on the rectum, which can lead to lower back pain. This pressure can also affect the internal organs, local tissues, and nerves in your lower back, leading to fullness, aching, and discomfort in your trunk.
The pain starts in your lower back and spreads to the rest of your abdomen. It feels like a dull ache at the beginning but can worsen over time if left unattended. The pain can be quite uncomfortable in the lower back and abdomen.
Constipation can also worsen existing conditions like sciatica, adding more fuel to the fire when you're already feeling unwell. It can also lead to the onset of fecal impaction, a severe form of constipation. Fecal impaction is a buildup of dry, hard stool that cannot be passed through the rectum, a serious and often painful condition that requires immediate medical attention.
If constipation is causing your back pain, resolving it should also lessen or eliminate the back pain. Over-the-counter stool softeners, suppositories, and laxatives can help with temporary constipation. For cases of chronic constipation, a doctor can help treat the underlying cause.
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Back pain can cause constipation
Back pain and constipation can be interconnected. While constipation can cause back pain, back pain can also cause constipation.
Constipation Causing Back Pain
Constipation occurs when you have difficulty passing stools or are unable to have a bowel movement. This can lead to a build-up of stool in the colon, which can put pressure on the internal organs, local tissues, and nerves in the lower back, resulting in fullness, aching, and discomfort. This pressure can also cause the intestines to swell, leading to bloating and discomfort. In severe cases, constipation can lead to fecal impaction, a serious condition where a large, dry, hard lump of stool becomes stuck in the rectum. Fecal impaction can cause lower back pain, as well as other symptoms such as dehydration, reduced urination, a swollen belly, low blood pressure, fever, and nausea. It requires immediate medical attention, especially if it starts affecting your breathing or causes dizziness.
Back Pain Causing Constipation
On the other hand, back pain can also contribute to constipation. Back pain may affect your ability to exercise, and a lack of physical activity can lead to constipation. Additionally, certain medications used to treat back pain-related diseases can impact bowel function and cause constipation. Furthermore, conditions such as interstitial cystitis (IC), which causes pain in the bladder, lower abdomen, and lower back, can affect the nerves in the gut, slowing down digestion and leading to constipation.
Treatment Options
If you are experiencing constipation and back pain, there are several treatment options available. For temporary constipation, over-the-counter stool softeners, suppositories, and laxatives can be helpful. However, for chronic constipation, it is important to address the underlying cause. Dietary and lifestyle changes, such as increasing fiber and water intake, can often resolve constipation. Additionally, physical therapy can be beneficial for both constipation and back pain. If you are experiencing severe constipation and back pain, it is important to consult a healthcare professional for personalized advice and treatment.
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Irritable bowel syndrome and constipation
Constipation can be an underlying cause of back pain. When the bowels get backed up, it can increase pressure on the internal organs, local tissues, and nerves in the lower back, leading to fullness, aching, and discomfort. This can also worsen existing conditions like sciatica.
Constipation is a common symptom of irritable bowel syndrome (IBS), a gastrointestinal disease that affects the intestines. IBS-C, a subtype of IBS, is characterised by hard and lumpy stools. Other symptoms of IBS include diarrhoea, gas, bloating, and abdominal pain. It is classified as a neurogastrointestinal disorder, involving problems with how the gut and brain coordinate to facilitate digestion. This can result in dysmotility, where the GI muscles contract and move food through the GI tract, and visceral hypersensitivity, where the nerves in the GI tract are extra sensitive.
IBS can be managed through medications, diet, and lifestyle changes. It is important to consult a medical professional for a proper diagnosis and treatment plan. Physical therapy can also help provide relief for back pain associated with constipation.
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Fecal impaction and constipation
Fecal impaction is a serious condition wherein hardened stool becomes lodged in the bowel and cannot be passed through the rectum. It is a potential complication of chronic constipation, which is when it is difficult to pass a bowel movement. Fecal impaction can also be caused by problems with the muscles inside the intestines or by a medical condition that slows the contraction of the muscles in the bowel.
Constipation can be caused by a lack of fiber and water in one's diet, as well as a side effect of certain medications. It is also more common among older adults, especially those in nursing homes, due to decreased mobility, neurological disorders, and side effects of medication.
To prevent and treat constipation and fecal impaction, it is recommended to eat plenty of high-fiber foods, such as fruits, vegetables, beans, and whole grains, and to stay hydrated. Regular exercise can also help stimulate the bowels and prevent constipation. In some cases, enemas or laxatives may be necessary to treat fecal impaction.
It is important to note that constipation can be a symptom of more serious conditions, such as colon cancer, and can have other negative effects on one's health, including brain fog, mental health changes, and disruption of gut health. Therefore, it is crucial to seek medical advice if you are experiencing severe symptoms or if constipation does not improve with diet and lifestyle changes.
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Treatment for constipation and back pain
Constipation is a widespread gastrointestinal issue, with at least 2.5 million patients visiting the doctor each year for treatment. It is characterised by irregular, often painful bowel movements, with individuals experiencing three or fewer bowel movements per week. It can leave you feeling bloated, gassy, and uncomfortable.
Constipation can be an underlying cause of back pain. When the bowels get backed up, it can increase pressure on the internal organs, local tissues, and nerves in the lower back, leading to fullness, aching, and discomfort. Straining can also lead to muscle tension or pain.
If constipation is the reason for your back pain, you need to treat the constipation first. This may involve:
- Treating the underlying cause of constipation, such as irritable bowel syndrome (IBS)
- Increasing water intake
- Eating more fibre
- Training your bowel to pass a stool at the same time each day
- Using over-the-counter treatments, such as stool softeners, suppositories, laxatives, and fibre supplements
- Getting prescription medication for constipation, such as lubiprostone, linaclotide, and prucalopride
- Bowel training
- Increasing physical activity
If constipation and back pain are due to an underlying condition, treatments will vary depending on the root cause. If constipation is resolved and back pain persists, they are likely unrelated, and you should talk to your doctor about evaluating your back pain.
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Frequently asked questions
Yes, constipation can cause back pain. When the bowels get backed up, it can increase pressure on the internal organs, local tissues, and nerves in your lower back, leading to discomfort.
Symptoms of constipation include abdominal pain, bloating, cramping, rectal bleeding, dizziness, confusion, and infrequent bowel movements (less than three a week).
There are several ways to relieve constipation and back pain. Drinking water, eating high-fibre foods, and exercising are just a few ways to get relief.
Yes, back pain can also cause constipation. If you have back pain from a pinched nerve or a slipped (herniated) disk, this can make it difficult to pass stool.
If you experience back pain and constipation that lasts longer than a few weeks, contact a healthcare provider. Other signs that you should seek immediate medical care include rectal bleeding, severe back or lower abdominal pain, and incontinence.











































