Constipation and changes in bowel habit

Overview

Constipation can mean passing stool less often, straining, or passing stool that is hard or lumpy. Some people feel that the bowel has not emptied fully. Your own usual pattern is useful context: a change matters even if someone else describes a different normal routine.

Bowel symptoms can be difficult to discuss, but clear everyday language is enough. Tell the doctor what has changed, how long it has been happening and what concerns you. You do not need to explain the cause before asking for help, and a new change should not automatically be attributed to diet.

By video

A video consultation may provide a setting to review a non-urgent history, current medicines and what you have already tried. The doctor can consider whether the available information is sufficient for advice or whether the problem needs an examination or tests.

The detail of your experience helps. Explain the difference between being unable to pass stool, passing small amounts with difficulty and feeling that something is left behind. Mention discomfort or bleeding directly rather than waiting to be asked. A short written timeline can make an awkward conversation more manageable.

By telephone

A telephone discussion can cover changes in your usual bowel habit, diet, medicines and symptoms elsewhere. The doctor may recommend examination or tests rather than assuming that a new bowel change is simple constipation.

What cannot be done remotely

A video appointment cannot examine your abdomen or perform a rectal examination. It is not a way to rule out serious causes of a persistent bowel change. An examination, investigations or continuing review may be needed, particularly when there are additional symptoms.

This is a proposed information page for adult consultations. It does not establish that every presentation can be managed through Clinique Alpa. Avoid delaying appropriate assessment while repeatedly trying different products. Do not stop prescribed medicines yourself because you suspect they are contributing; discuss this with a clinician.

What to prepare

• Note your usual bowel pattern, the current change and when it started.
• Describe stool consistency, straining, discomfort, bloating and whether you can pass wind.
• Mention any blood, unexpected weight loss, persistent tiredness or previous bowel condition.
• List medicines and supplements, including recent changes and anything taken for constipation.
• Explain changes to eating, drinking, activity or routine, without assuming they explain every symptom.
• Tell the doctor what advice you have previously received and whether there was a plan for review.

Sources

• NHS: constipation
• NHS: stomach ache
• GMC: remote consultations

Related guides

• Indigestion and heartburn