I'm A Gastroenterologist: Here Are The 2 Main Reasons You're Constipated

Virtually 100% of patients with constipation have gas and bloating. It's the most common manifestation of inadequate evacuation. But there are a number of other symptoms that are quite common with constipation: abdominal pain virtually anywhere in the abdomen, nausea or queasiness, getting full quickly after a meal, loss of appetite or food aversion, even acid reflux. There's often fatigue and sometimes brain fog. Many of my patients will show me a photo of themselves at 7 a.m.

It's for this reason that I review all imaging studies myself so that I can connect what I'm seeing with my own eyes to the story that my patient is describing for me. Nearly everyone with constipation will also experience food sensitivities. These sensitivities are typically pretty nonspecific, meaning that they are sensitive to many different foods and also there doesn't seem to be a reproducible pattern to the symptoms. The problem in this case is the constipation and generally not the food itself. These food sensitivities will improve, and many times completely disappear, when the constipation is adequately treated.

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