How to Manage Chronic Constipation

Diet is critically important. It’s not just what you eat, but also when and how often you eat. If you are experiencing infrequent bowel movements (missing days), hard stools, or incomplete evacuation (feeling like you still need to go), start with the basics:

• Drink plenty of water
• Gradually increase both soluble and insoluble fiber
• Maintain regular physical activity
• Establish a consistent eating pattern, beginning with breakfast
• Try using a footstool on the toilet to help properly align your rectum

What Is Chronic Constipation?

Constipation is so common that it is easy to ignore. However, for many people, occasional irregularity can develop into a chronic condition—and it rarely happens overnight.

Constipation is not a single-symptom disorder. In addition to infrequent bowel movements, symptoms may include excessive straining, hard stools, the need to use your fingers to assist bowel movements, or the sensation of a blockage or incomplete evacuation.

Common Causes of Constipation

Constipation develops when something inside or outside the digestive tract interferes with normal bowel function. Common causes include:

• A low-fiber diet
• Limited physical activity
• Medical conditions
• Medications
• Pelvic floor dysfunction
• Irritable bowel syndrome (IBS)
• IMO (intestinal methanogen overgrowth), a microbiome-related condition

Long Island Dietitian Recommendations to Improve Digestive Health

Diet plays a major role in achieving and maintaining normal bowel function. While the primary factors include adequate fiber (both soluble and insoluble), proper hydration, and healthy gut movement, additional recommendations may include:

• Following a consistent meal plan
• Increasing physical activity
• Choosing foods that promote healthy bowel function
• Using supplements when appropriate
• Addressing shy bowel syndrome
• Using a squatting position during bowel movements

As a Registered Dietitian Nutritionist (RDN) who has worked with patients throughout Long Island and the New York area for more than 30 years, I can help you normalize your bowel movements. By understanding the underlying causes of your constipation and identifying effective treatment strategies, I can develop a personalized meal plan and nutrition program designed specifically for you.

I provide online nutrition therapy to help individuals implement sustainable, healthy eating habits. Together, we create a plan that considers your unique needs, favorite foods, and family traditions while incorporating practical dietary and lifestyle strategies that support digestive health and overall wellness.