Constipation And Anxiety
Constipation, such as difficulty having a bowel movement and not having a bowel movement for several days, is a common anxiety disorder symptom.
While many anxious people experience diarrhea as an anxiety symptom, some people can become constipated.
This article explains the relationship between anxiety and constipation.
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Constipation Symptom Descriptions
- The number of bowel movements has decreased in frequency.
- You have trouble having a bowel movement, such as can’t go or straining to go.
- When you do have a bowel movement, the stool is hard, narrow, or small in amount.
- Your bowel movements are difficult and forced.
- You may develop hemorrhoids because of straining to have a bowel movement.
- Even after having a bowel movement, it feels like everything didn’t come out or that you feel you could still go but can’t.
- Because of feeling constipated, you have a swollen belly, belly pain, or that your belly feels unusually full and hard.
- You might also experience throwing up because you are so plugged up.
- You might spend an unusually long time on the toilet yet was unproductive.
- Even though you feel like you have to have a bowel movement, you can’t.
- You find yourself visiting the bathroom numerous times yet having a satisfying bowel movement is illusive.
- Your bowels are plugged up and nothing you do seems to help.
- You feel plugged up day after day, and the bowel movements you do have are forced and incomplete.
To name a few.
This symptom can:
- Occur occasionally, frequently, or persistently.
- Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
- Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
- Range in intensity from slight, to moderate, to severe.
- Occur for a while, subside, then return for no reason.
- Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.
All the above combinations and variations are common.
To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.
The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.
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Causes
Medical Advisory
Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.
Stress, including anxiety-caused stress
Even though stress often results in diarrhea, prolonged anxiousness can have a reverse effect, causing constipation.
For example, chronic stress can have an adverse effect on the body’s stomach and digestive system,[1][2][3][4][5] such as:
- Reduces saliva, which initiates and contributes to healthy digestion and assimilation.
- Reduces stomach acid production, which can adversely affect the overall digestive process.
- Impedes intestinal peristalsis and pendular movements (the normal movements of the intestines that propels and mixes the food matter).
- Tightens stomach and lower abdomen muscles, which can contribute to impeding the normal movements of the intestines.
- Impedes nerves in the digestive system, which can impair the normal digestive process.
- Can change the gut flora in the digestive system, making it less effective.
To name a few.
These changes can affect digestion, which can result in constipation.
Other contributing factors include:
- Many overly anxious people become less physically active, especially as hyperstimulation increases. A reduction in physical activity can slow intestinal movements, which can impair the digestive process.
- Ongoing fatigue can slow metabolism, which can lead to constipation.
- Many overly anxious and stressed people eat fast, processed, and high calorie, low fibre food. These types of foods can burden the digestive process.
- Certain prescription medications, such as antidepressants and anti-anxiety medications, as well as over-the-counter medications can cause constipation as a side effect.
- Certain vitamin and herbal remedies can also cause constipation as side effects, such as iron pills and calcium supplements.
- Not taking in enough fluids each day.
- Not taking in enough fibre foods each day.
- Improper food combining (eating foods in the wrong order).
- Taking antacids for stomach upset, especially those containing calcium or aluminum, can impair the rest of the digestive system.
- If constipation has been problematic, the overuse of laxatives can also result in constipation.
- Taking certain types of painkillers can cause constipation.
- If an anxious person is always on the go and doesn’t make time for regular bowel movements, resisting bowel movements can also cause constipation.
Again, while stress, including anxiety-caused stress, can cause the body to quickly eliminate waste, chronic stress (hyperstimulation) can cause constipation.
Constipation is a common symptom of hyperstimulation.
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Other Factors
Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:
- Recreational drugs
- Stimulants
- Low blood sugar
- Nutritional deficiencies
- Dehydration
- Hormone changes
- Pain
Select the relevant link for more information.
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Treatment
When other factors cause or aggravate constipation, addressing the specific cause can reduce and eliminate it.
When hyperstimulation (chronic stress) causes constipation, eliminating hyperstimulation will bring a return to normal bowel movements.
You can eliminate hyperstimulation by:
- Reducing stress.
- Containing anxious behavior (since anxiety creates stress).
- Regular deep relaxation.
- Avoiding stimulants.
- Regular light to moderate exercise.
- Eating a healthy diet of whole and natural foods.
- Passively accepting your symptoms until they subside.
- Being patient as your body recovers.
Visit our “60 Natural Ways To Reduce Stress” article for more ways to reduce stress.
As the body recovers from hyperstimulation, it stops exhibiting symptoms of hyperstimulation, including constipation.
Symptoms of chronic stress subside as the body regains its normal, non-hyperstimulated health.
However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.
As long as the body is even slightly hyperstimulated, it can present symptoms of any type, number, intensity, duration, frequency, and at any time, including this one.
Even so, since constipation is a common symptom of stress, including anxiety-caused stress, it's harmless and needn't be a cause for concern. It will subside when unhealthy stress has been eliminated and the body has had sufficient time to recover. Therefore, there is no reason to worry about it.
Anxiety symptoms often linger because:
- The body is still being stressed (from stressful circumstances or anxious behavior).
- Your stress hasn't diminished enough or for long enough.
- Your body hasn't completed its recovery work.
Addressing the reason for lingering symptoms will allow the body to recover.
Most often, lingering anxiety symptoms ONLY remain because of the above reasons. They AREN'T a sign of a medical problem. This is especially true if you have had your symptoms evaluated by your doctor and they have been solely attributed to anxiety or stress.
Chronic anxiety symptoms subside when hyperstimulation is eliminated. As the body recovers and stabilizes, all chronic anxiety symptoms will slowly diminish and eventually disappear.
Since worrying and becoming upset about anxiety symptoms stress the body, these behaviors can interfere with recovery.
Passively accepting your symptoms – allowing them to persist without reacting to, resisting, worrying about, or fighting them – while doing your recovery work will cause their cessation in time.
Acceptance, practice, and patience are key to recovery.
Keep in mind that it can take a long time for the body to recover from hyperstimulation. It's best to faithfully work at your recovery despite the lack of apparent progress.
However, if you persevere with your recovery work, you will succeed.
You also have to do your recovery work FIRST before your body can recover. The cumulative effects of your recovery work will produce results down the road. And the body's stimulation has to diminish before symptoms can subside.
- Reducing stress.
- Increasing rest.
- Faithfully practicing your recovery strategies.
- Passively accepting your symptoms.
- Containing anxious behavior.
- Being patient.
These will bring results in time.
When you do the right work, the body has to recover!
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Short-term strategies
Even though eliminating chronic stress (hyperstimulation) can eliminate anxiety-caused constipation, some people have found the following strategies helpful in reducing incidences of constipation.
However, keep in mind that each person can have a unique symptom experience since each person is somewhat physically, chemically, psychologically, and emotionally unique. What might work for one person might not for another.
- Increasing physical activity can release tight stomach and abdomen muscles, which in turn can allow the return of normal intestinal movement.
- Increasing fluid intake is one of the most important. When the body is sufficiently hydrated, the intestines have sufficient fluids for normal digestion and assimilation.
- Make healthy food choices. Natural and raw foods, such are raw fruits and vegetables, that are high in fibre can prevent constipation.
- Regular deep relaxation can reduce body tension, allowing the intestines to function normally.
- Increasing exercise can increase metabolism, which can also have a positive effect on the intestines. But one needs to ensure this increase isn’t too dramatic as to cause an elevation in anxiety symptoms.
- Change your food combining order so that simple foods are eaten first then followed by more complex foods, such as proteins. Eating foods in the right order can enhance the digestive process.
- Over-the-counter stool softeners can also be helpful in overcoming a bout of constipation.
If you’ve tried many or all of the above and are still experiencing persistent constipation, you may want to connect with Liliana Tosic, our recommended Nutritional Science Practitioner. She could provide an assessment and make recommendations for healthy change.
Moreover, you may want to talk with your doctor. A medication change could be required if medication is a factor.
Nevertheless, eliminating hyperstimulation and adopting a healthy lifestyle should eliminate issues with constipation.
Therapy
Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.[6][7][8]
Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.
Addressing Level Two recovery can help you:
- Contain anxious behavior.
- Become unafraid of anxiety symptoms and the strong feelings of anxiety.
- End anxiety symptoms.
- Successfully address the underlying factors that so often cause issues with anxiety.
- End what can feel like out-of-control worry.
All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training gives them insight other therapists don't have.
If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.
Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry.
In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.
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Common Anxiety Symptoms
Additional Resources
- For a comprehensive list of Anxiety Disorders Symptoms Signs, Types, Causes, Diagnosis, and Treatment.
- Anxiety and panic attacks symptoms can be powerful experiences. Find out what they are and how to stop them.
- How to stop an anxiety attack and panic.
- Free online anxiety tests to screen for anxiety. Two minute tests with instant results. Such as:
- Anxiety 101 is a summarized description of anxiety, anxiety disorder, and how to overcome it.
Return to our anxiety disorders signs and symptoms page.
anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including constipation as an anxiety symptom.
References
1. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 2017.
2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.
3. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.
4. Teixeira, Renata Roland, et al. “Chronic Stress Induces a Hyporeactivity of the Autonomic Nervous System in Response to Acute Mental Stressor and Impairs Cognitive Performance in Business Executives.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2015.
5. Devanarayana, Niranga Manjuri, and Rajindrajith, Shaman. "Association between Constipation and Stressful Life Events in a Cohort of Sri Lankan Children and Adolescents." Journal of Tropical Pediatrics, 20 August 2009.
6. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.
7. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.
8. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.