The second type of constipation, namely dyschezic, is caused by difficulty or inability to defecate completely. In other words, the rectum is always filled with faeces even immediately after defecation. This is caused either by insufficient functioning of the defecation reflex and muscles or by an obstruction in the region of the rectum. This obstruction is often a foreign object; in fact such strange things as spoons and forks and cigarette lighters have been found to be the cause of this form of constipation.
Probably the most common cause of inefficient defecation is an habitual tendency to ignore the natural urge to go to the toilet, which may be caused by lack of time or privacy and by unpleasant surroundings. Under these circumstances one should make efforts to change their habits or environment if possible. There are many other causes of constipation, but the ones we have mentioned are the most frequent.
Constipation is aggravated by fear of its consequences. Also some people if they fail to defecate strictly according to their normal routine immediately start to take steps to remedy what they think is a serious state of constipation. Both these situations encourage the excessive use of laxatives. Though the use of laxatives may be necessary they should be avoided as much as possible. Laxatives in general tend to violently empty the bowels and in the long run detract from its natural functioning. Try to use mild laxatives in preference to more drastic types, if you must use laxatives at all.
If you are or have been an habitual user of laxatives and you suddenly stop, don’t expect to have the same movement that you obtained through the use of laxatives. You must almost expect no bowel movement for a few days since the bowels are totally empty; don’t immediately assume that you are once more constipated. There will be a normal movement only when the bowels are sufficiently filled.