What causes chronic constipation?

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Question
Hello doctor,
I have been constipated for a long time. I don't understand why, even though I eat a lot of fiber, exercise a lot and drink enough water, I still don't get better. Did the doctor tell you the cause of long-term constipation? I thank you doctor.
Anonymous customer
Answer
Answered by Specialist Doctor I Le Nguyen Hong Tram - Department of Medical Examination & Internal Medicine, Vinmec Nha Trang International General Hospital.
Hello,
With the question “What is the cause of long-term constipation? ", the doctor would like to answer as follows:
The cause of constipation may be due to physical damage in the digestive tract.
Colon diseases: Congenital megacolon, unexplained colon enlargement, chronic colitis, colon polyps, long colon, rectal mucosal prolapse,... Causes outside the digestive system chemicals such as: Due to the influence of endocrine diseases such as diabetes, hypothyroidism, hyperthyroidism causing constipation, long-term constipation leads to prolonged constipation; Diseases and nerve damage are also one of the causes of constipation such as: Constipation after spinal cord injury, cerebrovascular accident, Parkinson's,... Improper diet, Too much or too little fiber can lead to constipation. In addition, not drinking the necessary amount of water or eating foods that are easy to cause constipation such as unripe guava, sapodilla, ... are also factors that cause constipation. Constipation when high fever persists or lying motionless for a long time. Electrolytes play an important role in regulating bodily functions. Disorders of electrolytes are also a cause of constipation,... Effects when using some drugs such as laxatives, drugs that cover the stomach lining, iron-containing drugs,... Sitting habits excessive or frequent exposure to toxic chemicals, typically lead. The psychological habit of being afraid to go out, often holding back from going out, also leads to a change in the body's bowel habits and causes constipation. Therefore, you need to see a Gastroenterologist to find the cause and treat it accordingly.
If you still have questions about the cause of long-term constipation, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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