A patient may be having chronic constipation if they have two or more of the following symptoms persisting for more than months:
Piles: this is the most common complication of constipation.
Anal fissures: fissures are tears in the walls of the rectum, leading to pain and discomfort. They get worse by dry, hard stools.
Faecal impaction: faecal impaction can sometimes lead to a number of other complications, including swelling of the rectum, loss of sensation and a lack of control over urine and stools or rectal prolapse.
The patient must look for the following associated alarming signs:
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