A:
You would be surprised at how many people have this sort of bowel irregularity.
Still, gastroenterologists consider three or more bowel movements a week normal. The fact that you usually have only two would place you in the constipation range.
At a doctors visit, you would be asked a set of questions to make sure that your constipation isnt from something serious, such as a colon cancer that is blocking your bowels. Your doctor might ask:
- Do you have blood in your stool?
- Have you noticed any unexplained weight loss?
- Is the constipation of recent onset?
- Is the constipation getting worse week by week?
Your doctor might also order a blood test to rule out an underactive thyroid. That could cause a sluggish bowel as well.
If none of these apply to you, I would say your constipation is functional, meaning no medical causes that can be identified. This constipation is not caused by a large colon. But the colon might swell over time from of retained stool.
You did not ask about treatment, so I assume youre not having lower discomfort or pain that is interfering with your daily activities in any way. But if this were the case, try an over-the-counter medicine for relief. There are a range of them: stool softeners (i.e. Colace), saline cathartics (i.e. milk of magnesia, Miralax) and stimulant cathartics (i.e. Senokot, Dulcolax). If your symptoms are extreme and wont go away, talk with a gastroenterologist.