By A MIDWESTERN DOCTOR

Tools for ending the silent epidemic of constipation

Story at a Glance:

•It’s everywhere, but no one talks about it: Constipation is widespread, yet medicine is often at a loss over what to do, to the point 14% of American adults have constipation with no known cause. Because of this, treatments vary widely, and 62% of constipated patients are too embarrassed to discuss the topic with their doctors.

•The medical system often makes it worse: Nearly half of patients end up getting colonoscopies they don’t need, and many become hooked on laxatives that damage their gut function over time—creating a vicious cycle where you need more and more just to go.

•It’s not just uncomfortable—it’s actually dangerous: Chronic constipation disrupts your gut bacteria, leaves you exhausted, and significantly raises your risk for numerous severe diseases and sends nearly 100,000 Americans to the hospital every year.

•We’re missing the obvious culprits: Things like dairy (especially in kids), gluten sensitivity, low thyroid, anxiety, and even common medications are major triggers—but doctors rarely investigate these connections, instead just labeling most cases as “cause unknown.”

•Our modern lifestyle is working against us: Sitting all day freezes natural gut movement, we ignore our body’s signals to go, and, most importantly, sitting on toilets instead of squatting makes it much harder to have regular bowel movements.

•Real solutions require looking deeper: Instead of just pushing more fibre and laxatives, we need to address the real causes of constipation.

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