How Can Constipation Cause Pelvic Pain?

How Can Constipation Cause Pelvic Pain?

Constipation and pelvic pain are common conditions that affect many individuals, leading to significant discomfort and distress. Often, people wonder, “Can constipation cause pelvic pain?” The short answer is yes, it can. Understanding the connection between these two conditions is crucial for effective management and relief. This blog explores the relationship between constipation and pelvic pain, highlighting the causes, symptoms, and treatment options.

What is Constipation?

Constipation is a common and sometimes complex condition characterized by infrequent or difficult bowel movements. It often results in hard, dry stools and can cause significant discomfort. Typically, having fewer than three bowel movements a week is considered constipation. Chronic constipation can range from occasional, mild discomfort to severe pain that interferes with daily activities and overall well-being. Constipation is a prevalent issue affecting individuals of all ages across the United States. Approximately 16 out of every 100 adults experience symptoms of constipation, and this number increases to about 33 out of every 100 adults aged 60 and older.

Common Causes of Constipation

Understanding the underlying causes of constipation is essential for addressing the condition effectively. Constipation can arise from a variety of factors, which may range from lifestyle choices to medical conditions. Identifying these causes is crucial, as it allows individuals to implement targeted solutions to alleviate their symptoms. In this section, we will explore some of the most prevalent causes of constipation and how they contribute to the likelihood of experiencing pelvic pain.

  • Dietary Habits: A diet low in fiber and insufficient water consumption can lead to constipation. Fiber helps to bulk up stools and promote regular bowel movements.
  • Lifestyle Factors: Lack of physical activity can slow down bowel movements, leading to constipation. Regular exercise is essential for maintaining bowel health.
  • Medications: Certain medications, such as painkillers, antidepressants, and antacids containing aluminum and calcium, can cause constipation.
  • Medical Conditions: Conditions like irritable bowel syndrome (IBS), diabetes, and hypothyroidism can affect bowel movements. Functional constipation is often seen in people with these underlying conditions.
  • Changes in Routine: Travel, pregnancy, aging, and stress can disrupt regular bowel habits, leading to constipation.
  • Health Conditions: Conditions like inflammatory disease, pelvic floor disorder, and pelvic floor muscle dysfunction can also contribute to constipation.

The Connection Between Constipation and Pelvic Floor

The Connection Between Constipation and Pelvic Floor

The pelvic floor is a group of muscles and connective tissue that support the pelvic organs, including the bladder, intestines, and uterus in women. These muscles play a vital role in bowel movements, urinary function, and sexual health. Constipation can put excessive strain on the pelvic floor muscles, leading to discomfort and pain. Notably, nearly half of all men and women dealing with chronic constipation also face problems related to their pelvic floor.

How Can Constipation Cause Pelvic Pain?

Pelvic pain from constipation occurs when the buildup of stool in the intestines creates pressure on the pelvic floor muscles. This pressure can cause the muscles to spasm or weaken over time, leading to pelvic pain. Additionally, straining during bowel movements can further aggravate the pelvic muscles and nerves, resulting in discomfort and pain in the pelvic region. This connection can lead to a range of symptoms, including abdominal pain, rectal pain, and pain during intercourse.

Symptoms of Constipation-related Pelvic Pain

Understanding the symptoms associated with constipation-related pelvic pain is crucial for early identification and management. Many individuals may not realize that their pelvic discomfort is linked to bowel issues. The pain can manifest in various ways, affecting daily activities and overall quality of life. In this section, we will explore the common signs and symptoms that may indicate a connection between constipation and pelvic pain, helping to shed light on this often-overlooked relationship. Symptoms of constipation related to pelvic pain can vary but often include:

  • A feeling of fullness or pressure in the pelvic area: This is due to the buildup of stool and gas in the intestines.
  • Pain or discomfort during bowel movements: Straining can cause severe pain in the anal sphincter and pelvic floor muscles.
  • Persistent, dull ache in the lower abdomen or pelvic region: Chronic pain can develop due to prolonged pressure on the pelvic muscles.
  • Bloating and gas: These symptoms often accompany constipation and can exacerbate pelvic pain.
  • Pain during sex: Pelvic pain syndrome can lead to discomfort and sharp pain during intercourse.
  • Urinary tract infections: Constipation can put pressure on the bladder, increasing the risk of infections.

Treatment Options for Constipation and Pelvic Pain

Finding relief from constipation-related pelvic pain is essential for restoring comfort and improving quality of life. Many individuals may feel overwhelmed by their symptoms and unsure of where to turn for help. Fortunately, various treatment options are available to address both the constipation and the associated pelvic pain. This section will delve into dietary changes, lifestyle modifications, medical interventions, and other therapeutic approaches that can help alleviate discomfort and promote digestive health. 

  • Dietary Changes: Increasing fiber intake through fruits, vegetables, whole grains, and legumes can help soften stools and promote regular bowel movements. Avoiding foods that exacerbate constipation, such as dairy products, red meat, and processed foods, is also beneficial.
  • Medications: Over-the-counter pain relievers and laxatives or prescription medications may be necessary in some cases. Always consult with a healthcare provider before starting any medication.
  • Pelvic Floor Therapy: Physical therapists specializing in pelvic floor physical therapy can help strengthen these muscles and reduce pain. Techniques may include exercises to improve muscle control and biofeedback.
  • Lifestyle Modifications: Regular exercise and stress management techniques, such as yoga and meditation, can improve bowel function and reduce pelvic pain.
  • Hydration: Drinking plenty of water is essential for preventing constipation and maintaining overall bowel health.

Strategies to Prevent Constipation and Pelvic Pain

Strategies to Prevent Constipation and Pelvic Pain

Preventing constipation and the associated pelvic pain involves a proactive approach to maintaining digestive health. By incorporating specific lifestyle habits and dietary choices, individuals can significantly reduce their risk of developing discomfort related to constipation. 

Dietary Changes

High Fiber Diet

Consuming a diet rich in fiber can help maintain regular bowel movements. Foods like fruits, vegetables, whole grains, and legumes are excellent sources of fiber. Fiber adds bulk to the stool and promotes healthy digestion.

Take Time to Chew Your Food

Chewing food thoroughly aids digestion and helps prevent constipation. Taking the time to eat slowly and mindfully can make a significant difference in bowel health.

Foods to Avoid

Certain foods can exacerbate constipation, such as dairy products, red meat, and processed foods. Limiting these can help maintain bowel regularity and prevent constipation pelvic pain.

Hydration

Staying well-hydrated is essential for preventing constipation. Water helps soften stools, making them easier to pass. Aim to drink at least eight glasses of water a day to promote healthy digestion and prevent pelvic pain from constipation.

Regular Exercise

Physical activity stimulates bowel movements and can help prevent constipation. Incorporating activities like walking, swimming, or yoga into your routine can improve overall digestive health and reduce the risk of pelvic floor muscle dysfunction.

Conclusion

Constipation and pelvic pain are closely linked, with one often exacerbating the other. By understanding this connection and implementing strategies to manage and prevent constipation, individuals can find relief from pelvic pain and improve their overall quality of life. Addressing these issues requires a comprehensive approach, including dietary changes, regular exercise, and proper hydration.

At Continuous Motion Physical Therapy, we specialize in providing comprehensive care for individuals suffering from constipation-related pelvic pain. Our expert team is dedicated to improving your quality of life through personalized pelvic floor therapy. By addressing the root causes of pelvic floor dysfunction, our targeted treatment plans and specialized exercises for pelvic pain effectively alleviate discomfort and enhance overall pelvic health.

FAQ’S

Can constipation hurt your pelvis?

Yes, constipation can cause pressure and pain in the pelvic region due to the buildup of stool and the strain during bowel movements. This can lead to pelvic floor muscle dysfunction and chronic pain in women and men.

Can pelvic pain be bowel related?

Absolutely. Issues with bowel movements, such as constipation, can lead to pelvic pain due to the strain and pressure on the pelvic floor muscles. Conditions like interstitial cystitis and pelvic organ prolapse can also contribute to pelvic pain.

Where is constipation pain felt?

Constipation pain is typically felt in the lower abdomen and pelvic region. It may also cause a feeling of fullness, bloating, and discomfort in the rectal area. Chronic constipation can lead to persistent abdominal pain and discomfort.

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Dr. Cameron Moore

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Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Dr. Meredith Wall, PT, DPT FAFS, Cert. DN

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Dr. Meredith Wall, physical therapist, grew up as a competitive athlete in basketball, gymnastics, soccer and volleyball. After sustaining an ankle injury and going to rehab as a young athlete, she instantly fell in love with learning about sports injuries and rehabilitation. This led her to major in Exercises Science at Grand Valley State University. After she graduated in 2010, she immediately pursued physical therapy to ultimately achieve her lifelong goals of becoming a physical therapist. She earned a Doctorate in Physical Therapy from Grand Valley State University in 2013, graduating as a member of the Phi Kappa Phi Honor Society recognizing individuals with outstanding GPA in a college graduate program.

Dr. Wall continued her educational pathway through the Gray Institute receiving a fellowship in Applied Functional Science (FAFS). A FAFS is only obtained by a select number of practitioners, who deliver optimal care through the diagnosis and treatment of functional human movement. She also became Certified in Dry Needling (Cert. DN) in 2017, is trained in the McKenzie Method to treat spinal pain, and most recently has become specialized in Pelvic Floor Rehabilitation. This specialty area allows her to treat women across the lifespan dealing with incontinence, diastasis recti, pelvic pain, and pain during or after pregnancy.

Dr. Wall’s special interests include diagnosing and treating active patients across the lifespan to help them return to optimal function. In her spare time, she enjoys Crossfit®, running, coaching youth sports, and traveling with her husband and three sons.

Dr. Meredith Wall’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of Applied Functional Science (FAFS)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

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Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

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Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified