Red flags & when to go in person for Constipation

Audience: adult

Constipation is a common condition where bowel movements become infrequent or difficult. Many people manage constipation at home with diet changes, fluids, and over-the-counter remedies. Telemedicine can help provide advice and support for mild to moderate constipation. However, some symptoms may signal a more serious problem that needs in-person medical attention. This guide explains when to seek urgent care, what signs to watch for, and how telemedicine can assist safely. It also offers tips to prepare for a telemedicine visit and what to expect afterward. Remember, this information is for education only and not a substitute for professional diagnosis or treatment.

Red flags — go in person / ER

• Severe abdominal pain or cramping that does not improve — go to emergency care immediately.
• Blood in stool or black, tarry stools — seek urgent in-person evaluation.
• Persistent vomiting or inability to pass gas or stool — urgent medical attention needed.

What telemedicine can do

• Mild to moderate constipation without red flag symptoms
• Advice on diet, hydration, and lifestyle changes
• Guidance on safe use of over-the-counter laxatives
• Monitoring symptom progress and follow-up

What telemedicine cannot do

• Severe abdominal pain or signs of bowel obstruction
• Presence of blood in stool or unexplained weight loss
• Persistent vomiting or inability to pass stool or gas
• Suspected serious underlying conditions requiring physical exam or imaging

What is Constipation?

Constipation means having fewer bowel movements than usual, or stools that are hard, dry, and difficult to pass. It often causes discomfort, bloating, and a feeling of incomplete emptying. Causes include low fiber diet, dehydration, lack of exercise, certain medications, and some medical conditions. Most people experience constipation occasionally and it usually improves with simple lifestyle changes.

When to Use Telemedicine for Constipation

Telemedicine can help if you have mild constipation without worrying symptoms. A healthcare provider can give advice on diet, fluids, exercise, and safe use of laxatives. They can also help identify possible causes and recommend tests if needed. Telemedicine is a convenient way to get guidance without leaving home, especially if you have no urgent symptoms.

Red Flags That Need In-Person Care

Some symptoms may mean constipation is a sign of a serious condition. Seek in-person care if you experience:

These signs require physical examination and possibly urgent tests.

Preparing for a Telemedicine Visit

To get the most from your telemedicine appointment:

After Your Telemedicine Visit

Follow the advice given by your healthcare provider. This may include:

Keep track of your symptoms and report any worsening promptly.

How to prepare for your tele-visit

• Record how long constipation has lasted
• Note frequency and appearance of bowel movements
• List any additional symptoms (pain, bleeding, weight changes)
• Prepare a list of current medications and supplements
• Find a quiet, private place with good internet or phone connection
• Write down questions or concerns to discuss

After your tele-visit

• Follow dietary and fluid intake recommendations
• Use laxatives or stool softeners as advised
• Monitor symptoms and bowel habits
• Schedule follow-up telemedicine or in-person visits if needed
• Seek immediate care if red flag symptoms develop

FAQs

What causes constipation?

Constipation can be caused by not eating enough fiber, dehydration, lack of exercise, certain medications, or medical conditions affecting the digestive system. Sometimes stress or changes in routine can also contribute.

How long is it safe to manage constipation at home?

If constipation lasts less than two weeks and you do not have red flag symptoms, it is often safe to try home remedies like increasing fiber and fluids. If symptoms persist beyond two weeks or worsen, see a healthcare provider.

Can telemedicine diagnose serious causes of constipation?

Telemedicine can help assess symptoms and suggest next steps, but it cannot perform physical exams or tests needed to diagnose serious conditions. If red flags are present, in-person evaluation is necessary.

What should I do if I see blood in my stool?

Blood in stool can be a sign of a serious problem. You should seek in-person medical care promptly for evaluation and treatment.

Are laxatives safe to use?

Laxatives can be safe when used as directed for short periods. However, overuse or misuse can cause problems. Always follow healthcare advice and do not use laxatives long term without medical supervision.

Sources

1. Constipation — MedlinePlus, U.S. National Library of Medicine.
2. Constipation: Symptoms and Causes — Mayo Clinic.
3. Constipation — Centers for Disease Control and Prevention (CDC).
4. Constipation: Diagnosis and Treatment — Merck Manuals Consumer Version.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or before starting any new treatment.