How to Treat Severe Constipation – Is Colon Cleansing Necessary?

Severe constipation may require medical intervention such as enema therapy. When bowel movements are infrequent and stools become hard and dry, they often accumulate in the rectum, which is located close to the anus. The rectum primarily absorbs water from the stool, and in cases of long-term constipation, this process can lead to further dehydration of the fecal matter, making it difficult to pass naturally.

In clinical settings, enemas using normal saline solution are commonly administered to help remove impacted stool. While this treatment can be effective, it's important to note that relief may not always be immediate, especially in more severe cases. In addition to enemas, doctors may recommend the use of mineral oil, either taken orally or administered rectally, to help lubricate the stool and break it into smaller, easier-to-pass pieces.

It's also worth considering that enema procedures can sometimes cause discomfort or complications such as intestinal perforation. This risk is particularly significant for children, whose intestinal mucosa is thinner and more susceptible to injury—especially if a rigid catheter is used. Therefore, it's crucial to follow proper medical guidance when considering these treatments.

For long-term management, patients should focus on developing healthy lifestyle habits, including a fiber-rich diet, adequate hydration, and regular physical activity. If constipation persists or is caused by an underlying structural issue, prompt medical attention is strongly advised to prevent complications.