Verstopfung as a symptom of endometriosis

Verstopfung in endometriosis

Constipation is one of the classic digestive problems. By definition, constipation is present when fewer than three bowel movements occur per week. Constipation is usually caused by one or more of the following:

• Obstruction/narrowing of the intestinal passage
• Lack of physical activity
• Drinking too little water
• Diet too low in fiber

Many women with endometriosis also experience constipation, often in combination with, or alternating rapidly with, diarrhea, bloating, and nausea. Endometriosis negatively affects digestion on multiple levels and thus promotes constipation.

• Adhesions: In endometriosis, so-called endometriotic lesions, composed of tissue similar to the uterine lining (endometrium), grow outside the uterus. These can also accumulate in the area of the bowel and create narrowings that make the intestinal passage more difficult. Stool backs up behind these narrowings, making bowel evacuation harder.
• Irritable bowel syndrome (IBS) as a concomitant condition of endometriosis: Studies show that women with endometriosis suffer significantly more often from IBS symptoms than healthy women. The causes of the functional disorder IBS are still largely unclear. In addition to bloating, abdominal pain, and diarrhea, constipation is also part of the symptom profile.
• Altered gut microbiota (dysbiosis): The intestine is colonized by countless microorganisms that have a far-reaching influence on our digestion and overall health. Studies indicate that women with endometriosis frequently have an altered gut microbiota. The consequences are digestive problems and inflammation.

If you have endometriosis and are experiencing constipation, you should discuss this with your treating physician. It may be necessary to clarify whether an endometriotic lesion is causing a narrowing and whether it needs to be removed. However, you can also take steps yourself to counteract constipation:

• Increase fluid intake: Each day you should drink at least 1.5 liters of water or unsweetened herbal teas. But caution: Not all herbal teas are equally suitable, as some herbs can have the opposite effect.
• Incorporate regular physical activity into daily life: Even a walk of around half an hour per day has a positive effect.
• Balanced, high-fiber diet: Fruits, vegetables, and whole-grain products help counteract constipation.
• Reduce stress, maximize relaxation: Relaxation exercises help reduce stress. This also affects the gut.