Severe Constipation and Toxic Megacolon: Causes and Solutions | May 15, 2025
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Severe Constipation and Toxic Megacolon: Causes and Solutions
Introduction
Constipation is one of the most common digestive issues worldwide — but when left untreated or ignored, it can sometimes progress to a dangerous condition called toxic megacolon. This is a medical emergency that can lead to serious complications and even death if not promptly treated. Understanding the warning signs, causes, and treatment options can help prevent escalation and protect your health.

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What is Severe Constipation?
Constipation is defined as having fewer than three bowel movements a week, often with hard, dry, or painful stools. Severe constipation can involve complete blockage of the colon, abdominal distention, nausea, and extreme discomfort.

Over time, if fecal matter continues to accumulate and the colon can no longer function normally, this may lead to a toxic megacolon.

Toxic megacolon is a rare but life-threatening complication where the colon becomes massively dilated (often more than 6 cm wide) and inflamed. It occurs when inflammation or severe blockage causes the colon to lose its ability to contract and remove waste, leading to bacterial buildup, infection, sepsis, or even colon rupture.

Main Causes
✅ Severe Constipation Causes:
Low fiber diet

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Dehydration

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