Can chronic constipation cause heart problems? 6 tips from doctors to prevent risks

Chronic constipation can impact your heart health. Find expert tips to reduce the risk, alleviate symptoms, and support heart health.

Chronic constipation is a condition that affects many individuals, impacting not only the digestive system but also other bodily functions. Interestingly, according to the Journal of Clinical Hypertension, it can have a ripple effect that extends to the heart, particularly among older adults and those with pre-existing cardiac conditions. Understanding this connection is essential for managing your health effectively.

How can I fix chronic constipation?

IBS can introduce both constipation and diarrhoea (Adobe Stock)

By Tavishi Dogra

Tavishi Dogra is a Deputy Chief Content Producer, Health & Wellness, at Hindustan Times. She has over 9 years of experience writing about fitness, nutrition, and mental well-being, translating medical research and expert insights into practical advice readers can trust.

Career journey and experience
Tavishi began her health journalism journey in 2017, and has since reported for RSTV, Financial Express, Jagran, HT Media Labs and Zee. She joined Hindustan Times to simplify wellness subjects by cutting through jargon.

From decoding health trends and interviewing doctors to testing fitness routines herself, Tavishi always approaches content with one filter: “Will this help someone make a better decision today?”

Subject expertise
With 9+ years tracking India’s health conversations, Tavishi knows the gap between clinical advice and daily life. She knows fads from fundamentals and curates science-backed, expert-recommended solutions.

In fitness, she breaks down bodyweight training, recovery, and posture fixes for desk-bound readers. In nutrition, she translates guidelines into affordable, desi meal tweaks. In mental well-being, she focuses on stigma-free, actionable tools — all backed by research, expert input, and lived context.

Education and professional background
Tavishi holds a Master’s degree in Journalism and Mass Communication and began her career reporting on public affairs for broadcast. Those early years in policy and TV shaped how she writes today: fast, factual, and human-first.

Editorial Philosophy
I write with one single goal: To simplify health in a world full of noise by finding what’s actually doable, safe, and evidence-based for my readers. I test claims against research and user experiences. When all else fails, I speak to the expert who sees 50 patients a day, not the one with the most followers.

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Chronic constipation is defined as having fewer than three bowel movements per week, as per the Canadian Journal of Gastroenterology and Hepatology. But it doesn’t stop there.

The symptoms can be pretty uncomfortable, including:

• Hard, dry, or lumpy stools
• Straining or pain during bowel movements
• A sensation of incomplete evacuation
• Bloating or abdominal discomfort

With so many people uncomfortable discussing constipation, it often goes unspoken, as per Cancer Research UK. However, it is crucial to address this, as neglecting it can lead to a range of health complications.

What are the major causes of chronic constipation?

It is essential not to overlook these risk factors, as they can have severe consequences. Several factors contribute to chronic constipation, including:

• Low fibre intake: A diet lacking in fruits, vegetables, and whole grains can lead to decreased bowel regularity, as per the National Institute on Ageing.
• Inadequate water consumption: Insufficient hydration can lead to harder stools that are difficult to pass.
• Lack of physical activity: Sedentary lifestyles can result in sluggish digestion.
• Medications: Certain drugs, particularly painkillers and antidepressants, can interfere with normal bowel function.
• Ignoring the urge to go: Holding in stool can disrupt the body’s natural rhythm.
• Underlying medical conditions: Conditions like thyroid issues, diabetes, and irritable bowel syndrome (IBS) are known to cause constipation.

Is gut health related to heart health?

The connection between gastrointestinal issues and heart health is significant, according to Harvard Health. “People often feel embarrassed to discuss constipation, but ignoring it can lead to serious consequences, including gut damage, haemorrhoids, and increased heart risk," says Dr Laxman Salve, General Surgeon at Apollo Spectra Mumbai. When constipation becomes chronic, individuals may experience frequent straining during bowel movements.

Here's where the heart becomes involved:

• Increased blood pressure: Straining can lead to temporary spikes in blood pressure, as reported in the Journal of Clinical Hypertension.
• Chest pain and arrhythmias: For individuals with pre-existing heart conditions, this strain can exacerbate symptoms such as chest pain or irregular heartbeats.
• Potential for severe cardiac events: In rare cases, chronic constipation can even trigger heart attacks.

What are the dangers of chronic constipation?

Fortunately, chronic constipation is manageable, and taking proactive steps can alleviate symptoms and reduce the potential heart-related risks, as per the National Institute of Diabetes and Digestive and Kidney Diseases. “There is a link between constipation and heart health. It not only gives a tough time to the gut but also to your heart. To deal with it, stay hydrated, eat more fibre-rich foods, and avoid prolonged sitting,” emphasises Dr Hemant Patel, a General and Laparoscopic Surgeon at Zynova Shalby Hospital.

Dr Hemant Patel shares some expert-recommended techniques:

• Stay hydrated: Aim for 2-3 litres of water a day. Proper hydration helps keep stools soft and easier to pass.
• Eat high-fibre foods: Incorporate a variety of fruits, vegetables, and whole grains into your diet. Foods like oats, beans, lentils, and berries are excellent sources of fibre.
• Maintain physical activity: Regular exercise helps stimulate bowel movements. Even moderate activities, such as walking, can make a significant difference.
• Listen to your body: Don’t ignore the urge to go. Responding promptly can prevent constipation from becoming a recurring issue.
• Limit laxative use: Avoid over-relying on laxatives. Consult a healthcare professional if you find yourself needing them regularly.
• Seek medical advice: If constipation persists for more than a week or is accompanied by symptoms like chest discomfort or fatigue, consult a doctor immediately.