How Can Constipation Cause Pelvic Pain?

How Can Constipation Cause Pelvic Pain?

Constipation and pelvic pain are common conditions that affect many individuals, leading to significant discomfort and distress. Often, people wonder, “Can constipation cause pelvic pain?” The short answer is yes, it can. Understanding the connection between these two conditions is crucial for effective management and relief. This blog explores the relationship between constipation and pelvic pain, highlighting the causes, symptoms, and treatment options.

What is Constipation?

Constipation is a common and sometimes complex condition characterized by infrequent or difficult bowel movements. It often results in hard, dry stools and can cause significant discomfort. Typically, having fewer than three bowel movements a week is considered constipation. Chronic constipation can range from occasional, mild discomfort to severe pain that interferes with daily activities and overall well-being. Constipation is a prevalent issue affecting individuals of all ages across the United States. Approximately 16 out of every 100 adults experience symptoms of constipation, and this number increases to about 33 out of every 100 adults aged 60 and older.

Common Causes of Constipation

Understanding the underlying causes of constipation is essential for addressing the condition effectively. Constipation can arise from a variety of factors, which may range from lifestyle choices to medical conditions. Identifying these causes is crucial, as it allows individuals to implement targeted solutions to alleviate their symptoms. In this section, we will explore some of the most prevalent causes of constipation and how they contribute to the likelihood of experiencing pelvic pain.

  • Dietary Habits: A diet low in fiber and insufficient water consumption can lead to constipation. Fiber helps to bulk up stools and promote regular bowel movements.
  • Lifestyle Factors: Lack of physical activity can slow down bowel movements, leading to constipation. Regular exercise is essential for maintaining bowel health.
  • Medications: Certain medications, such as painkillers, antidepressants, and antacids containing aluminum and calcium, can cause constipation.
  • Medical Conditions: Conditions like irritable bowel syndrome (IBS), diabetes, and hypothyroidism can affect bowel movements. Functional constipation is often seen in people with these underlying conditions.
  • Changes in Routine: Travel, pregnancy, aging, and stress can disrupt regular bowel habits, leading to constipation.
  • Health Conditions: Conditions like inflammatory disease, pelvic floor disorder, and pelvic floor muscle dysfunction can also contribute to constipation.

The Connection Between Constipation and Pelvic Floor

The Connection Between Constipation and Pelvic Floor

The pelvic floor is a group of muscles and connective tissue that support the pelvic organs, including the bladder, intestines, and uterus in women. These muscles play a vital role in bowel movements, urinary function, and sexual health. Constipation can put excessive strain on the pelvic floor muscles, leading to discomfort and pain. Notably, nearly half of all men and women dealing with chronic constipation also face problems related to their pelvic floor.

How Can Constipation Cause Pelvic Pain?

Pelvic pain from constipation occurs when the buildup of stool in the intestines creates pressure on the pelvic floor muscles. This pressure can cause the muscles to spasm or weaken over time, leading to pelvic pain. Additionally, straining during bowel movements can further aggravate the pelvic muscles and nerves, resulting in discomfort and pain in the pelvic region. This connection can lead to a range of symptoms, including abdominal pain, rectal pain, and pain during intercourse.

Symptoms of Constipation-related Pelvic Pain

Understanding the symptoms associated with constipation-related pelvic pain is crucial for early identification and management. Many individuals may not realize that their pelvic discomfort is linked to bowel issues. The pain can manifest in various ways, affecting daily activities and overall quality of life. In this section, we will explore the common signs and symptoms that may indicate a connection between constipation and pelvic pain, helping to shed light on this often-overlooked relationship. Symptoms of constipation related to pelvic pain can vary but often include:

  • A feeling of fullness or pressure in the pelvic area: This is due to the buildup of stool and gas in the intestines.
  • Pain or discomfort during bowel movements: Straining can cause severe pain in the anal sphincter and pelvic floor muscles.
  • Persistent, dull ache in the lower abdomen or pelvic region: Chronic pain can develop due to prolonged pressure on the pelvic muscles.
  • Bloating and gas: These symptoms often accompany constipation and can exacerbate pelvic pain.
  • Pain during sex: Pelvic pain syndrome can lead to discomfort and sharp pain during intercourse.
  • Urinary tract infections: Constipation can put pressure on the bladder, increasing the risk of infections.

Treatment Options for Constipation and Pelvic Pain

Finding relief from constipation-related pelvic pain is essential for restoring comfort and improving quality of life. Many individuals may feel overwhelmed by their symptoms and unsure of where to turn for help. Fortunately, various treatment options are available to address both the constipation and the associated pelvic pain. This section will delve into dietary changes, lifestyle modifications, medical interventions, and other therapeutic approaches that can help alleviate discomfort and promote digestive health. 

  • Dietary Changes: Increasing fiber intake through fruits, vegetables, whole grains, and legumes can help soften stools and promote regular bowel movements. Avoiding foods that exacerbate constipation, such as dairy products, red meat, and processed foods, is also beneficial.
  • Medications: Over-the-counter pain relievers and laxatives or prescription medications may be necessary in some cases. Always consult with a healthcare provider before starting any medication.
  • Pelvic Floor Therapy: Physical therapists specializing in pelvic floor physical therapy can help strengthen these muscles and reduce pain. Techniques may include exercises to improve muscle control and biofeedback.
  • Lifestyle Modifications: Regular exercise and stress management techniques, such as yoga and meditation, can improve bowel function and reduce pelvic pain.
  • Hydration: Drinking plenty of water is essential for preventing constipation and maintaining overall bowel health.

Strategies to Prevent Constipation and Pelvic Pain

Strategies to Prevent Constipation and Pelvic Pain

Preventing constipation and the associated pelvic pain involves a proactive approach to maintaining digestive health. By incorporating specific lifestyle habits and dietary choices, individuals can significantly reduce their risk of developing discomfort related to constipation. 

Dietary Changes

High Fiber Diet

Consuming a diet rich in fiber can help maintain regular bowel movements. Foods like fruits, vegetables, whole grains, and legumes are excellent sources of fiber. Fiber adds bulk to the stool and promotes healthy digestion.

Take Time to Chew Your Food

Chewing food thoroughly aids digestion and helps prevent constipation. Taking the time to eat slowly and mindfully can make a significant difference in bowel health.

Foods to Avoid

Certain foods can exacerbate constipation, such as dairy products, red meat, and processed foods. Limiting these can help maintain bowel regularity and prevent constipation pelvic pain.

Hydration

Staying well-hydrated is essential for preventing constipation. Water helps soften stools, making them easier to pass. Aim to drink at least eight glasses of water a day to promote healthy digestion and prevent pelvic pain from constipation.

Regular Exercise

Physical activity stimulates bowel movements and can help prevent constipation. Incorporating activities like walking, swimming, or yoga into your routine can improve overall digestive health and reduce the risk of pelvic floor muscle dysfunction.

Conclusion

Constipation and pelvic pain are closely linked, with one often exacerbating the other. By understanding this connection and implementing strategies to manage and prevent constipation, individuals can find relief from pelvic pain and improve their overall quality of life. Addressing these issues requires a comprehensive approach, including dietary changes, regular exercise, and proper hydration.

At Continuous Motion Physical Therapy, we specialize in providing comprehensive care for individuals suffering from constipation-related pelvic pain. Our expert team is dedicated to improving your quality of life through personalized pelvic floor therapy. By addressing the root causes of pelvic floor dysfunction, our targeted treatment plans and specialized exercises for pelvic pain effectively alleviate discomfort and enhance overall pelvic health.

FAQ’S

Can constipation hurt your pelvis?

Yes, constipation can cause pressure and pain in the pelvic region due to the buildup of stool and the strain during bowel movements. This can lead to pelvic floor muscle dysfunction and chronic pain in women and men.

Can pelvic pain be bowel related?

Absolutely. Issues with bowel movements, such as constipation, can lead to pelvic pain due to the strain and pressure on the pelvic floor muscles. Conditions like interstitial cystitis and pelvic organ prolapse can also contribute to pelvic pain.

Where is constipation pain felt?

Constipation pain is typically felt in the lower abdomen and pelvic region. It may also cause a feeling of fullness, bloating, and discomfort in the rectal area. Chronic constipation can lead to persistent abdominal pain and discomfort.

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Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified