Difficult bowel movements or constipation or constipation can be interpreted as interference with the movement of lower gastrointestinal tract that caused difficulty in defecation or bowel movement frequency is reduced.
Sometimes constipation can be cured by itself or simply due to changes in types of food eaten, but constipation can also be a part of the disease or disorder arising in the lower gastrointestinal tract.

Diseases or abnormalities in the lower gastrointestinal tract, among others:
1. Blockage of the intestine due to impaired nerve function
2. Deverticulitis that occurs due to the weakness of the intestinal wall
3. Mesenteric artery ischemia is bowel memperdarahi
4. Iritabel bowel syndrome
5. Ulcerative colitis accompanied by ulcer or inflammation of the intestine
6. Hemorrhoids or ambein
7. Anal fissure or injury to the anus
8. Hirschsprung disease (intestinal size is very large)
9. Early colon cancer (at age> 45 years)
10. Idiopathic / unknown

Systemic disease that can affect the movement of lower gastrointestinal tract:
1. Diabetes mellitus
2. Multiple sclerosis
3. Hypothyroidism

The wrong habits or stress, among others:
1. Habits resist the urge to defecate
2. less healthy food
3. fluid intake is less (normally min. 1.5 liters per day)
4. Chronic anxiety
5. Stress is a sudden and severe
6. Lack of exercise
7. Often taking medication such as:
- Mag drugs that contain aluminum or calcium
- Anticholinergics
- Anti-pain (analgesics)
8. Excessive Use of laxatives
9. Drug use, especially the type of morphine and its derivatives
10. Side effects from radiation therapy or surgery to the rectum-anal area which mengeni nerve.

Among all the causes that have the habit of life or stresslah yan one of the most frequent cause of constipation without reducing the possibility due to diseases of the lower gastrointestinal and systemic diseases.

When the cause of constipation is the gastrointestinal tract or systemic disease, the treatment tailored to the underlying disease.