Constipation and Antidepressants

Constipation and Antidepressants Depression Treatment Medication Print Relieving Constipation Caused by Antidepressants By Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Learn about our editorial policy Nancy Schimelpfening Medically reviewed by Medically reviewed by Steven Gans, MD on December 02, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on February 04, 2020 Christian Martinez Kempin/Getty Images More in Depression Treatment Medication Causes Symptoms Diagnosis Types Childhood Depression Suicide People who use medications like antidepressants may potentially become constipated.??  When a person has constipation, this means that his or her bowel movements have become more difficult and/or less frequent than what is normal.   Although what is considered normal varies, most people will have a bowel movement somewhere between three times a day to once or twice a week.  If the time between bowel movements begins to stretch longer, however, then it can become very uncomfortable when they finally do occur. In extreme cases, people may experience what is known as fecal impaction, in which a hard mass of stool remains stuck in the rectum and cannot be passed.?? Constipation is a common side effect of tricyclic antidepressants, which block the action of the neurotransmitter acetylcholine.?? When this neurotransmitter is blocked, the muscular contractions which propel waste matter through the digestive tract are slowed and the intestinal secretions which lubricate the passage of feces are drier, causing constipation.  Although constipation is less likely with newer medications like the selective serotonin reuptake inhibitors (SSRIs), it is still possible that you may experience irregularity with these as well. Constipation Symptoms When people have constipation, they may have unpleasant symptoms such as the following:?? Less frequent bowel movementsStraining during bowel movementsSmall or hard stoolsA feeling like they didnt completely empty their bowelA swollen or painful abdomenVomiting Relieving Constipation   The following are some tips for relieving constipation caused by an antidepressant:?? Drink plenty of water.Eat high-fiber foods, such as fruits, vegetables, and whole grains.Get regular exercise.Take fiber supplements.Consider using stool softeners or laxatives if other steps to relieve constipation have failed. Fecal Impaction Fecal impaction can occur with long-term constipation and can potentially have some very serious complications, including tearing of the rectum or tissue death. If a person is experiencing fecal impaction after having long-term constipation, they may begin to have the following additional symptoms:?? Leakage of liquid stools or sudden watery diarrheaRectal bleedingAbdominal cramping or bloatingBladder pressure or loss of bladder controlLower back painFast heartbeat or dizziness when straining to pass stool In the event that you have already become impacted, your doctor will take steps to remove the impacted stool.  This may be done by the use of warm mineral oil enemas to soften and lubricate the stool, manual removal of the impaction or laxatives.  Very rarely, surgery may necessary to remove an impaction. People who have had a fecal impaction will also need to undergo a bowel retraining program, possibly including stool softeners, fiber supplements, dietary changes, special exercises, and other techniques. A Word From Verywell If you are experiencing chronic constipation that is not relieved by self-help measures, it is very important to speak with your personal physician for advice.