Constipation, which is among the most common intestinal dysfunctions, is not an insoluble problem. In cases where there is no other underlying health problem, it is a disease that can be prevented by positive changes in lifestyle and diet. If you're defecating less than 3 times a week, with difficulty, and insufficient amounts, you may want to consider seeking specialist help for constipation.

Aim in the RTM system is not just to move the bowels directly and temporarily relieve constipation but  to reveal the causes of constipation specific to the individual and to determine the source of the disease. In the treatment, it is aimed to restore the normal function of the large intestine by eliminating the source causing the constipation.

Let’s glance at Constipation

What is Constipation?

Constipation can be expressed as difficult and insufficient defecation as a result of slowing bowel movements due to various reasons and thus hardening of the stool. When the stool stays in the intestine for a long time, the water it contains is absorbed more than necessary and in this case, it becomes difficult to be removed from the body because it will dry out.

Although the problem of constipation is most common in advanced ages, it can be seen in every segment of society, in every age group, and affects women much more than men.

What causes constipation?

Constipation can have many different causes. Sometimes it is caused by eating habits and lifestyle, and sometimes it can occur as a result of another ailment. In general, the most common causes are as follows.

  • Resisting the need to go to the toilet, procrastinating
  • Inadequate and unhealthy eating habits
  • Predominantly solid food diet
  • Not drinking enough water, not consuming liquids
  • Not consuming enough fibrous foods
  • A still life
  • Don’t be under stress
  • Pregnancy status
  • Use of certain drugs with side effects
  • Digestive system diseases
  • Problems with nerves in the digestive system
  • Narrowing or blockage in the rectum or colon
  • Hormonal disorders
  • Dysfunctions in muscles related to defecation
  • Irritable (lazy) bowel syndrome
  • Neurological diseases such as Parkinson’s, Dementia, MS
  • Anxiety, depression and similar psychological problems

What are the Symptoms of Constipation?

If one or more of the following situations are experienced, it is possible to think that the person is constipated. If these symptoms persist for a long time or frequently, a specialist should be consulted for diagnosis and treatment.

  • Difficulty defecating despite the need to use the toilet
  • To defecate in hard and small pieces
  • Severe abdominal pain or cramps
  • Abdominal bloating
  • Feeling that the intestines are not completely empty
  • Bleeding from the anus with strain
  • Fatigue
  • Nausea and/or vomiting

How is Constipation Diagnosed?

According to the individual characteristics, examination findings and symptoms, the tests and imaging that should be done regarding the diagnosis will vary from person to person. In many cases, constipation may not be thought to be a specific cause when no structural or functional cause can be discerned as a result of all investigations.

First of all, the patient’s complaints and family history are evaluated by the physician. Physical examination of the anorectal area is usually the first step and can provide important clues for due diligence.

In most patients with normal examination findings and no high risk factors, it can be determined that constipation occurs due to reasons such as unbalanced nutrition, inactivity, and insufficient fluid intake. In such cases, recovery can only be achieved with healthy lifestyle and nutrition recommendations.

If there are significant risk factors such as severe constipation and severe abdominal pain and weight loss that cannot be explained by lifestyle alone, advanced imaging and examinations such as colonoscopy may be required for diagnosis.

Investigations made with an instrument called an endoscope or x-ray examination can help detect disorders such as polyps, tumors or diverticulum diseases in the large intestine known to cause constipation. If an anatomical, structural problem is detected, treatment will be applied to correct the abnormality.

Functions of the anus and rectum can be evaluated by other physiological tests. In order to examine the functions of the anus and rectum during defecation, the reflexes of the anus muscles that control defecation are evaluated with a small catheter or imaging methods.

Also, advanced tests such as anorectalmonameter, colonic transit time measurements, defecography, balloon test can also help in making the diagnosis in complex situations.

What are the conditions considered risky for constipation?

Aging, insufficient fluid consumption, not consuming fibrous foods, not being physically active, overweight and long-term use of certain medications are the main risk factors for chronic constipation. Another important issue is to pay attention to the differential diagnosis in case constipation develops due to another underlying disease.

What is the classification of constipation?

Acute constipation is a short-term and infrequent type of constipation and can be easily treated by changing our habits in a positive way.

Chronic constipation is long-lasting and recurrent. Changes in bowel habits last more than three months, and the causative factors are more complex. The causes of chronic constipation are generally divided into primary and secondary.

1- Primary constipation:

In itself; It is divided into 3 subtypes: Normal-transit/Functional constipation (cases where stool passes the colon at a normal rate), Slow-transit constipation (insufficient bowel movements and abdominal tension), and Outflow obstructions (inability to get stool up to the rectum).

2- Secondary constipation:

It is caused by the drugs that is used and/or other health problems.

An Outlook on Cause of Constipation in the RTM System

Our body is in a constant balance against internal and external factors. With this balance, life continues by developing. The RTM System includes its own diagnostic and treatment protocols. Diseases in the RTM System; It is seen as a new balance or new adjustment points created in the body in order to continue life against internal and external negative conditions.

There is a source pattern called the Triad of Disease that causes new settings to come into play in the body. This triple structure, which includes Body Pollution, System Disorders and Code Change in DNA (Epigenetics), works as follows in constipation;

The digestive system is a complicated system, starting from the mouth and ending with the exit of the large intestine. In the functioning of this system, all body structures take an active role, from respiration to circulation, from nervous system to urinary system, from muscles to detox organs.

Contamination in the Body: A diet devoid of fibrous foods, increased consumption of refined and packaged foods, environmental toxins that we are exposed to through food, and an increase in toxic load as a result of increased metabolic activities at the cellular level disrupt the microbiota in the digestive system. Both the increase in toxic load and the deterioration in the microbiota disrupt the processes in different parts of the digestive system. Disruption in any part of the digestive system indirectly affects other parts of the digestive system.

Deterioration in Systems: An irregularity in the liver biliary line makes it difficult to digest and absorb nutrients and indirectly appears as constipation. Or, the increase in stress related to the emotional state of the person may directly affect intestinal activities through the autonomic nervous system.

As a result of contamination of the body and deterioration in the digestive system, the body will create new balances and regulations in intestinal activities in order to eliminate the toxic load, as well as to eliminate the pathogenic bacteria that increase as a result of the deteriorated microbiota, and to fully absorb the nutrients necessary for the continuation of life. As a result of this change in the information form, the gut will continue to live with its new cyclical values.

The body will create new balances in the digestive system and microbiota in order to overcome this situation and maintain vitality. Excretion, which used to be once or twice in 24 hours, will now be provided every three to four days, sometimes once a week. This new set point of the body will be seen as constipation in the person’s large intestine.

Treatment of Constipation Disease in the RTM System

The purpose of the RTM System is not only to directly relieve constipation, but also to eliminate the Disease Triad that causes constipation, which we mentioned above. In the RTM System, this is called the Treatment Triad.

Treatment Triad  includes the processes aimed at starting the detox process for returning to the normal balance in the body, eliminating the imbalance in the failing systems and reversing the epigenetic changes in the DNA, and this process is planned completely for the individual.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the detailed anamnesis, laboratory and imaging findings of the individual, and measurements specific to RTM clinics. With the RTM Phytotherapy protocol, the disease trait, which forms the source part, is withdrawn and treatment is applied. It is aimed to normalize the epigenetic changes in DNA, which determine the new tuning constants, by informing the body with the seed parts of the plants. In order to adapt the body to the normalization of this information, the treatment triad is activated by using the leafy parts of the plants, accelerating the detox activities in the body and regulating the systems. When the disease triad is withdrawn, it is aimed that the body will automatically return to the norm form.

Also, RTM phytotherapeutics in order to both support the body and accelerate the treatment process; Nearly 25 traditional medicine methods such as ozone, cupping, acupuncture, colon hydrotherapy, magnetic field therapy are planned according to the needs of the patient.

Frequently Asked Questions

What is Good for Constipation?


  • Focusing on foods that support the functioning of the intestines
  • Not consuming too much constipating foods such as milk and dairy products
  • Drinking plenty of water and fluids
  • Not to be inactive
  • Exercise and walking
  • Eating a high fiber diet
  • To swallow the bites by chewing them thoroughly
  • Not consuming too much caffeine
  • Creating a daily toilet layout
  • Not delaying the need for the toilet

How to Prevent Constipation?

The first of the important factors that cause constipation is faulty eating habits. For this reason, a balanced and healthy nutrition program is one of the first measures to be taken against constipation. It is possible to take precautions against constipation by limiting the consumption of foods that trigger constipation and choosing foods that accelerate bowel movements.

In addition, consuming plenty of fluids, drinking enough water, avoiding a sedentary life and stress, and getting enough exercise are also important factors in preventing constipation.


What is good for constipation in babies?

A decrease in the frequency of pooping, decreased appetite, swelling in the abdomen, crying while pooping, hard and dry poop indicate constipation. Formula-fed babies are more likely to be constipated because formula is more difficult to digest than breast milk. Constipation of the breastfeeding mother can also affect the baby.

The methods that can be applied against constipation for babies vary according to how many months they are. Solutions that are generally thought to work are outlined below.

  • Gently massage the abdominal area with circular movements.
  • Taking a hot bath.
  • Getting the baby’s legs to spin a bicycle
  • Applying diaper rash cream to the outside of the anus, as it will have a stimulating effect for poop.
  • Increasing breast milk or fluid intake
  • Not drinking cow’s milk, preferring goat’s milk if necessary
  • If complementary foods are introduced, giving weight to foods rich in fiber and that work the intestines, such as mashed apricots, prunes and leeks

If the constipation does not go away in the baby, a specialist should be consulted. The problem of constipation, which cannot be resolved on time, can turn into serious health problems and in the long run, into the problem of holding and delaying poop.

What is Good for Constipation in Children?

Constipation is a common condition in children. Consumption of less water and liquids, inactivity, psychological reasons such as stress, unbalanced diet, excessive consumption of constipating foods and fast food, keeping poop, delaying going to the toilet can cause constipation in children.

In some cases, cracked anus or various hormonal disorders can also cause constipation in children. In case of prolonged and persistent constipation, it is absolutely necessary to consult a specialist in order not to experience serious problems. In general, the recommendations that are thought to be good for constipation in children are as follows.

  • Reducing cow’s milk as much as possible and consuming goat’s milk
  • To consume less sugar and sugary products
  • Consuming plenty of pulp and fiber foods
  • Limiting carbohydrate foods
  • Consuming homemade yogurt or kefir
  • Include plenty of dry fruits in the diet
  • Avoiding caffeinated and carbonated drinks
  • Getting plenty of exercise and leading an active life
  • Eating a regular and balanced diet
  • Not to delay the need for the toilet and to spare time as regularly as possible

What is Good for Constipation During Pregnancy?

Constipation can be seen during pregnancy due to the changing hormonal system, the pressure of the growing uterus on the intestines, excess weight gain, and being inactive. Unless it is accompanied by other health problems, there is no need to worry. There are some precautions below that can be taken against constipation during pregnancy. It is important to consult a specialist in case of prolonged, persistent constipation.

  • Drinking lots of water and fluids
  • Consuming more fruits, vegetables and pulpy foods
  • Consuming dried fruits and compotes
  • Consuming high-fiber foods such as whole-grain bread, oatmeal, bulgur and brown rice
  • If you don’t mind, doing light exercises such as walking, swimming, yoga
  • Allocating regular and sufficient time for toilet needs
  • Consuming foods rich in probiotics such as natural kefir

What are the foods that cause constipation?

It is known that frequent or excessive consumption of rice porridge, rice, lean pasta, bananas, carrots, milk and dairy products, fast food-style foods can lead to constipation. Foods low in pulp and fiber, rich in sugar and carbohydrates can trigger constipation. Therefore, it would be appropriate to limit the consumption of such foods.

What are the foods that are good for constipation?

In the form of nutrition to be applied against constipation, foods containing soluble and insoluble pulp occupy the most important place. The dissolved pulp absorbs the water in the food and forms a gelatinous structure. Many vegetables and fruits such as barley, oats, legumes, apples and peas contain soluble fiber.

Insoluble pulp, on the other hand, acts by increasing the volume. Peels of fruits, nuts, wheat and corn are among the richest examples. Both types of pulp increase the rate of passage of nutrients through the large intestine and give mobility to the intestine. The foods that are stated to be good for constipation in general are as follows.

  • Fruits and compotes such as prunes, dried apricots
  • Spinach, purslane, chard etc. green leaves
  • Fig, apple, pear, citrus fruits, kiwi
  • Okra, artichoke (especially with olive oil)
  • Lentils, beans, peas and other legumes

What are the conditions associated with chronic (long-term) constipation?

Chronic constipation can cause abdominal pain, nausea, vomiting, loss of appetite, abdominal stiffness and swelling, rectal bleeding, and fatigue. In addition, it can lead to the formation of Hemorrhoids (Hemorrhoids), which means the enlargement of the veins around the anus. In this case, itching, swelling, bleeding and pain are seen around the anus.

In some cases, chronic constipation can be a sign of ischemic colitis, stomach or colorectal cancers, diverticulitis, and other serious diseases. Especially in those who suffer from chronic constipation at a young age, if there are additional symptoms such as stomach or intestinal bleeding, anemia, and involuntary weight loss, a physician should be consulted to see if there is a serious underlying cause of the disease.

Is it normal to go to the toilet every 3 days?

The habits and frequency of people going to the toilet may differ according to their metabolism. It may be normal for some people to defecate 3 times a day, for others only 3 times a week. The situation that is not considered as normal is that it is less than 3 times a week and with difficulty.

Does Turkish coffee cause constipation?

When consumed in excess, Turkish coffee can prepare the ground for constipation. Because coffee has a diuretic effect and attracts the liquid in the stool, causing it to solidify. People with constipation should not consume too much coffee, tea, cola and alcohol.

Does yogurt cause constipation?

Especially homemade yogurt can be good for constipation.

Does green tea cause constipation?

Antioxidants and other beneficial components in green tea increase the activity of digestive enzymes and can be good for the digestive system. It is useful to consult a doctor, as it may be inconvenient for some people to use it continuously and in large amounts.

Does calcium medications cause constipation?

Long-term use of supplements containing calcium and iron can trigger constipation.

Does magnesium cause constipation?

In fact, magnesium deficiency can cause constipation. When constipation due to this reason is detected, a solution can be created by consuming foods rich in magnesium or taking magnesium supplements when necessary.

Does Nurofen cause constipation?

Like other medicines, Nurofen may cause some side effects in people who are sensitive to its ingredients. Its very rare mild side effect is constipation.

Does cheese cause constipation?

Due to the components such as lactic acid, lactose and high fat in cheese, it can be difficult for people with constipation problems to digest cheese.

Does rice cause constipation?

 White rice is low in fiber and is among the processed grains. Therefore, it does not affect constipation well.

Does bulgur cause constipation?

Bulgur, which is a healthy source of carbohydrates, supports digestive system activity and prevents constipation, thanks to the digestible fibers it contains.

Does oil cause constipation?

Most animal fats are saturated fats, and saturated fats cause to slow food progress in the digestive tract, thus causing constipation and other diseases. Meat and meat products, full-fat milk and dairy products, tropical oils such as coconut and palm oil contain unsaturated fats and should be consumed in limited quantities.

Vegetable oils and fish oils are generally unsaturated fats. Various foods contain different proportions of saturated and unsaturated fats. Vegetable oils such as olive oil, avocado oil, nuts such as almonds, peanuts, walnuts, and fish are examples of unsaturated fat-containing foods that are beneficial for health.

In particular, olive oil activates the small intestine, facilitating the digestion and passage of solid foods through the intestines. The herbal laxative it contains supports and protects the digestive system of the body.

Does chicken cause constipation?

Since chicken and red meat are rich in saturated fat, it triggers constipation when consumed in excess and alone. It is beneficial to focus on fish meat and vegetables against constipation.

Do tomatoes cause constipation?

Tomato, which is one of the best known antioxidants, has a positive effect against constipation as well as many benefits, especially when consumed in season.

Does melon cause diarrhea or constipation?

It has been stated that consuming fruits such as melon and watermelon in cold form and in large quantities in summer ,may cause diarrhea by disrupting bowel movements.

Does peach cause constipation or diarrhea?

In general, peach is thought to support the digestive system and prevent constipation, thanks to its high fiber content. Although rare, it has also been observed that it can cause constipation when consumed in excess.

Does banana cause constipation or diarrhea?

Fruits generally contain high amounts of fiber and are beneficial for the digestive system. However, this may vary depending on the ripening state of some fruits.

For example, bananas and melons can cause constipation when eaten raw before they are ripe. While unripe green bananas are generally considered healthy, they can cause problems such as gas, bloating and constipation in some people.

Ripe bananas are a rich source of fiber and potassium, which are beneficial against constipation. It also helps to increase the number of beneficial bacteria in the intestine and to have regular bowel movements. The proliferation of good bacteria will make the digestive system healthy and prevent constipation.

Does tea cause constipation?

Consuming too much tea can trigger constipation. It would be appropriate for people with constipation complaints to avoid tea consumption.