I am constantly constipated, but I eat a high-fibre diet and drink plenty of water. I’ve had two stool tests and neither found blood – a sign of cancer. What could be the cause?
Dr Philippa Kaye answers: Chronic constipation is common in the UK. One reason for this is that it is linked to a low-fibre diet.
The nutrient – found in veg, nuts, pulses, legumes and whole grains – is crucial for bowel movements.
But it’s possible to have too much fibre, which can also trigger constipation.
Another issue that could cause constipation is pelvic floor dysfunction.
This is where the pelvic floor – a group of muscles that sit like a sling at the bottom of the pelvis – do not work properly.
Since they help the muscle contraction needed to poo, this can make going to the toilet difficult.
It can be caused by chronic straining while going to the toilet, surgery, childbirth and even anxiety.
One reason for chronic constipation, which is common in the UK, is a low-fibre diet
A physiotherapist can provide exercises and breathing techniques to improve bowel movements. Laxatives can help, but they are a short-term solution that don’t fix the underlying cause.
For those struggling to go, a consistent toilet routine can be very helpful. It’s usually best to go after meals, as this is when the bowels are at their most active.
Often people also benefit from putting their feet on a footstool while on the toilet.
I have a lump in my throat. My GP says it’s caused by a hiatus hernia but I haven’t any more information. What should I do?
GP, author and broadcaster Dr Philippa Kaye
Dr Philippa Kaye answers: A hiatus hernia is a condition that occurs when part of the stomach pushes up through the diaphragm in the chest, allowing stomach acid to rise into the throat, triggering acid reflux, or heartburn.
This can irritate the throat and voicebox, leading to a feeling of tightness, pressure or a lump in the throat.
Patients are often given tablets, called proton pump inhibitors, to reduce reflux symptoms. But the best solution is lifestyle changes.
Among them, eat smaller, more frequent meals, as overfilling the stomach can worsen acid reflux, and avoid eating late in the evening or before sleeping.
Gentle exercises and getting plenty of sleep can also help.
Did you find a way to beat your UTIs?
TV presenter Cherry Healey has spoken out about her struggles with UTIs
I was moved to read about TV presenter Cherry Healey’s struggles with urinary tract infections (UTIs). These affect about half of all women.
But for some, like Cherry, pictured, they return again and again.
This can be incredibly debilitating. Cherry talked about how a daily supplement – containing something called D-Mannose – helped her.
But have you found something that helps tackle your UTIs? Please write in and let me know.
Write to Dr Philippa Kaye at Health, Daily Mail, 9 Derry Street, London, W8 5HY or email: health@mailonsunday.co.uk – include contact details. Dr Kaye cannot enter into personal correspondence. Replies should be taken in a general context. Consult your own GP with any health worries.
