Constipation and Dementia. A Hidden Cause of Anxiety and Agitation

Sometimes what looks like a behavior problem may actually be a person trying to communicate that something is wrong.

Constipation can cause pain, pressure, discomfort, and distress, especially for someone who may struggle to explain what they are feeling.

Signs caregivers may notice

• Increased agitation or irritability

• Restlessness or pacing

• Changes in appitite

• Trouble sleeping

• Grimacing or signs of discomfort

• More confusion than usual

• Increased resistance to care

• Straining or appearing uncomfortable when trying to use the washroom

• Going to the bathroom more often but not having a bowel movement

• Repeatedly trying to sit on the toilet

• Picking at or trying to remove stool (which may happen when someone is uncomfortable or unable to explain what they are feeling)

Things caregivers can monitor

• When was the last bowel movement?

• Are stools hard or difficult to pass?

• Are they drinking enough fluids?

• Has their diet or activity level changed?

• Are medications affecting bowel habits?

Helpful routines

• Offer fluids regularly throughout the day, if appropriate for their medical condition.

• Serve a few prunes with breakfast or another meal, or offer a small glass of prune juice if appropriate. Many caregivers find this can help support regular bowel habits.

• Encourage gentle movement or short walks when possible.

• Establish a regular bathroom routine, especially after meals.

• Keep a simple bowel tracking log to help identify changes early.

If constipation is persistant, severe, or accompanied by significant pain, vomiting, blood in the stool, or a swollen abdomen, contact a healthcare provider promptly for advice. If you are concerned about a sudden change in your loved one's condition, seek medical advice.

A sudden change in behavior is often a sign that a person is trying to communicate a need. Looking for physical causes, like constipation, can help caregivers respond with comfort instead of frustration.

Looking for extra support?

Download my FREE Dementia Care Toileting Assistant Mini App for practical tips, reminders, and guidance to help support daily toileting routines.

Small changes can make a big diffrence in helping reduce discomfort, preserve dignity, and support a calmer day for both the caregiver and their loved one.

Free Dementia Care Toileting Assistant