Constipation is a common clinical condition and although millions of people suffer with this condition and spend large amounts of money on off-the-counter laxatives, not many consult their general practitioners (GPs) and even when they do, not many GPs or even specialists know how to investigate and manage this often socially debilitating condition.

A careful history, examination and investigations will often reveal the most appropriate therapy which may include dietary advice, laxatives, physiotherpay and various surgical interventions which may include the STARR procedure, Sacral Nerve Stimulation (SNS) or even bowel resection.