Understanding Opioid-Induced Constipation
Opioid-induced constipation is a common side effect for patients who manage pain with opioid medications. At LA Pain Doctor, we help patients in Metairie, LaPlace, Harvey, Hammond, and Lutcher, LA recognize, prevent, and manage this problem so it doesn’t add to their discomfort.
Request an AppointmentWhy Opioids Cause Constipation
Opioid medications work by attaching to receptors in the brain and spinal cord to reduce pain. The same type of receptors are found throughout the digestive tract. When opioids attach to them, they slow the muscle contractions that move food and waste through the intestines and reduce fluid in the bowel. Stool moves more slowly and becomes hard and dry, which leads to constipation.
Unlike some other side effects, opioid-induced constipation often does not improve over time, so it is important to address it early.
Common Symptoms
- Fewer bowel movements than usual
- Hard, dry, or lumpy stools
- Straining or pain during bowel movements
- A feeling of incomplete emptying
- Bloating, abdominal discomfort, or nausea
Prevention and Management Tips
- Drink plenty of water throughout the day
- Eat fiber-rich foods such as fruits, vegetables, beans, and whole grains, as directed by your provider
- Stay as physically active as you safely can; see our guide on exercising with chronic pain
- Go to the bathroom when you feel the urge rather than waiting
- Ask your provider before starting any laxative or stool softener
When to Talk to Your Provider
Let your provider know if you have constipation while taking opioids. They can recommend over-the-counter or prescription treatments, adjust your medication, or explore non-opioid options for pain relief. Contact your provider right away or seek emergency care if you have severe abdominal pain, vomiting, blood in your stool, or no bowel movement for several days.
LA Pain Doctor focuses on treating pain at its source with options like lumbar epidural steroid injections, facet joint injections, and spinal cord stimulator implants, which can help reduce the need for opioids. Learn more about opioids and chronic pain management, using opioids safely, and our pain medication management program.
Opioid-Induced Constipation FAQs
How common is constipation from opioids?
It is one of the most common side effects of opioid medications and affects many patients who take them regularly.
Does opioid-induced constipation go away over time?
Often it does not. Unlike drowsiness or nausea, constipation tends to continue as long as opioids are used.
Can I take a laxative for opioid constipation?
Many patients can, but you should talk to your provider first so they can recommend the safest option.
Will fiber help?
Fiber and fluids can help, but some patients need additional treatment. Your provider can guide you.
Are there prescription treatments?
Yes. There are medications made specifically for opioid-induced constipation. Your provider can tell you if one is right for you.
When is constipation an emergency?
Seek care right away for severe abdominal pain, vomiting, blood in the stool, or no bowel movement for several days.
Can I reduce my need for opioids?
Interventional treatments may help some patients reduce opioid use. Call (504) 229-4866 - Metairie Office , (504) 229-4866 - Laplace Office , (504) 229-4866 - Harvey Office , (504) 229-4866 - Hammond Office or (504) 229-4866 - Lutcher Office to discuss your options.
Talk to Us About Your Medications
Our team can help you manage side effects and explore other pain relief options. Call (504) 229-4866 - Metairie Office , (504) 229-4866 - Laplace Office , (504) 229-4866 - Harvey Office , (504) 229-4866 - Hammond Office or (504) 229-4866 - Lutcher Office or request an appointment online today.