1.Low fiber intake The eating habit of people in modern society take quite a low amount of dietary fiber. White bread, pasta made from well polished flour, meat, eggs, and milk are all void of fiber, are the major cause of constipation.

Hence, American people can have only 3.8 gm. fiber/day, where as the recommended daily requirement of fiber is 20-25 gm./day. Therefore constipation is so common in western country. At the same time, the Chinese food taking person does not fare well, eating white rice , noodle, pork and chicken with very little vegetables in everyday life, they are also sick from constipation too. The dietary fiber in such food can match up just only 1.26 gm./day.

Nowadays, for convenience, many people prone to take processed food like cup noodle. Besides several chemical substance ie. preservative, artificial flavor and color. MSG and free radicals from the repeated used oil in the manufacturing process. Cup noodle is all void of dietary fiber, all natural substance has been excluded out, until just simple carbohydrate left. This is the number one 'junk food', human has ever created, that rotten our health. Constipation is the aftermatch of taking cup noodle.

2.Over stress. Human being has a set of autonomic nervous system, sympathetics and parasympathetics. Stressful situation make the autonomic nerve trend to the sympathetics one. All our body will be prepare to fight and fright. So the heart will increase it's beat, blood pressure increase, glycogen is burnt to glucose to become fuel for muscles in the time of physical fighting. Sure that the gut will shut down their function, stop gastric secretion, slow down the peristalsis, also the defecation process.

In modern society, people are facing a stressful circumstance. It's a long run process which is not so easy to cease down. Chronic stress not even cause

3.Bad habited. In Bangkok metropolitan, people get up so early, rush to schools or offices to avoid traffic jam. Their restrooms have become 'restless room'. Most of them have no time for toileting. Many people are also scared of using public toilet too. So the fecal mass has to be kept foul smelling in the gut until evening. Unfortunately, up to that time the nerve reflex that serve to signal the urge for defecation has all become numbed. Also the packed fecal mass has been condensed so hard that make the toileting time become a very traumatic period. Constipation is a devil, knocking on every door of rushing people.

4.Sedentary life style. Eat and sit still loosen down the peristaltic wave. It's a natural reflex. People who work less, should not eat more. So people leading a sedentary life style lost their appetite, also the bowel function.

5. Others. Drinking tea, coffee, calcium supplement of all form, also aluminium hydroxide in antacid drug are common causes of constipation.

Some other severe disease should be keep in mind. Congenital abnormally may be found in new born. Ascariasis with gut obstruction may be found in children with acute abdominal pain. Post surgical scar may cause a partial gut obstruction. Colon cancer should be rule out in middle age person. Do get an examination from the physician, before starting yourself treatment for constipation.