Fewer than three bowel movements per week
Hard, dry, or lumpy stools
Straining to pass stool
Feeling like you cannot fully empty your bowels
A blocked or backed-up feeling in the rectum
Needing to use your fingers or support to help stool come out
Abdominal bloating or discomfort
Pain during bowel movements
Passing only a small amount of stool
Needing to sit on the toilet for a long time without success