Fewer than three bowel movements per week
Hard, dry, or lumpy stools
Straining during bowel movements
Feeling like you cannot fully empty your bowels
Abdominal bloating or swelling
Belly discomfort or cramping
Needing to use your fingers or other help to pass stool
Passing small amounts of stool at a time
Pain during bowel movements
Feeling blocked or unable to go despite the urge
Needing to push very hard to have a bowel movement
Nausea or loss of appetite from being backed up