Daijiworld Media Network - Mumbai
Mumbai, Sep 5: Straining excessively while passing stools may do more than worsen constipation — it can also place sudden stress on the cardiovascular system and, in vulnerable people, potentially trigger a cardiac emergency, doctors have warned.
According to Dr Bipeenchandra Bhamre, cardiac surgeon at Sir HN Reliance Foundation Hospital, the risk may be higher among older adults and people with conditions such as high blood pressure, diabetes or existing heart disease.
During bowel movements, forceful straining can temporarily affect blood pressure and heart rate, placing additional stress on the heart.
“This sudden strain temporarily affects blood pressure and heart rate, placing extra stress on the heart. In people with underlying heart disease, uncontrolled hypertension, diabetes, or weakened heart function, this added stress can lead to chest pain, abnormal heart rhythms, or even a heart attack,” Dr Bhamre said.
He explained that the pressure created by forceful straining is not limited to the digestive system. It can also increase pressure in the chest and place additional strain on the cardiovascular system.
Symptoms can develop quickly in cases where a cardiac event is triggered. Warning signs may include severe chest pain or pressure, pain spreading to the left arm, neck, jaw, shoulder or back, shortness of breath, cold sweats, dizziness, nausea, vomiting, fatigue or sudden collapse.
Dr Bhamre advised people not to ignore chest pain or severe discomfort that begins while passing stools.
“If chest pain or severe discomfort starts while passing the bowels, then don’t strain, stop immediately, and ask for help. Make sure to consult the doctor without delay,” he said.
Doctors recommend preventing constipation by drinking adequate water and consuming a fibre-rich diet. Regular physical activity, including around 45 minutes of exercise a day, can also help maintain bowel and cardiovascular health.
People should avoid forceful straining during bowel movements and, if they already have heart disease, take prescribed medicines regularly. Keeping blood pressure, diabetes and cholesterol under control, along with attending routine health check-ups, is also important.