Constipation, often misunderstood, isn't solely about daily bowel movements. Infrequent bowel movements (e.g., once a week instead of every two days) signal a problem. Causes include insufficient fiber (aim for 25-35g daily), neurological issues (diabetes, stroke, etc.), colon polyps, and medications. Symptoms include incomplete evacuation, hard stools, and straining. See a doctor if you notice blood in stool, unintentional weight loss, or have a family history of colon cancer. Treatment involves dietary changes (kiwi, guava, avocado are recommended), increased fiber intake (gradually add bran), behavioral modifications (avoid phone use during bowel movements, try Indian-style toilets or elevated footrests), abdominal massage, probiotics, and exercise. A holistic approach is key, avoiding reliance on laxatives. The provided context does not mention the alarming signs of constipation that require immediate medical attention. However, based on general knowledge: Here are three alarming signs of constipation that require immediate medical attention: Rectal Bleeding: Presence of bright red blood or dark, tarry stools. It can indicate conditions like hemorrhoids, anal fissures, or more serious issues like colorectal cancer. Severe Abdominal Pain: Intense, persistent, and worsening abdominal pain, especially if accompanied by bloating, nausea, or vomiting. It may suggest an intestinal obstruction, inflammatory bowel disease, or other serious conditions. Inability to Pass Gas: Along with constipation, if you are unable to pass gas, it could be a sign of a complete bowel obstruction. This is a medical emergency that requires immediate attention. Here are some non-medication methods suggested to improve constipation, focusing on exercise and dietary changes: Increase Fiber Intake: Fiber is emphasized as being more effective than just increasing water intake for treating constipation. Exercise: Any form of exercise, especially strength training, is recommended. Exercise stimulates short-chain fatty acids in the large intestine, feeding beneficial bacteria. Strengthens the brain-gut axis, improving colonic motility. If strength training isn't possible, walk for 10-20 minutes after each meal. Improve Toilet Posture: Using an Indian-style toilet is ideal. If using a Western toilet, elevate your legs with a stool to improve the defecatory angle. Brain Gut connection: Neurological problems can make the constipation issue worse. Exercise can help to improve the Brain Gut Axis.