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Constipation rarely happens out of the blue in otherwise healthy adults. It is usually preceded by decades of semi-regular stools that are either too large, or too hard, or both. These abnormal stools cause gradual nerve damage and enlargement of the colon, rectum, and hemorrhoidal pads until one day the bowels refuse to move as was meant by nature — once or twice daily, usually after a meal, and with zero effort or notice. Therefore, it’s best to recognise and stop for good abnormal stools long before they bite you in the ass, literally and figuratively.

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