Stercoral Colitis: Why Long-Term Constipation Shouldn’t Be Ignored

ByBob Burns

Updated April 17, 2025

What Exactly Is Stercoral Colitis?

Stercoral colitis is a form of inflammation in the colon that develops when stool remains in the colon too long and becomes hardened. Over time, this can compress parts of the colon wall, reducing blood flow and irritating or damaging the tissue. In more advanced cases, this may lead to infection or, rarely, tissue death or perforation.

It typically results from long-term, severe constipation—often in individuals with additional risk factors like dehydration, reduced mobility, or medications that slow down digestion. While rare, it represents an important reason to pay attention when constipation becomes more than an occasional issue.

Why Chronic Constipation Deserves Attention

Constipation that lasts more than a few days—or becomes a regular pattern—can affect quality of life in more ways than people realize. Aside from discomfort, bloating, and straining, persistent constipation may gradually interfere with overall digestive function and increase the risk of complications.

The potential for issues like stercoral colitis highlights the importance of recognizing when symptoms are no longer minor or situational. Long-standing constipation is more than just a bathroom issue—it’s a signal that the digestive system needs support.

What Might Increase Someone’s Risk?

The likelihood of constipation-related complications varies from person to person. That said, certain factors are known to contribute to more persistent or severe forms of constipation, including:

• Medications that slow the gut (such as opioids or anticholinergics)
  
• Low fluid intake
  
• Limited physical activity or bedrest
  
• Diets low in fiber and high in processed foods
  
• Older age
  
• Neurologic or metabolic conditions that affect the bowels
  

In combination, these can create conditions where stool remains in the colon longer than it should, increasing the risk of complications like stercoral colitis.

What Can Be Done to Help Prevent It?

There are several strategies that can help manage or prevent long-term constipation and reduce stress on the colon:

1. Stay hydrated. Drinking enough water daily softens stool and helps it move more easily. 
2. Include fiber-rich foods. Fruits, vegetables, whole grains, and legumes support regular bowel movements. It’s best to increase fiber slowly to avoid discomfort. 
3. Incorporate movement into your day. Physical activity stimulates the digestive system, even light walking. 
4. Don’t ignore the urge to go. Holding in bowel movements can contribute to buildup and slow digestion. 
5. Review medications with your provider. Some medications may need adjustments or supportive treatments to manage their digestive side effects. 

If constipation becomes persistent or is accompanied by pain, nausea, or other concerning symptoms, it’s worth discussing with a healthcare provider.

A Final Thought

Stercoral colitis is a condition that emerges from a longer pattern of constipation, not a single episode. That’s what makes it relevant for those who are dealing with digestive issues that don’t seem to resolve. Recognizing when something isn’t improving allows time to address the cause and prevent complications.

Because digestion is influenced by a mix of personal factors—from what you eat to how your body responds to certain medications—understanding your own pattern is key to managing symptoms effectively.