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Chronic constipation documentation requires meeting the Rome IV criteria: Fewer than 3 spontaneous bowel movements per week for at least 3 months One or more of: straining, lumpy/hard stools (Bristol Type 12), incomplete evacuation sensation, anorectal obstruction sensation, or manual manoeuvres to facilitate defecation Symptoms present for at least 6 months total Loose stools are rarely present without laxative use Chronic constipation is closely linked to gut microbiome imbalance, poor dietary fibre, and lifestyle factors

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