Thanks for the query. Although most of the cases of constipation
are primary functional, meaning that they are just due to impairment of the way the bowels move, like in irritable bowel syndrome
, sometimes there are organic causes of severe constipation, such as hypothyroidism
, which in your case neeeds to be ruled out since you also present with severe fatigue
, the most common complaint in 9 out of 10 patients who suffer from the thyroid.
Dr Brenes-Salazar MD
Mayo Clinic MN