Constipation Massage

A Constipation Massage is an abdominal or reflexology massage technique designed to stimulate intestinal movement, relieve discomfort, and aid in the natural passage of stool. Evidence supports its effectiveness for chronic functional constipation and related symptoms, making it a safe non-pharmacological intervention in many cases.​

Signs & Symptoms

  • Infrequent or difficult bowel movements (usually fewer than three per week)

  • Abdominal pain, discomfort, or bloating

  • Sensation of incomplete evacuation

  • Straining during defecation

  • Hard, dry stools

  • Gas, distention, and sometimes nausea.​

Contraindications

  • Acute abdominal pain or undiagnosed abdominal symptoms (rule out surgical emergencies)

  • Active gastrointestinal infection or inflammation (e.g., appendicitis, Crohn’s, ulcerative colitis flare)

  • Recent abdominal surgery or open wounds

  • Pregnancy (use caution; only gentle massage unless cleared by a physician)

  • Vascular conditions (abdominal aneurysm), severe hernia, or cancer in the area

  • Severe skin conditions, active bleeding disorders, or presence of tumors.​

Assessment

  • Assess frequency, consistency, and duration of constipation symptoms

  • Palpate abdomen for tenderness, distention, rigidity, or masses

  • Ask about bowel movement history, dietary patterns, water intake, and physical activity levels

  • Review medications and recent surgeries for related constipation risks

  • Monitor for red flag symptoms such as unexplained weight loss, severe pain, or vomiting, which require medical referral.​

Treatment

  • Gentle abdominal massage in a clockwise/SIGMA direction along the colon—starting from the lower right, moving up, across, and down left​

  • Techniques include circular motions, effleurage, and gentle kneading (“I Love You” stroke is a common protocol)

  • Target trigger points and areas of muscle tension or spasm

  • Massage duration typically 10–20 minutes; can be performed daily for chronic symptoms

  • Reflexology: applying pressure to specific foot points corresponding to the colon can stimulate bowel motility​

  • May combine massage with castor, coconut, or argan oils; heat may aid muscle relaxation

Self Care

  • Practice daily or as needed after consulting your healthcare provider​

  • Hydration: increase water intake

  • Regular vigorous physical activity to support general bowel function

  • High-fiber, balanced diet rich in fruits/vegetables/whole grains

  • Schedule regular toileting times; never ignore the urge to defecate

  • Self-massage techniques: gentle circular abdominal motions or quadrant-specific strokes following the colon’s path (“I Love You” technique)​

  • Foot reflexology to stimulate digestive function is safe to add to self-care

  • Seek medical attention for persistent symptoms or any red flags