The Horrors of Constipation – Ozempic Side Effects

Let’s face it, no one likes to talk about constipation. Constipation is one of the most common side effects of Ozempic, so it is important to know how to treat it effectively and safely.

What is Constipation?

Constipation is a digestive disorder that occurs when stool becomes hard and difficult or impossible to pass. It can cause abdominal pain, bloating, cramping, nausea, headaches, and other symptoms.

Anyone who has found themselves straining to pass a bowel movement knows how unpleasant constipation can become. While it’s not usually serious, it can be incredibly frustrating—especially when you don’t know how to get relief.

The most common cause of constipation is not eating enough fibre-rich foods or drinking enough fluids.

Other causes include being inactive for long periods of time, certain medications such as opioids or antidepressants, certain medical conditions such as diabetes or thyroid disease, and pregnancy.

In my case, constipation was one of the side effects I experienced within days of my first Ozempic shot.

How Does it Make You Feel?

When someone suffers from constipation they often feel bloated, nauseated and have stomach aches or cramps which can lead to poor sleep quality and decreased energy levels throughout the day.

Constipated people may also experience a decrease in appetite due to feeling so uncomfortable after meals. They may also feel frustrated when they are unable to go the bathroom regularly.

I can tell you that as far as side effects go, constipation is a nasty one – but I was determined not to give up on Ozempic, so I had to find a solution.

Natural Remedies for Constipation Relief

Obviously the first step is to use natural remedies to help relieve your symptoms of constipation quickly and easily.

One of the most effective ways is drinking plenty of fluids like water and herbal tea throughout the day. The additional fluid intake helps keep your stools soft so they can move through your digestive system more easily.

Eating more fibre-rich foods such as fruits, vegetables, legumes, nuts, and whole grains can also help keep your digestive system running smoothly. Fibre relieves constipation by providing bulk for your stools, which make them easier to pass out of your body naturally.

Additionally, exercising regularly can help prevent constipation since physical activity helps stimulate digestion. This is known to get your bowels moving.

Lastly, relaxation techniques like yoga or meditation may also be beneficial in relieving constipation since they reduce stress levels which can impact digestion. 

Unfortunately, in my case none of the above worked.

I ate overnight oats.

I ate berries that are high in fibre.

I took daily fibre supplements (psyllium husk capsules)

I drank like a sailor who had not seen fresh water in days

I exercised on the elliptical every day.

I even put a stool in front of the loo to help me crouch, which supposedly helps move things along.

I even tried to chill, but that was hard because I was really uncomfortable.

Nothing worked, so I had to bring in the big guns.

Medication for Constipation

If natural remedies don’t seem to be helping with relieving your constipation then you will have to do what I did -speak with a doctor to get relief from medications like laxatives or enemas if necessary depending on the severity of your condition.


Used to soften hardened stool, suppositories are inserted rectally and are designed to dissolve quickly in order to stimulate the bowel muscles.

They can be either a stimulant (which helps trigger contractions in the intestines to move stool along) or a lubricant (which makes it easier for stools to pass by coating them). When used properly, suppositories can help relieve constipation within 12-24 hours.

In my case, they did not work.


A popular constipation remedy, enemas involve flushing water or solutions into the lower colon to soften the stool so that it can be eliminated more easily.

An enema can also help stimulate contractions of the bowel muscles and reduce inflammation of the intestine walls which may be causing constipation. Common solutions used for an enema include plain water, sodium phosphate solution, castile soap solution and saline solution.

I used the sodium phosphate solution, and thank goodness this made a difference. It did not sort out the constipation per se, but at least I got some relief.


Oral laxatives come in several forms and work by stimulating the intestines and increasing motility, allowing stools to move through more quickly and with less discomfort.

Common types of laxatives include bulk-forming agents like psyllium husk, osmotic agents like sorbitol, stimulants such as senna or bisacodyl, emollients such as mineral oil, and lubricants like docusate.

I started taking psyllium husk supplements within days of my first Ozempic shot, but it did not resolve the situation. So my doctor prescribed Duphalac.

Duphalac is a medication that contains lactulose, a synthetic sugar that can’t be absorbed by the body. Instead, it draws water into the intestines and softens stools, making them easier and less painful to pass. Duphalac also helps bacteria in the intestines produce lactic acid, which increases passage of stool through the bowel. Taken twice daily with plenty of water, it can provide relief from constipation within 24 hours.

Finally I had found something that worked.

Final Thoughts on Constipation and Ozempic Side Effects

No one likes dealing with the discomfort of constipation so if you notice that you have suddenly stopped going to the loo after you start Ozempic, take action immediately!

Drink plenty of water every day and eat high-fibre foods. You must also exercise regularly and try relaxing activities like reading or taking baths, to reduce stress.

If your Ozempic side effects are like mine, however, the odds are that none of these natural remedies will work. If that happens, talk to your doctor to get more serious relief from medications like laxatives and enemas, depending on the severity of your condition.

Nobody said the Ozempic journey would be easy, but notwithstanding the discomfort of constipation and the other side effects, so far it is still worth it. I plan to hang in there!

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