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Keto Constipation: Causes, Symptoms, and Remedies

Constipation is a common digestive issue that affects many individuals, regardless of their dietary habits. However, those following a ketogenic diet may be more prone to experiencing constipation due to the specific nature of the diet. In this article, we will explore the causes, symptoms, and remedies for keto constipation, providing valuable insights to help individuals on a ketogenic diet maintain a healthy digestive system.

Causes of Keto Constipation

When following a ketogenic diet, the body enters a state of ketosis, where it primarily relies on fat for energy instead of carbohydrates. This shift in macronutrient intake can lead to constipation due to several reasons:

  • Low fiber intake: The ketogenic diet typically restricts the consumption of high-fiber foods such as fruits, whole grains, and legumes, which are essential for maintaining regular bowel movements.
  • Dehydration: The ketogenic diet can have a diuretic effect, causing increased water loss through urine. Dehydration can lead to harder stools and difficulty passing them.
  • Imbalance of gut bacteria: The gut microbiome plays a crucial role in digestion and bowel movements. The drastic change in dietary patterns on a ketogenic diet can disrupt the balance of gut bacteria, leading to constipation.

Symptoms of Keto Constipation

Recognizing the symptoms of keto constipation is essential for early intervention and prevention of further complications. Some common symptoms include:

  • Infrequent bowel movements: Individuals experiencing keto constipation may have fewer than three bowel movements per week.
  • Hard and dry stools: Stools may become difficult to pass and appear dry and lumpy.
  • Straining during bowel movements: The need to strain excessively during bowel movements is a common symptom of constipation.
  • Abdominal discomfort: Constipation can cause bloating, cramping, and general discomfort in the abdominal area.

Remedies for Keto Constipation

Fortunately, there are several remedies that can help alleviate and prevent keto constipation. These remedies focus on increasing fiber intake, maintaining hydration, and promoting a healthy gut microbiome:

1. Increase Fiber Intake

Adding fiber-rich foods to a ketogenic diet can help regulate bowel movements. Some keto-friendly high-fiber options include:

  • Avocados
  • Chia seeds
  • Flaxseeds
  • Broccoli
  • Brussels sprouts

2. Stay Hydrated

Drinking an adequate amount of water is crucial for maintaining regular bowel movements. Aim to drink at least 8 glasses of water per day and increase intake if exercising or in hot weather.

3. Probiotics and Prebiotics

Consuming probiotic-rich foods or taking probiotic supplements can help restore the balance of gut bacteria. Additionally, incorporating prebiotic foods such as garlic, onions, and asparagus can promote the growth of beneficial gut bacteria.

4. Exercise Regularly

Engaging in regular physical activity can stimulate bowel movements and prevent constipation. Incorporate exercises such as walking, jogging, or yoga into your daily routine.

5. Consider Magnesium Supplements

Magnesium supplements can help soften stools and promote regular bowel movements. However, it is important to consult with a healthcare professional before starting any new supplements.

6. Gradually Increase Fat Intake

For individuals new to the ketogenic diet, gradually increasing fat intake can help the body adjust and minimize the risk of constipation. This allows the digestive system to adapt to the higher fat content of the diet.


Keto constipation is a common issue that can occur when following a ketogenic diet. By understanding the causes, recognizing the symptoms, and implementing the appropriate remedies, individuals can effectively manage and prevent constipation while enjoying the benefits of a ketogenic lifestyle. Remember to consult with a healthcare professional for personalized advice and guidance.