Straining during bowel movements in older adults is associated with several risks, including hemorrhoids, anal fissures, rectal pain, fecal impaction, and, in severe cases, bowel perforation or cardiovascular events. Straining can trigger cardiovascular events such as syncope or, in those with underlying heart disease, even myocardial ischemia due to the Valsalva maneuver and associated hemodynamic changes. #constipation #healthyaging #doctor #nurse #fblifestyle | Zain Hasan