What is a concerning finding in a 72-year-old woman complaining of constipation?

In the context of a 72-year-old woman presenting with constipation, weight loss is particularly concerning as it may indicate an underlying pathology that requires further investigation. In older adults, unexpected weight loss can be a sign of serious conditions such as malignancies or systemic diseases. Constipation itself can be a symptom of various issues, and if accompanied by significant weight loss, it raises a red flag for potential gastrointestinal disorders, including cancer, which may obstruct bowel function and lead to altered bowel habits.

While passing hard stools, infrequent bowel movements, and abdominal cramping can certainly be symptoms associated with constipation and might warrant evaluation, they do not carry the same level of urgency as significant, unexplained weight loss. The presence of weight loss suggests that a comprehensive assessment should be conducted to rule out serious causes and ensure appropriate management of the patient’s overall health.