And for many, constipation can become chronic, meaning regularly passing lumpy hard stools accompanied by straining.

大部分时候便秘是慢性的，这意味着你经常要用力排出粗硬的粪便。

Sometimes what you're getting is loose stool that just gets around the hard stool, but you're not really removing the hard stool in the rectum.

有时你得到的是松散的粪便，只是绕过硬粪便，但你并没有真正去除直肠中的硬便。