Constipation can last from days to months, with interludes of diarrhea or normal bowel function. Stools are often hard and may be described as pellet shaped in at least 25% of bowel movements, or Bristol Stool Form Scale 1-2 (separate hard lumps like nuts that are difficult to pass, or sausage shaped but lumpy).
The external abdominal oblique muscle is the largest and most superficial of the 3 paired, flat abdominal muscles. It arises from the lower 8 ribs and interdigitations of the serratus anterior muscle.
The internal abdominal oblique muscle is located closer to the skin than the transverse abdominal muscle. This muscle supports the abdominal wall, assists in forced respiration, aids in raising pressure in the abdominal area, and rotates and turns the trunk with help from other muscles.