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As against common belief, constipation does not lead to bowel perforation in patients. Constipation may be avoided by taking a balanced diet that is rich in fluids, fiber and green vegetables. When patients do not take a balanced diet that comprises mainly protein and less water and green vegetables, they are prone to constipation. However, constipation does not lead to bowel perforation.Dr. Pawanindra Lal, laparoscopic surgeon from New Delhi discusses can constipation cause bowel perforation.