Constipation: Problems, Prevention and Treatment

BY IMAM FAHRUDDIN

Constipation or also known as costiveness, dyschezia, and defaecation dyssynergic, referring to a rare bowel movements and / or difficult. Constipation is a common cause of painful bowel movements. severe constipation,

including constipation (failure to remove feces or gas) and fecal impaction

Constipation is common in the general population incidence of constipation varies from 2 to 30%.

Constipation is a symptom with many causes. Causes are of two types: obstructed defecation and slow transit colon (or hypomobility). About 50% of patients evaluated for constipation at a tertiary referral hospitals have obstructed defecation.

Types of constipation has resulted in mechanical and functional. Causes of slow colonic transit constipation including diet, hormones, drug side effects, and heavy metal poisoning.

Treatment includes changes in eating habits, laxatives, enemas, biofeedback, and surgery. Because constipation is a symptom, not disease, effective treatment of constipation may require first determining the cause.

Definition

* Rarely bowel movement (usually three times or fewer per week)

* The difficulty during defecation (straining during more than 25% of bowel movements

or a subjective sensation of hard stools), or

* Sensation of incomplete bowel evacuation.

Cause

* Causes of constipation can be divided into congenital, primary, and sekunder.Causes most common are primary life and not threaten .On elderly, the causes include: insufficient fiber intake, inadequate fluid intake, decreased physical activity side effects, drug , hypothyroidism, and obstruction by colorectal cancers.

Primary Constipation

Primary or functional constipation is a symptom lasted for more than six months not because of the underlying causes such as drug side effects or an underlying medical condition.

It is not associated with abdominal pain that sets it apart from irritable bowel syndrome besar.Ini is the most common cause of constipation.

Diet

Constipation can be caused or exacerbated by a diet low in fiber, low liquid intake, or diet.

Drug
Many drugs constipation as a side effect. Some include (but are not limited to); opioids (such as common pain killer), diuretics, antidepressants, antihistamines, antispasmodics, anticonvulsants, and antacids aluminum

Metabolic & Muscular



Metabolic and endocrine problems that can cause constipation include:. Hypercalcemia, hypothyroidism, diabetes mellitus, cystic fibrosis, and celiac disease Constipation is also common in individuals with muscular dystrophy and myotonic.

Structural and functional abnormalities

Constipation has a number of structural (mechanical, morphological, anatomical) causes, including:. Spinal cord lesions, Parkinson's, colon cancer, anal fissure, proctitis, and pelvic floor dysfunction.

Constipation also has a functional (neural) causes, including anismus, down syndrome, perineum, and baby Hirschsprung.On disease, Hirschsprung's disease is the most common medical disorders associated with constipation.

Anismus occurred in a small minority of people with chronic constipation or obstructed defecation.

Psychological

Voluntary withholding of feces is a common cause constiption.Choice to resist can be caused by factors such as fear of pain, fear of public toilets, or laziness.

Diagnostic Approach

Diagnosis is made essentially from the description of patient symptoms. bowel movements are difficult to pass, very firm, or made up of small hard pellets (as issued by the rabbit) qualify as constipation, even if they happen every day.

Other symptoms associated with constipation can include bloating, distension, abdominal pain, headache, feelings of fatigue and nervous exhaustion, or feeling of incomplete emptying.

Chronic constipation (symptoms for at least three days per month for more than three months) associated with abdominal discomfort is often diagnosed as irritable bowel syndrome (IBS) when no obvious cause is found.

Prevention

Constipation is usually easier to prevent than cure. After eliminating constipation, maintenance with enough practice, fluid intake, and high fiber diet is recommended.

Children benefit from scheduled toilet break, once in the morning and 30 minutes after eating.

Treatment
The main treatment of constipation involves increasing water consumption, and fiber (either diet or as supplements.) Routine use of laxatives is not recommended, have a bowel movement may come to be dependent on its

use.

Enema can be used to provide forms of mechanical stimulation. However, enemas are usually useful only for stool in rectum, not in the intestinal tract.

Laxative

If you use laxatives, milk of magnesia is recommended as first-line agent because of its low cost and safety. Stimulant alone. Should be used if it is not effective.

In the case of chronic constipation, prokinetics may be used to improve gastrointestinal motility. A number of new agents have shown positive results in chronic constipation; include prucalopride, and lubiprostone.

Physical intervention

Constipation who reject the above measures may require physical intervention such as disimpaction manual (physical removal of impacted faeces by hand, see fecal impaction).

Pediatric

Lactulose and milk of magnesia has been compared with polyethylene glycol (PEG) in children. All have similar side effects, but more effective for treating PEG osmotic sembelit.Pencahar is. Recommended for a stimulant laxative.

Prognosis

Complications that can arise from constipation include hemorrhoids, anal fissures, rectal prolapse, and impaction fecal.Filter to pass stool can cause hemorrhoids.

In the next stage of constipation, stomach may become distended, hard and diffuse tender. severe cases ("fecal impaction" or constipation malignant) may show symptoms of digestive disorders (vomiting, stomach very gently) and encopresis, where the soft dirt of the small intestine bypasses the impacted mass of feces in the colon.

If you have constipation then you know that you have to stop constipation now. Constipation is a serious condition that needs quick attention. If you go to the doctor, he may tell you that if you do not have a bowel movement in two to three days is probably fine.

After digested food reaches your colon of toxic material that already. digest food in your colon more than 24 hours or more is a toxic material. If you have a bowel movement, and saw the dirt you, whether you want them to be in your body for days two, three or four? And if they stay there a long time, it was ok? I do not think so.
Just use your common sense. Every 24 hours, after eating, you should have a bowel movement. This means that if you eat three meals a day, you should have three bowel movements per day and two bowel movements will be

better than just one.

So how can you stop constipation, if you only have one bowel movement every two or three days? Well that will depend on your lifestyle. The way you live your life and the food you eat. In this article we are talking only about one way to stop constipation.

Eating fruits in the morning helps your body to urinate more and activate peristaltic action, which helps you to have natural bowel movements.

Fruit juice and about one to two hours to digest and does not hinder your natural tendency to detoxify with elimination. A heavy meal takes approximately fours or more to digest and block your body's detoxification period.

Try these changes for two weeks and you will stop constipation. Eat fruit or drink green when you first wake up and then around 10 am eating or drinking fruit smoothies, with no sugar.

You will stop constipation fast. Just help your body to do what is done naturally and you'll have more energy, your body more alkaline, and you will be able to enable normal bowel movements.

Many of us are looking for used laxatives constipation relief. While it may seem like a good thing to use laxatives to help more quickly, they could make the problem worse over time.

Laxatives draw water from your body in an attempt to loosen any seat and flush through your system. Obviously, this can make you dehydrated and may aggravate your problem with constipation for it tries to process the food after eating a little new.

The best thing to consider is making sure you eat foods high in fiber. Fiber diet that is very important because it helps remove all waste through your system efficient because it is as a rule you may want to try to get no less than 30-35 grams of fiber in your diet daily.

The next thing you need to do is to make sure you drink plenty of fluids every day. If the body does not have enough water in the system to use it will not be able to keep moisture pass through and leave the trash because you were blocked and seek a cure constipation.

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