About Constipation

Common constipation can be described as having hard stool, which is difficult and painful to pass.  It can have a negative affect upon your skin health, so we have included information about it here.

In some cases this strain can cause hemorrhoids.  In later stages of constipation, the abdomen may become distended and diffusely tender, causing cramping and sometimes enhanced bowel sounds.  

You have this condition when you have infrequent bowel movements that are typically three times or fewer per week, if you have difficulty during defecation, and you have the sensation of incomplete bowel evacuation. 

Severe cases ("fecal impaction") may have symptoms of bowel obstruction (vomiting with a very tender abdomen) and "paradoxical diarrhea," where soft stool from the small intestine bypasses the impacted matter in the colon.

Constipation Diagnosis

The diagnosis is essentially made from the patient's description of the symptoms. Bowel movements that are difficult to pass, very firm, or made up of small pellets (such as those excreted by rabbits) qualify as constipation, even if they occur every day. Other symptoms related to constipation can include bloating, distension, abdominal pain, or a sense of incomplete emptying.

One of the causes is a lack of  or a low intake of dietary fiber or inadequate amounts of fluids. Constipation as a result of a lack of regular mobility should be considered in the elderly.

It may arise as a side effect of medications, including antidepressants, which can slow the movement of food through the intestines.

Some Main Causes For Constipation:

  • Hardening of the feces
    • Insufficient intake of dietary fiber
    • Dehydration from any cause or inadequate fluid intake
    • Medication, e.g. diuretics and those containing iron, calcium, aluminum
  • Paralysis or little mobility, where peristaltic action is diminished or absent, so that feces are not moved along
    • Hypothyroidism (underactive thyroid gland)
    • Hypokalemia
    • Injured anal sphincter (patulous anus)
    • Medications, such as loperamide, opioids (e.g. codeine & morphine) and certain tricyclic antidepressants
    • Severe illness due to other causes
    • Acute (a rare inherited condition)
    • Lead poisoning
    • Lactose Intolerance
    • Dyschezia (usually the result of suppressing defecation)
  • Diverticula
    • Tumors, either of the bowel or surrounding tissues 
  • Psychosomatic constipation, based on anxiety or unfamiliarity with surroundings.
    • Functional constipation
    • Constipation-predominant irritable bowel syndrome, characterized by a combination of constipation and abdominal discomfort and/or pain
  • Smoking cessation (nicotine has a laxative effect)
  • Abdominal surgery, other types of surgery, childbirth
  • Severe dehydration
    • Switching from breast milk to bottle feeds, or to solid meals
    • Potty training anxiety
    • Hirschsprung's disease - a condition from birth where the child has a nerve cell defect that affects communication between the brain and bowels 
    • Babies can also get constipation when switching from breast milk to the bottle. 




General Treatment Of Constipation

For people without medical problems, the main solution is to increase the intake of fluids (preferably water) and dietary fiber. The latter may be achieved by consuming more vegetables and fruit and whole meal bread, and pulses such as baked beans and chick peas and by adding linseed to one's diet. 

Avoid over the counter laxatives as bowel movement can become dependent upon their use. Enemas can be used to provide a form of mechanical stimulation. However, enemas are generally useful only for stool in the rectum, not in the intestinal tract.

Lactulose, a nonabsorbent synthetic sugar that keeps sodium and water inside the intestinal lumen, relieves constipation. It can be used for a few months. Among the other safe remedies, fiber supplements, lactitiol, sorbitol, milk of magnesia, lubricants etc. may be of value. Electrolyte imbalance e.g. Hyponatremia may occur in some cases especially in diabetics.

In alternative and traditional medicine, colonic irrigation, enemas, exercise, diet, and herbs are used to treat constipation. The mechanism of the herbal, enema, and colonic irrigation treatments often includes the breakdown of impacted and hardened fecal matter.

Warning About Laxatives

Laxatives may be necessary for those who don't respond well to other intervention methods. Laxatives should be used with caution and only as necessary. Use laxatives in the following sequence as a recommendation: 

bulk forming -- then stool softeners -- then osmotic -- then stimulants -- then suppositories -- and finally enemas (as a last resort). 

The reason cautious use only is because laxatives can lead to dependence, and like all medications they have side effects. Laxatives should not be used if there are signs and/or symptoms of a bowel obstruction.   

View the Jack Lalanne Power Juicer for healthier skin and general good health.    

Leave Constipation For << Home << Skin Health and Anatomy << Fiber Facts

 

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