Chronic constipation, what should I do?

Chronic constipation, what should I do?

Constipation is something that no one wants to have. Especially chronic constipation which each person may have different symptoms. Some people may not excrete as usual. But some people may not excrete for weeks. This problem may affect daily life and may lead to bloating, headache, or irritability more easily. However, in mild cases, it may be alleviated by behavior modification. But may require medication or surgery in severe cases.

What is chronic constipation?
Constipation often occurs when the intestines compress or move slowly during digestion. Making the body unable to eliminate waste effectively. With prolonged residue in the colon, it can lead to dry, hard, and enlarged stools that make it difficult for bowel movements.

The problem of chronic constipation can be caused by several reasons as follows:

Daily life
Some everyday behaviors can lead to chronic constipation, such as eating a low-fiber diet. Eating meat Dairy products, Including processed foods that contain a lot of fat and sugar, not drinking enough water, excessive consumption of caffeinated or alcoholic beverages, being overweight or underweight, causing stress or psychological problems, etc. In addition, the elderly may be at greater risk of developing chronic constipation than the general population.

Use of certain drugs
Some medications can cause constipation side effects, such as antacids containing aluminum hydroxide or high in calcium, antidepressants, antipsychotic drugs, medicine for diarrhea epilepsy medication, Parkinson’s disease medications, calcium and iron supplements, calcium channel blockers, opioid analgesics, diuretics, anti-muscarin drugs, etc.

Intestinal obstruction
Certain illnesses will result in residual stools in the intestines leading to chronic constipation such as rectal ulcers, intestinal obstruction, colon cancer, rectal cancer, cancer in the abdomen that presses on the colon Pelvic floor prolapse, etc.

Nerve problems in the intestines
Intestinal nerve dysfunction may affect intestinal and rectal muscles, such as degenerative autonomic neuropathy, degenerative neuropathy, Parkinson’s disease, Cerebrovascular disease, Injury to the spinal cord, etc.

Conditions affecting hormonal balance
A hormone imbalance can lead to chronic constipation, such as diabetes. Irritable bowel syndrome Hypothyroidism or pregnancy, etc.

How to cope with chronic constipation

  • Should be training to make it a habit, try to have a bowel movement on time. Especially in the morning when the colon is working the most.
  • Not holding the stool unnecessarily, when do you have pain. Because holding it for a while can cause pain and residue to occur. Until causing constipation problems.
  • Not stressed, because stress can affect the functioning of the intestines. In addition, some patients may have difficulty urinating because they are in a rush or stress, so while urinating, they should relax, do not rush, and give their body time to expel the waste.
  • Get some exercise, This may help the muscles involved in digestion work better and may have a beneficial effect on the digestive system.
  • Drink enough water or at least about 8 glasses a day, which will help prevent dehydration and you should drink more on hot days or exercise days.
  • Eat more fiber from vegetables, fruits, and whole grains, about 30 grams a day, gradually increasing the amount gradually to prevent bloating. In addition, it is believed that eating prunes can help relieve constipation. Which studies have shown Eating 6 prunes or approximately 50 grams, twice a day may help people with constipation to excrete better.
  • Train the pelvic floor muscles, Because sometimes the problem of constipation may be caused by the dysfunction of the muscles in the area. The physiotherapist will advise patients to practice contraction and relaxation of the pelvic floor muscles with biofeedback. With a device inserted into the anus To measure muscle tension and also be able to tell when to narrow or loosen the muscles. This helps patients learn when to loosen the muscles that need to defecate.
  • Using drugs to help drive the stool easier. Each drug works on the digestive tract differently, such as fiber supplements or fiber that help increase stool mass. Laxatives that stimulate intestinal peristalsis, Osmosis laxatives that help suck water from the intestines. Making the stool not dry and hard that it is difficult to excrete Medicines that help lubricate the stool to move more easily. Medicines that help the stool soften, become softer, and move more easily. Suppositories and enema that help soften stools This helps the intestines to compress and make it easier to excrete. Including Milk of Magnesia or Magnesia laxative That works to help increase the water in the colon makes it easier to excrete Which is a generic home drug that can be purchased online.
  • Consult a doctor for surgery It is often an option if the patient does not get better with the above methods or constipation problems may be caused by obstruction, narrowing, or loosening of the intestine. The doctor may have to have partially removed the intestines.

Important signs that you should see a doctor!
Chronic constipation can be an early symptom of colon cancer. It can be a warning sign of a viral or bacterial infection or it could be the result of some other dangerous health problem. Therefore, if found to have persistent constipation for more than 2 weeks, mild diarrhea for 1 week, severe diarrhea for more than 2 days, with liquid and bloody Black stools or pain in defecation in a way that must be taken immediately without looking for a cause.

If any of the above symptoms occur or two or more symptoms, the patient should seek medical attention. For further diagnosis and appropriate treatment.

Food photo created by jcomp –

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