According to statistics, around 15% of the population suffer from constipation worldwide.
Systematic delay in bowel movement or insufficient defecation is called obstipation or constipation.
The World Health Organization categorizes constipation as a disease, while gastroenterologists tend to recognize constipation not as a disease but as a symptom. Constipation occurs as a result of a violation of the process of formation of feces and its movement through the intestine( large intestine).
Constipation is delayed by defecation up to 1-3 times a week or by a daily stool with incomplete or difficult bowel movement. In healthy people, constipation is observed in the case of a change in the situation, diet and quickly passes while restoring the habitual way of life.
Often, constipation occurs when suppressing desires for emptying( work features), or caused by improper diet( lack of fiber).Constipation can indicate serious illness. For example, dyskinesia of the intestine, colitis, adhesion of the abdominal cavity, tumors and intestinal obstruction can lead to constipation.
Diseases of the gastrointestinal tract, inflammation of the biliary tract, gynecological diseases, endocrine diseases are also accompanied by constipation.
In elderly people this disease occurs more often due to atrophy of the intestinal membrane, weakness of the muscles of the abdominal press, pathological processes. In this case, people experience discomfort, abdominal pain, flatulence, weakness or headaches.
Acute and chronic constipation
The diagnosis of constipation is carried out in many ways. If there were problems during emptying for several months, a hard or cloddy stool, prolonged abdominal pain after bowel defecation, emptying less than three times a week, then chronic constipation is diagnosed.
If within 3-4 days there is no stool, nausea, vomiting, fever, then such constipation is acute. Its cause may be a traumatic brain injury, side effects of medications, prolonged bed rest. However, most often cause acute constipation of the intestine or its obstruction.
Developing tumor leads to mechanical intestinal obstruction. And inflammatory diseases of the abdominal cavity trigger dynamic intestinal obstruction.
Causes of constipation
With a problem of constipation, each of us faced. Sometimes provokes constipation change of the situation, long business trips, inability to visit the toilet in time. If a person is healthy, then under normal conditions, constipation quickly passes.
Also on the defecation of the intestines is affected by nutrition. Excessive consumption of protein or fatty foods contributes to the appearance of constipation. It is necessary to take a sufficient amount of plant foods, fruits, vegetables.
Fiber strengthens peristalsis and metabolism, normalizes the work of the intestine. For daily bowel movements, it is recommended to drink a glass of warm water on an empty stomach in the morning.
Causes may be hidden in the characteristics of the body or its diseases. With congenital lengthening of the bowel site, the contractile function of the colon is weakened. Then there is atonic constipation( hypokinetic).If the motor function of the intestine is strengthened, and the retrograde contractions of the large intestine increase, then the so-called hyperkinetic or spasmodic constipation appears.
The causes of constipation include internal diseases:
colitis;
pathology of the anorectal region;
adhesions of the abdominal cavity;
diseases of the stomach and liver;
disorders of the endocrine system;
neuroses;
gynecological diseases;
intestinal stenosis in tumors.
Often, constipation leads to abuse of medicines, poisoning with toxic substances. A sedentary lifestyle does not favor normal functioning of the intestine. Hyperdynamics and malnutrition are the most common causes of constipation.
Clinical manifestations of constipation in adults
Symptoms of constipation include bloating, flatulence, headaches, weakness, nausea and decreased appetite. Prolonged absence of stool, incomplete bowel movement, fragmented or hard stools indicate the presence of the disease.
Inspection of the patient allows you to determine the nature of the constipation: acute or chronic.
With the help of palpation, laboratory tests, the doctor establishes the signs of constipation and the cause of the disease. Blood, urine, feces for dysbacteriosis and presence of hidden blood, coprogram, GGTP, biochemical blood test are performed.
The doctor determines the mobility of the rectum, the presence of hemorrhoids, cracks, prolapse, spotting and swelling. A full examination allows you to determine the cause of the disease. Depending on the cause, constipation is classified into three types.
Types of constipation:
1) Primary - congenital or acquired due to an abnormality of the colon or its innervation.
2) Secondary constipation resulting from illness or injury.
3) Idiopathic constipation due to violations of the motility of the colon.
According to the type of pathogenetics, the following types of constipation are distinguished:
1) Alimentary( as a result of reduction of water in the body and eating disorders);
2) Mechanical( due to organic changes in the intestine);
3) Dyskinetic( due to diseases of the gastrointestinal tract).
An accurate diagnosis will help to prescribe the right treatment, relieve the patient of constipation, normalize the work of the intestine.
How to treat constipation at home in adults
Insufficient and untimely bowel movement leads to intoxication of the body. The work of the digestive system is disrupted, the general condition worsens, irritability, insomnia, sweating, and weakness are observed.
In addition, constipation leads to complications: secondary colitis, enteritis, anorectal diseases. There may be hepatitis or cholecystitis.
Stool stones lead to intestinal obstruction. Therefore, normalization and restoration of bowel function is an important task.
First of all, with constipation, it is recommended to focus on the use of sufficient amounts of liquid and fiber, and also to exclude from the diet products that help to delay the emptying of the intestine.
In the morning, a little exercise and exercises are needed to strengthen the muscles of the hip system. It is recommended to use an empty glass of warm boiled water or fruit juice on an empty stomach, after which to carry out a set of exercises.
It is better to limit the use of refined foods, fatty and fried foods, sweet carbonated beverages, and more to consume vegetable food. In winter, you can include in the diet salads containing boiled beets, carrots, sauerkraut.
In summer, there is more fruit and vegetables in fresh form. Very well promotes the peristalsis of plums, apricots, melons( watermelons, melons).Also useful are black bread with bran, dried fruits, prunes, pickles, sour-milk products. A sufficient amount of fluid and fiber helps to improve intestinal motility.
It is necessary to know that certain products delay the process of bowel evacuation. These products include strong tea black, cocoa, Cahors, rice and semolina porridge, dried bilberries. It is better not to eat legumes, fresh cabbage, spinach and sorrel, as these products cause gas formation.
The use of laxatives - Regulax, Senada, Senadexin, Glycelax often leads to addiction, so it is better to use a minimal dose of laxative or try to do without it.
Complications of
Chronic constipation leads to intoxication, irritability, nervous system disorders, headaches. As a result of prolonged constipation, there may be an inflammatory process in the intestines, liver and bile ducts.
Constipation negatively affects the entire body, condition and color of the skin. To maintain youth and beauty, it is important to monitor the work of the intestine.
Prevention
First of all, it is necessary to adhere to the power mode. It is better to take food 5-6 times a day in small portions. Include in the diet foods rich in dietary fiber.
If infectious diseases occur, to prevent the appearance of constipation, be sure to take a lot of fluids, juices, compotes, grinded soups. Since childhood, to teach children to need defecation at certain times of the day. Then there will be no illness due to the loss of the reflex to defecation.
Moving lifestyle, physical activity, proper nutrition, drinking enough fluids will help prevent constipation.
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