Constipation - a delay bowel movement for more than forty-eight hours.The most frequent constipation occur in young children and the elderly.Almost all people throughout life there are locks.They can occur after surgery, stress, travel and are due to the stress of the body, but because these disorders are very quickly after the return of man to his normal life, it is not considered a disease.Russian gastroenterologists for constipation include symptom of the underlying disease.However, if they start to be repeated often enough and become familiar - it is imperative to consult a doctor with subsequent mandatory appointment of treatment.Constipation appear serious medical and social problem
Symptoms of constipatio
constipation tend to a small amount of feces, increased firmness, dryness feeling after defecation is not a complete bowel movement.Change the rhythm and frequency of stools also shows the sign.The presence of at least one of the signs shows symptoms of constipation.At the same time, many people identify themselves to patients in the absence of daily bowel movements.This is a misconception.
stool consistency is characterized by water.For example, solid feces water to 40% in normal feces up to 70% in liquid feces and 95% water.The criterion is considered to be constipation stool weight less than 35 grams per day.The clinical picture is complemented severely obstructed defecation, and abdominal discomfort.Sami complaints of the patient depends on a number of subjective factors and the duration of the underlying disease
- Diseases of the anus (abscess, anal fissure, hemorrhoids ), which are accompanied by severe pain and interfere with normal bowel
-gastro - intestinal tract ( dysbiosis , chronic pancreatitis, cancer of the colon, peptic ulcer )
- Irrational nutrition, poor dietary fibers, which is combined with a small amount of fluid intake and maintaining a sedentary lifestyle
- Large accumulations in the intestine hardened stool - the so-called "fecal stones"
- Endocrine diseases (diabetes, hypothyroidism, etc.)
- Neurological diseases (multiple sclerosis, Parkinson's disease, stroke, cancer and a variety of spinal cord injury)
- Taking some types of medications (almagel, baking soda, atropine and so forth.)
- Hypotension muscles (caused by patient age - senile constipation).People aged suffer from slow progress of stool through the colon
Promotion stool as a result of constipation very sharply slowed down, due to the occurrence of any - any obstacles in their way, or as a result of impaired function of contraction of the intestinal wall
Inmost cases, the symptoms depend on the nature of the disease caused by constipation.The most common symptoms are:
- bloating and a feeling of heaviness in the stomach (may be accompanied by heart palpitations)
- Thick painful stools (bowel movements can be bean-shaped, ball-shaped, ribbon-like, in the form of dry solid balls)
- The anus maythe formation of blood cracks
- Flatulence (due to increased gas)
- an unpleasant taste in the mouth, belching, and decreased appetite
- There are headaches and muscle pain appear insomnia and nervousness
By the nature of the flow recovered constipation acute and chronic.Acute occur for a short time and they are provoked by different causes, but an acute constipation while ignoring problems can become chronic.
Acute constipation is characterized by the absence of the chair several days.The reason appears intestinal obstruction due to tumor (mechanical obstruction) and possibly also inflammation of the abdominal cavity (dynamic obstruction), and if in the intestine, it diverticulitis or anorectal disease.The sudden absence of the chair is observed after an overdose of drugs, head injuries, in bedridden patients.If there is no chair, and do not depart Gaza, allegedly developed intestinal obstruction.With an increase in acute constipation (two weeks) probably defeat tumors of the colon.
Chronic constipation is dangerous rectal prolapse, of - of the constant need to push.Also, chronic constipation may be accompanied by changes in the skin - it loses its elasticity, becomes flabby and pale, sometimes with a yellowish tint.
In chronic colitis, constipation occurs every second patient, and enteritis - one in five.
long presence of constipation increases the risk of these diseases: diverticulosis, bowel inflammation and fissures of the rectum, hemorrhoids, cancer of the colon or rectum
Constipation is isolated, depending on the etiology:
- conditioned reflex neurogenic caused the situation
- function arising due to irritable bowel
- constipation, formed with organic pathology of the intestine due to tumors, diverticulitis, ischemic stenosis
- constipation induced by neuromuscular disorders in the gutdue to multiple sclerosis, neyromatoza, systemic sclerosis, amyloidosis
- constipation (diskhezii), arising from the pathology in the rectal and anal area due to cracks, fistulas, rectocele, abscesses, strictures, viral or syphilitic warts
- constipation caused by endocrine disorders in diabetes mellitus, hypothyroidism
- constipation caused by neurologic disorders in Parkinson's disease, spinal cord injuries and organic diseases of the CNS
- constipation caused by inflammation in the organs of urogenital
- medication constipationassociated with taking psychotropic drugs such as clonidine, calcium channel blockers, anticholinergics, narcotic analgesics, tranquilizers, antidepressants, anti-Parkinsonian agents, antacids, tricyclic antidepressants, nonsteroidal anti-inflammatory drugs, iron preparations, sympathomimetic, drugs lithium and bismuth, diuretics, barbiturates, phenothiazines,barium sulfate, iron supplementation
main direction of the treatment of constipation - this is normalization of motor function of the intestine.It includes:
- Increased physical activity (exercise and walking are the most effective as a treatment for constipation)
- Cleaning and medicinal enemas (oil: fish oil, olive or sunflower oil, etc.).When enema room temperature water is used, add a little salt.Perhaps the use of micro-enemas, which are sold in pharmacies.But it is important to remember that constantly resorting to the help of enemas arises addictive organism
- Mandatory diet that includes foods rich in the vegetable fiber (vegetables, herbs, coarse black bread, fruit, food bran, oatmeal, honey, dairy products).The daily rate of fluid intake should be at least two liters a day.Meals should be regular frequency - at least five times a day.Avoid the following foods: cheese, milk, fried foods, beans, ordinary cabbage and cauliflower, red meat.It is recommended to eat strictly according to the regime
- In the case of receiving, it is imperative removal of the drug, the reception of which leads to a weakening of reducing bowel (almagel, atropine, baking soda, some types of antidepressants)
- Reception laxatives and means (Seine, bisacodyl, Dufalak).It is important to know what is happening over time addiction to laxatives and suffering have to increase the dose.In cases where the change in the character and enrich the diet does not lead to the desired result - prescribe medications lactulose (Duphalac like and so forth.)
- The significance of massage on the anterior abdominal wall in the treatment of constipation.Massage constipation depends on the tasks in connection with this distinction: segmental-reflex, dot, hardware, medical self-massage
segmental-reflex massage of the abdomen is performed for the reflex effects on internal organs.
Acupressure belly held a relaxing and stimulating way to all biologically active zones (points).The basis of the principle of acupressure technique of acupuncture, but instead of needles on the biological impact point a finger and brush.Biological 700 points there, but more often use to 150. The mechanism of acupressure are acupressure points.In the morning before work, this type of massage is very effective for prevention and treatment.We spend it lying down or sitting.A good alternative if there is nobody to speak to massage and self-massage point.Acupressure or self-massage enhances blood circulation, reduces pain and reduces nervous and muscular tension.
Hardware abdominal massage for constipation held ultrasonic, vibration and ionizing devices.
Medical self-massage for constipation is carried by the patient at a convenient time, but half an hour after breakfast and two hours in the afternoon.Methods of self-massage of the abdomen includes maximum relaxation lying on his back.Your hands should be clean, warm;optional bare belly cotton underwear or through simple movements begin stroking.Your actions should be focused on the movement of lymph flow, clockwise.Gentle movements on the right iliac region are sent to the right upper quadrant, and then go down to the left iliac region.Admission stroking replaces circular and spiral grinding alternating with pressing and vibration
- Surgical treatment of constipation begins with mechanical locks when they are accompanied by tumors, diverticula, strictures
Mandatory adherence to diet.It should refrain from the use of dried fruit, most beans, salads, cold dishes and drinks.On the contrary, to prefer warm food and drinks, eat cooked vegetables, fresh fruits (apples, bananas, peaches), raisins, pineapple juice, prunes.Also, you should regularly eat vegetable oil in a small amount.It is recommended to change the pace of life in a more dynamic, do not neglect exercise and hiking.