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 General Info about Constipation
 What are the causes  of Constipation ?
 What are the symptoms of Constipation ?
 How can we diagnose Constipation ?
 How can Constipation be treated ?
 More information about Constipation
 Frequently asked questions about Constipation
 Glossary
 
General Info about Constipation

Constipation is a symptom not a disease and is the most common digestive complaint .It is the infrequent and difficult passage of stools. The frequency of bowel movements among healthy people varies greatly, ranging from three movements a day to three a week. if more than three days pass without a bowel movement, the intestinal contents may harden, and a person may have difficulty or even pain during elimination. Constipation can occur in all ages, from newborns to elderly persons, women experience this problem more than men.

What are the causes  of Constipation ?

Like fever, constipation can be caused by many different conditions:-

Diet:- The most common cause of constipation is poor diet pattern with low fibre content. People who eat plenty of high-fiber foods are less likely to become constipated.

Inadequate fluid intake:- Liquids like water and juice add fluid to the colon and bulk to stools, making bowel movements softer and easier to pass. People who have the problem of constipation should drink 8 glasses of water daily.

Medicines:- Pain medications, antacids that contain aluminum, antispasmodics, antidepressants, iron tablets, cough medicines which contain codeine, diuretics, and anticonvulsants for epilepsy can slow passage of bowel movements. Lack of physical work can lead to constipation.

Irritable Bowel Syndrome (IBS):- Is one of the most common causes of constipation. Some people develop spasms of the colon that delay the speed with which the contents of the intestine move through the digestive tract, leading to constipation.

Laxative:- People who habitually take laxatives become dependent upon them and may require increasing dosages until, finally, the intestine becomes insensitive and fails to work properly.

Travel:- People often experience constipation when traveling long distances, which may relate to changes in lifestyle, schedule, diet, and drinking water.

Hormonal Disturbances:- Certain hormonal disturbances, such as an underactive thyroid gland, can produce constipation.

Pregnancy:- Pregnancy is another common cause of constipation. The reason may be partly mechanical, in that the pressure of the heavy womb compresses the intestine, and may be partly due to hormonal changes during pregnancy.

Specific Diseases:- Many diseases that affect the body tissues, such as scleroderma or lupus, and certain neurological or muscular diseases, such as multiple sclerosis, Parkinson's disease, and stroke, can be responsible for constipation.

What are the symptoms of Constipation ?

Patients may feel uncomfortable or distended (bloated) in the abdomen, or feel a sense of fullness at the lower back.

There maybe bleeding at the rectum.

Women may find intercourse uncomfortable if the bowel is very full.

How can we diagnose Constipation ?
Medical history - A general medical history is taken including duration of symptoms, frequency of bowel movements, consistency of stools, presence of blood in the stool, and toilet habits (how often and where one has bowel movements). Recording eating habits, medication, and level of physical activity or exercise also helps the doctor determine the cause of constipation.

In addition to routine blood, urine, and stool tests, a sigmoidoscopy may help detect problems in the rectum and lower colon.

Thyroid function tests maybe taken to check for thyroid disorders.

A barium enema x-ray involves viewing the rectum, colon, and lower part of the small intestine to locate any problems.

How can Constipation be treated ?
A well-balanced diet that includes fiber-rich foods, such as unprocessed bran, whole-grain bread, and fresh fruits and vegetables, is recommended. Drinking plenty of fluids and exercising regularly will help to stimulate intestinal activity. Special exercises may be necessary to tone up abdominal muscles after pregnancy or whenever abdominal muscles are lax.

Stool softners and laxatives may be recommended to add fluid and bulk to the stool and aid in the passage of stools.

If constipation is associated with emotional problems, counselling or similar treatment may help.

More information about Constipation

At times constipation may lead to complications. These complications include hemorrhoids caused by straining to have a bowel movement or anal fissures (tears in the skin around the anus) caused when hard stool stretches the sphincter muscle. Following this, rectal bleeding may occur. Treatment for hemorrhoids may include warm tub baths, ice packs, and application of a cream to the affected area.

Eating foods high in fiber, including bran, shredded wheat, whole grain breads and certain fruits and vegetables will help provide the 25 to 30 grams of fiber per day recommended for proper bowel function.

Prevention:

Eat a well-balanced diet that includes unprocessed bran, whole-wheat grains, fresh fruits and vegetables.

Drink plenty of fluids.

Exercise regularly.

Set aside time after breakfast or dinner for undisturbed visits to the toilet.

Don't ignore the urge to defecate.

Don't take laxatives too often.

Whenever there is a significant or prolonged change in bowel habits, check with a doctor.

Frequently asked questions about Constipation

Who should I see if I have Constipation?
First advice is to drink atleast 8-10 glasses of water per day. Then to see a General Physician.

What can I do to avoid constipation?
A change in your food habits and exercise will relieve your constipation. Fiber content of the food helps to soften the stool. Including fibre containing food like vegetables and fruits. Also, drink plenty of water and take exercise moderately. If you are taking any medications, consult your doctor as it may also a cause of your constipation.

How does fibre help in constipation?
Much of the food we eat is digested in the stomach and small intestine, but fibre is not digested and passes to the large intestine where it acts like blotting paper, drawing water into the stool and increases the number of bacteria in the colon. Both these effects make the stool larger, softer and easier to pass.

How can I increase the fibre in my diet?
The easiest way to improve your diet is to eat brown, whole meal bread and plenty of fresh fruit and vegetables. For further information contact MedIndia dietician who can advise you on fibre rich diet.

Glossary
Colon - Large Intestine.

Diuretics - Drugs which help in increasing urine output.

Antacids - Drug to treat ulcers by inhibiting the action of acids.

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