Constipation is a common and frequent disease, especially among middle-aged and elderly people. The occurrence of this disease is related to many factors, such as: diet and living, bad bowel habits and bad medication, etc. With the rapid development of today’s society, the incidence of constipation is also on the rise as the work pressure increases and the pace of life accelerates. Constipation has been found to be related to more factors. Therefore, it is necessary to reacquaint ourselves with constipation.
What is constipation?
Constipation is often thought of as a decrease in the number of bowel movements, less than 2-3 times per week, dry stools, and prolonged bowel movements. So, frequent bowel movements, increased frequency of stools, fine and soft stools, and straining to defecate are considered constipation?
Both of these conditions are considered constipation, and according to the criteria of the International RomeIII Collaborative Committee, constipation can be diagnosed by meeting at least 2 or more of the following criteria (more than 25% of the time).
A, straining to defecate
B. Lumpy/hard stools
C, feeling of incomplete defecation
D. Anorectal obstruction or blockage
E. Manual manipulation to help defecation
F. Defecation less than 3 times per week
Patients with the above symptoms lasting for more than 3 months should be considered to have chronic constipation and need to be seen promptly.
Classification of constipation.
1, colon slow transmission constipation: reduced number of stools, less than 2-3 times per week, dry stools, prolonged defecation time, colonic transmission test suggests: slow transmission of the colon.
2, exit obstructive constipation: prolonged defecation time. Or frequent bowel movements, normal or increased frequency of stools, fine and soft stools, straining to defecate, fecal imaging suggests: changes in the physiological structure of the anus or rectum.
3, mixed constipation: both slow transmission constipation of the colon, exit obstruction constipation symptoms.
The culprit of constipation!
1, dietary habits: dietary lack of coarse fiber, intake of food too little, too fine.
2, lifestyle habits: improper defecation posture, often take strong laxatives and enemas, etc.
3, mental factors: depression or too excited, so that the conditioned reflexes are impaired.
4, bad work and rest: lack of sleep, continuous high mental tension (such as playing mahjong for a long time, etc.).
5, colon diseases: such as slow transmission of the colon, benign and malignant tumors of the colon, inflammation of the colon, post-operative anastomotic stenosis of the colon, etc.
6, rectal and anal canal outlet obstruction: common are hemorrhoids, anal fissure, rectal prolapse, rectal intra-mucosal prolapse, pelvic floor spasm syndrome, perineal descent syndrome, congenital megacolon, etc.
7, mental factors: including depression, psychosis, anorexia nervosa.
8, medical origin: codeine, morphine, antidepressants, iron, etc. can induce constipation.
9, medical disease induced: such as hypothyroidism, hypercalcemia, hypokalemia, pregnancy, diabetes, etc.
Constipation is more dangerous than a tiger
Long-term constipation not only makes people very uncomfortable, quality of life is reduced, but also can seriously endanger human health.
1, leading to hemorrhoids and anal fissures
2, damage liver function
3.May cause infertility
4.Kill beauty
Six vices that induce constipation
1, should not defecate when, always hold back
2, always take a book or newspaper to the toilet
3, often wear girdle belt or shapewear
4, usually rarely drink water
5.Think it is not possible not to poop every day
6.Habitually take constipation medicine
Chinese medicine to see constipation
Chinese medicine believes that the diet into the stomach, by the stomach’s decomposition, spleen transportation, absorption of its essence, the remaining dregs for the stool, the main blame for the stomach and spleen decomposition and transportation function, “stomach gas is not descending”, “spleen loss of healthy transportation”, the dregs within the stop and constipation. Zhang Zhongjing, with the inability of stomach qi to move downward, listed Cheng Qi Tang as a way to pass the stool; with “the spleen cannot move its fluids for the stomach” and listed the evidence of “spleen contract”, which is considered to be related to deficiency, cold, heat and qi stagnation. Therefore, Chinese medicine more constipation is divided into hot constipation, cold constipation, gas constipation, deficiency constipation four kinds. Chronic constipation is mostly based on deficiency evidence.
1, hot constipation – most likely to occur in the body Yang Sheng, alcohol, spicy food or hot disease after the person.
2, cold constipation – mostly occurs in the elderly and physically debilitated and chronically ill.
3.Qi secret – mostly occurs in people who are worried, overthinking, emotionally unstable and sedentary and less active.
4, deficiency secret – mostly occurs in the labor weariness of internal injuries, long-term disease body weakness of people.
Prevention of constipation is more important than the treatment of constipation
1, the diet must have the right amount of fiber.
2, every day to eat a certain amount of vegetables and fruits.
3, you can drink the right amount of tea, or brew some herbs to make tea to regulate health.
4, drink a cup of light salt water or honey water in the morning on an empty stomach, with abdominal massage or turn the waist.
5, to carry out appropriate physical activity, strengthen physical exercise.
6, massage the abdomen every night before bed to develop the habit of regular bowel movements.
7, keep a relaxed mood life should be regular.
8, to develop good bowel habits, not squatting, not overly hard to earn, after the stool to lift the anus exercise.
9, timely treatment of the disease.
Laxative treatment of constipation can also cause constipation
Chinese medicine, constipation can be divided into “hot secret, cold secret, gas secret, false secret” four kinds of Chinese medicine. People usually use laxatives (such as senna leaves, fruit guide tablets, rhubarb, aloe vera, etc.) mainly to treat “hot constipation”. But some people have constipation, laxative laxative, the results of laxative dosage is getting bigger and bigger, constipation is more and more stubborn. Therefore, the laxative treatment of constipation can also cause constipation. Therefore, patients in the use of laxatives to treat constipation must pay attention to the following issues: 1.
1, do not take laxatives as the only method of conventional treatment of constipation.
2, according to the condition of the choice of drugs.
3, the cause is unknown do not use laxatives, so as not to delay the condition and diagnosis and treatment time.
What are the methods of treating constipation?
General treatment.
1, diet control: regular diet, do not overeat, hunger and satiety, eat more fiber-rich food.
2, regulate the mood: mental tension has a significant inhibitory effect on intestinal motility, some patients with constipation have obvious mental depression symptoms.
3, correct defecation habits: cultivate daily defecation habits, each defecation time of less than 10 minutes, avoid the toilet to struggle, clean the perianal area after defecation, and make appropriate anal lifting exercise.
Drug treatment.
Acute constipation patients can be under the guidance of a doctor, oral laxatives (such as if the guide, senna, rhubarb, etc.), in the disease that stop, to avoid long-term use of injury to the spleen and stomach, causing laxative constipation.
Patients with chronic constipation (disease duration greater than 3 months) should be under the guidance of a doctor, the system standardized treatment, do not self medication, increasing the difficulty of treatment.
Surgical treatment.
Surgery may be considered for the following selected patients with constipation when medication is not effective.
Anterior rectal protrusion, internal rectal mucosal prolapse, anal canal and rectal stenosis, perineal descent syndrome, puborectal muscle syndrome, megacolon, etc.
What are the effective treatments for constipation in Chinese medicine.
1, acupuncture point buried wire: for slow transmission constipation of the colon
2, acupuncture therapy: for colon slow transmission constipation, exit obstructive constipation and mixed constipation.
3, Chinese medicine dialectical treatment: with the advantages of individualization, targeting and small side effects.
4, drug patch treatment: with the advantages of local drug delivery, direct access to the disease.
5, Chinese medicine enema: direct action with the affected part, not to hurt the spleen and stomach.
Keep away from constipation to do so
1.Good bowel habits.
2, appropriate activity.
3, regular life.
4.Massage before going to bed.
5, a light diet.
6.Drink more plain water.
Constipation (outlet obstructive)
What is constipation?
Usually people think constipation is a decrease in the number of bowel movements, less than 2-3 times a week, dry stools and prolonged defecation time. So, is frequent bowel movements, increased frequency of stools, soft stools and straining to defecate considered constipation?
Both of the above-mentioned cases are constipation, the former is mostly slow transmission constipation of the colon, the latter is mostly export obstructive constipation. The latter occurs mostly due to changes in anorectal physiological structure. For example: rectal protrusion, rectal intra-mucosal prolapse, etc.
Constipation subtypes.
1, colonic slow transmission constipation: reduced stool, less than 2-3 times a week, dry stool, prolonged defecation time, colonic transmission test suggests: colonic slow transmission.
2, exit obstructive constipation: prolonged defecation time. Or frequent bowel movements, normal or increased frequency of stools, fine and soft stools, straining to defecate, fecal imaging suggests: changes in the physiological structure of the anus or rectum.
3, mixed constipation: both slow transmission constipation and exit obstructive constipation symptoms of the colon.
What diseases are most commonly associated with outlet obstructive constipation?
Anterior rectal protrusion (mostly seen in postpartum women), intra-rectal mucosal prolapse, megacolon, anal fissure, anorectal stenosis, puborectal muscle hypertrophy (spasm), perineal descent syndrome, sacro-rectal separation
4, export obstructive constipation patients should be what tests?
1, colonic transport test.
Colon transport test examination is a kinetic examination method to understand the function of colonic transport, is one of the routine examination items of constipation disease.
Defecography test.
Defecography test is to observe the morphology of rectal and anal canal and changes in rectal mucosa image during defecation, so as to understand whether there are functional and organic lesions in the rectum and anal and other defecation outlets during defecation, so as to find the causes of induced constipation.
Anal canal manometry.
By observing the pressure of the rectum of the anal canal to determine whether there is a paradoxical contraction of the anal canal, which affects defecation.
5.What are the treatment methods for outlet obstructive constipation?
①TCM evidence-based treatment: it has the advantages of personalization, long-lasting efficacy and small side effects.
②Chinese medicine sclerotherapy: adapted to the treatment of rectal prolapse, rectal mucosal prolapse, etc.
③Surgical treatment: adapted to the long-term chronic constipation by drug treatment does not work.
④Chinese medicine buried wire treatment: applicable to patients with exit obstructive constipation combined with slow transmission constipation of the colon.