Constipation has been a problem for many people since I don’t know when. In a single clinic day, there are several or a dozen patients with different manifestations. There are several days without defecation, there are dry and unsmooth defecation, there is a strong desire to defecate and can not be defecated, and there are bloating abdominal pain unbearable tossing and turning pale —- and so on. At this time, all have different degrees of lower abdominal pressure pain, mainly in the left lower abdomen, the heavier can be palpable strips of hard masses, many “secret friends” are also most worried about the so-called masses, fearing the emergence of new organisms. The anal examination can be imagined. There are “secret friends” in different age groups, but the middle-aged and elderly are the majority. Self-treatment options vary. For example, there are those who eat fragrant gum, drink honey, use topical corkage (a kind of enema laxative), take internal laxative, and intermittently come to the hospital for bowel cleansing, and so on. But there is really little regulation through the main and side dishes. Look around you, is there a similar situation? So, I would like to talk about the meaning of constipation here. Definition of constipation: stool in the colon for too long, the water contained in the absorption (the main function of the colon is to absorb water), dry stool, can not be smoothly expelled, the normal frequency of bowel movements disappeared, the interval of 48 hours can not defecate (excluding 48 hours regular bowel movements once). Normal defecation requires intestinal contents to pass through all segments of the intestine at normal speed, reach the rectum in time, and stimulate the rectum and anus to cause the defecation reflex, and coordinated activity of the pelvic floor muscles during defecation to complete defecation. Failure of any of the above links may cause constipation. So what are the causes of constipation? Please see: (1) organic intestinal lesions such as tumors, inflammation or other causes of intestinal stenosis or obstruction; (2) rectal and anal lesions: rectal prolapse, hemorrhoids, prerectal bulge, puborectal hypertrophy, puborectal separation, pelvic floor disease, etc.; (3) endocrine or metabolic diseases: diabetic enteropathy, hypothyroidism, parathyroid disease, etc.; (4) neurological diseases: such as central brain diseases, stroke, multiple sclerosis, spinal cord injury, and peripheral neuropathy; (5) intestinal smooth muscle or neuronal lesions; (6) colonic neuromuscular lesions: pseudo-intestinal obstruction, congenital megacolon, megorectum, etc.; (7) neuropsychological disorders; (8) pharmacological factors: aluminum antacids, iron, opioids, antidepressants, antiparkinsonian drugs, calcium channel antagonists, diuretics, and antihistamines. drugs. Analyzing the above causes, we can classify constipation into two main types (a) slow-transmission constipation. This is caused by colorectal transmission dysfunction. It is characterized by lack of bowel movement, difficulty in defecation, and hard stool. (ii) Exit obstruction type constipation. It refers to the anus and rectum structure abnormalities caused by the dysfunction of the internal and external rectal dilator muscle and defecation dysfunction. It is manifested as straining to defecate, feeling of anal swelling, feeling of incomplete defecation, small volume of defecation, hard texture or formed soft stool. What are the negative consequences of constipation? In addition to the pain caused by physical discomfort, which seriously affects the quality of life of modern people, constipation plays an important role in the occurrence of colon cancer, hepatic encephalopathy, breast disease, premature dementia and other diseases; in acute myocardial infarction, cerebrovascular accidents and other diseases, constipation can lead to life accidents; some constipation and anal diseases have a close relationship, such as hemorrhoids, anal fissures, etc. Therefore, early prevention and reasonable treatment of constipation is essential. Therefore, early prevention and reasonable treatment of constipation will greatly reduce the serious consequences and social burden brought by constipation. See here, you may say, after all this, how in the end how to treat ah? Yes, how can we achieve “constipation” but not “constipation”? The principles of medical treatment focus on non-surgical treatment. This is also our central topic. Conservative treatment: (1) Eat more fibrous foods. (2) Develop regular bowel habits. (3) If necessary, auxiliary laxatives or enemas. Of the three points, does nutritional therapy, become the top priority? It is self-evident. Dietary fiber itself cannot be digested and absorbed, and has water absorption, which increases the volume of feces from two aspects, stimulates intestinal peristalsis, shortens the time of feces in the intestine, reduces the absorption of water in feces by the colon itself, and thus plays a role in preventing and controlling constipation. There is a Chinese proverb: medicine is three points of poison, insight into the side effects of drugs, which determines the dominance of nutritional treatment of constipation. It seems that it is necessary to know the dietary fiber content of some foods. Now will be part of every 100 grams of food (edible part) eaten dietary fiber amount (grams) is introduced below, for “secret friends” food therapy reference. Cereals: bran 31.3 oat flour 15.3 buckwheat 6.5 corn 6.4 cereal 5.3 corn grits 3.6 standard wheat flour 2.1 rice 0.4 legumes: fava beans (peeled) 56.4 soybeans 15.5 red beans 7.7 beans 4.0 beans 2.1 vegetables: spring bamboo 2.8 green pepper 2.1 garlic 1.8 spinach 1.7 sweet potato (red heart) 1.6 leek 1.4 bitter gourd 1.4 cauliflower 1.2 edible mushrooms: shiitake mushroom (dried) 31.6 silver fungus 30.9 wood ear 29.2 golden needle mushroom 2.7 fruits and nuts: almonds 19.2 pine nuts 10 peanuts (fried) 6.3 dates (dried) 6.2 walnuts 4.3 kiwi 2.6 pears 2.0 mango 1.3 In addition, drink more water, so that the intestinal tract to keep enough water; eat more food rich in B vitamins, can improve the intestinal nerve conduction, are conducive to It is good for bowel movement. However, dietary fiber is not suitable for all constipation. In the case of outlet obstruction constipation mentioned above, it is necessary to eat a low dietary fiber and low residue diet and to increase fat intake to promote intestinal peristalsis, but not too much, less than 100 grams per day is appropriate. Regardless of which treatment is taken, alcohol and spices should be banned during treatment. May each friend to love their own intestinal tract! Live happily every day!