How to treat functional constipation

First of all, functional constipation can be divided into: the first type: slow-transmission constipation The second type: outlet obstruction type constipation (pelvic floor delay syndrome, pelvic floor relaxation syndrome) The third type: mixed constipation (the presence of both slow-transmission colon and pelvic floor relaxation) 1, the treatment of slow-transmission constipation: colonic (whole digestive tract) power deficiency; more than 80% of slow-transmission constipation patients with inadequate colon power and Stimulant laxative abuse, the principle of treatment is mainly to promote intestinal dynamics with some drugs or treatments without side effects, gradually stop the use of laxatives, eliminate the damage to intestinal dynamics caused by stimulant laxatives; the body itself has the possibility of recovery, in the middle of the necessary application of some bowel cleansing, drug bowel cleansing, enemas and other means; the remaining 20% of patients with slow transmission constipation if the conservative power promotion The remaining 20% of patients with slow-transmission constipation can cautiously take surgical treatment if the effect of treatment is not obvious through conservative power promotion; removal of underpowered intestinal segments or the whole colon; 2, the treatment of export obstruction type constipation: dysfunction of the pelvic floor muscles, which can be roughly divided into pelvic floor retardation and pelvic floor relaxation, pelvic floor muscle retardation means loss of relaxation, this type of patient often manifests as a very hard defecation, flat strip obstruction at the anal opening, once through forceful defecation will Once the stool is discharged through forceful defecation, the stool strip is usually very thin, even in the shape of a stool strip or sheet, and at the same time, the stool does not finish, and the abdomen is distended and painful; pelvic floor relaxation is the relaxation of the supporting structures (muscles) of the pelvic floor, which is generally manifested in the physical signs of internal prolapse of the rectal mucosa, intra-perineal descent, and visceral prolapse, with symptoms such as a pronounced feeling of dropping in the anus or vagina, effortful defecation, and urinary incontinence when coughing; then this kind of constipation with pelvic floor muscle function Constipation caused by abnormal pelvic floor muscles can be treated by rehabilitation exercises of pelvic floor muscles, and the most effective treatment is electrical stimulation and biofeedback; its main treatment principle is to stimulate the muscle groups of pelvic floor through electric currents with different parameter settings, so that the over-tightened or over-loose muscles can restore normal tension or mobility and reduce symptoms, and secondly, to enhance muscle strength, motor stability, endurance and coordination through exercise, so as to restore normal defecation physiology. The second step is to enhance muscle strength, motor stability, endurance, coordination, etc. through exercise to restore normal defecation physiology.