Chronic constipation is a frequently encountered clinical digestive system diseases, about 30-40% of patients in outpatient clinics have different degrees of constipation. Some patients have mild constipation, which does not affect their lives and can be relieved by taking medication on their own, while some can be improved by adjusting their lifestyles and dietary habits. However, about 5% of the patients still need to rely on medication, or else the constipation seriously affects their lives, and brings a lot of pain because of the long time of defecation, the laboriousness of defecation, and the pain in the anus when defecating, etc. Therefore, it is worthwhile to pay attention to chronic constipation in the clinic. Therefore, constipation deserves attention. Now part of the outpatient clinic often encountered problems listed below, and answer, if you have a new problem, you can leave me a message, on the one hand, to give you the answer, but also to summarize for other patients reference. 1, constipation is not always have to take medicine? Not necessarily. As mentioned earlier, some people can improve constipation through diet, exercise and formation of bowel habits. First try the above methods, if not, but also to consult the doctor whether the need for examination, do not take drugs, especially long-term use of some stimulating laxatives, such as containing aloe vera products, rhubarb, fruit guide, and so on. 2, constipation are benign diseases? Not necessarily. Some chronic constipation patients often say “I have been like this for years”. However, we need to remind you that if there is blood in the stool, change in bowel habits, change in the appearance of the stool (such as thinning, thinning, etc.), constipation suddenly aggravated, intestinal obstruction, and so on, you need to consult the doctor in time for examination. Need to except long things or other problems. 3, constipation need to do what examination? Constipation to do the examination include: (1) colonoscopy: mainly to see the large intestine (colon and rectum) there is no long things, there is no inflammation, there is no polyps and so on. Almost all patients are afraid of colonoscopy, which is completely understandable. The main reason is that the bowel preparation will be uncomfortable, and during the process of doing it, there will be different degrees of bloating and abdominal pain because of the uncertainty of the direction of each person’s intestines, but, as a routine inspection method carried out for nearly 30 years, the fact that it can exist for a long time itself proves the necessity of this test. Therefore, the need to check, first of all, to overcome the fear. (2) Measurement of total colon passage time and anorectal pressure measurement. These two tests are functional tests to check the speed of food running through the intestines and the coordination of bowel movements, to help you determine the type of constipation and to guide future treatment. You are welcome to come to my clinic for a consultation on the specific tests. It is worth noting that the functional examination can not replace colonoscopy, it is best to do the whole colon passage time measurement and anorectal pressure measurement in order to better understand the constipation after the colonoscopy. 4, constipation will affect blood pressure, heart disease, cerebrovascular disease patients? Possibly. If constipation is severe, the stool is dry and very laborious when defecating, it will lead to higher blood pressure, increased burden on the heart, and increased pressure on the cerebrovascular vessels, which may aggravate the condition. Therefore, patients with these diseases must solve the problem of constipation. 5, how to treat constipation? This is a complex problem. You can try the following 1, 2, 3, 4, 5, 6 steps. (1) Eat. Eat more foods with fiber, including whole grains, cabbage-like vegetables, fungus, mushrooms and so on. Eat regularly too, don’t starve yourself. You can try a recipe: get up in the morning and add honey and a few drops of sesame oil in an eggdrop soup (if you have diabetes, do not put honey), some people think the effect is good, so bring and share with you. (2) move. Constipation and sedentary have a certain relationship, so to carry out appropriate exercise, such as walking, jogging and so on. Of course, also pay attention to the amount of activity you can tolerate, if there is obvious discomfort after exercise, be cautious. Movements also include clockwise massage of the abdomen to promote intestinal activity. (3) Bowel movement on time. Raise bowel movements to the same level of importance as eating, because it is inconceivable to just eat and not poop. Every day, find a relatively fixed free time as a bowel movement time, preferably in the morning after waking up, after eating breakfast. Of course, if you are busy during this time, it is not suitable. Otherwise, if you have the urge to have a bowel movement and it is always suppressed, it will aggravate constipation. (4) Medicine. After trying the above methods do not work, you have to go to the hospital to see a doctor. Depending on your condition, the doctor will decide whether or not to do tests, and what medication to take. No matter what medication you take, there will be side effects, so you will need to visit your doctor regularly to have your medication adjusted and whether or not you need to continue taking it. (5) Practice. Some patients are constipated because of uncoordinated bowel movements, which is commonly referred to as “not being able to poop”. Often manifested in defecation, defecation is not clean, out of the effort, etc.. It is necessary to do a functional examination to see if this is the case, and then defecation training, this training is called “defecation biofeedback therapy”, that is, the training of the correct defecation movements. Some patients will feel less “unclean” after the training. (6) Surgery. Some constipation is caused by congenital diseases or structural abnormalities of the intestines, while others are severe constipation that cannot be relieved by medication, which requires surgery. This will require you to come to the hospital and see a doctor.