I. Pelvic floor biofeedback – painless “pelvic floor gymnastics”
Pelvic floor biofeedback is the use of visual or auditory feedback means to prompt patients to pelvic floor training, through this “action – feedback – learning – Through this process of “action-feedback-learning-action again”, patients can gradually correct their own dysfunction, master the correct defecation physiology, form self-control ability, and thus restore the correct defecation mode. A large number of studies have shown that pelvic floor biofeedback training for functional outlet obstructive constipation is effective, safe and inexpensive, and has become the first-line treatment method for outlet obstructive constipation.
Since biofeedback is a behavioral therapy, the patient’s psychological condition, subjective motivation and compliance with treatment are the key factors affecting the efficacy. Before treatment, the therapist will explain to the patient the physiopathological knowledge of constipation, the purpose and process of treatment, so that the patient can fully understand and know the condition and establish a good doctor-patient relationship with the physician to better cooperate with the treatment. The doctor sets different training programs according to the pelvic floor surface electromyography assessment of the patient. Each session lasts 30 minutes, with the first 15 minutes being triggered electrical stimulation, the second 15 minutes being kegel template training, and pre-treatment relaxation training necessary for patients with high pelvic floor muscle excitability. The doctor will adjust the program according to the patient’s training situation at any time during the treatment, so that the treatment is truly personalized. Through non-invasive and painless “pelvic floor gymnastics”, patients can effectively improve anorectal sensory function, pelvic floor muscle coordination, stability and pelvic floor muscle strength to achieve the treatment purpose.
Home balloon training – let you find the feeling of defecation
The inflatable anorectal feedback training device is a simple pressure biofeedback training device made by our center, mainly for patients with reduced sensory function of rectum to volume stimulation (lack of bowel movement) or sensory allergy (frequent bowel movement). Method: The catheter with a small balloon at one end is lubricated and inserted into the rectum 250px from the anus, and the other end is connected to a tee; the syringe is injected into the small balloon in the anus from the end of the catheter connected to the tee, and the injection is stopped when there is a sense of defecation in the rectum, the tee is closed, and the catheter is gently pulled outward until it is not pulled, and then the catheter is fixed. The patient was instructed to experience the sensation of rectal inflation by heart, decreasing 5 ml per day for those who lacked the urge to defecate and increasing 5 ml per day for those who had frequent urge to defecate until their rectal sensory threshold was within the normal range, once a day for 20 minutes each time. After a certain period of training can effectively improve the symptoms of constipation.
Third, aerobic exercise – let your intestines move
Modern medicine confirmed that aerobic exercise (not more than 60% of the aerobic load maximum oxygen uptake of low-energy activities), especially when the chest and abdominal muscles, through the chest and abdominal muscles on the organs of the massage effect, can improve intestinal tension, stimulate its peristalsis, to promote the role of defecation. The following aerobic body therapy with thoracic and abdominal exercises are introduced: 1.
1, sitting, legs together, the two hands are located in the chest and abdomen.
① exhale: two hands with a slight force to the chest and abdomen pressure, so that the diaphragm up.
② Inhale: upper abdomen slightly do resistance, slowly convex forward. Practice 2 to 3 groups of 8 to 10 times each, with 15 to 20 seconds interval. Breathing with the diaphragm up and down, accompanied by the ups and downs of the abdominal wall, has a regulatory effect on the movement of the stomach and intestines.
2, lying supine with legs together, both hands relaxed at the side of the body.
① legs bent knees against the chest and abdomen position, both hands holding the knees, the upper body then supine, and close to the legs, knee position, in a “group body” shape, inhale. ② Restore to the ready position, exhale. Repeat 8 to 10 times. Can improve abdominal muscle tone and strengthen the intestinal motility effect.
Warm tips
Not suitable immediately after meals, to avoid affecting the digestive and absorption functions of the gastrointestinal tract.
Fourth, the smart massage cure constipation
Massage can really cure constipation? Many people hear such a statement are skeptical attitude, but in our hospital to see a patient Wang aunt practice let us understand, adhere to be effective. In 2012, she came to our hospital, we gave her two courses of treatment with acupuncture combined with biofeedback and evidence-based use of Chinese medicine, and her symptoms were relieved. However, after the patient returned home, her symptoms recurred, and then Auntie Wang began to use the “two obedient and one negative” abdominal massage method she learned during her treatment at our hospital, and insisted on abdominal massage for 40 minutes every day (20 minutes each in the morning and before going to bed). and gradually resumed her normal life without Chinese medicine.
Ancestral medicine believes that the fundamental pathogenesis of constipation lies in the failure of large intestine conduction function. When constipated, the abdomen will feel bloated and very uncomfortable. You may wish to use your hands, adhere to the following self-massage method, can strongly promote intestinal peristalsis, this safe and simple method should be used first.
(1) press the Yingxiang. When the stool with both index fingers finger slightly forcefully press both sides of the Yingxiang points (five minutes on both sides of the nose, nasolabial groove) within ten minutes (to have a sore feeling) can be laxative.
(2) Pressing the tianshu. When stool with the left index finger gravity pressure on the left side of the Tianshu point (umbilicus in the side of the open two inches, about two horizontal fingers) so that there is a clear sense of soreness and swelling, but ten minutes to defecate.
(3) Push the abdomen. First, use your right hand to push along the abdomen in a clockwise direction for 100 turns, then use your left hand to push in a counterclockwise direction for 100 turns, and finally use your right hand to push in a clockwise direction for 100 turns. Push once a day before getting up and once before going to bed, with moderate force and natural breathing. This method has two clockwise pushing abdominal route, it is the ascending colon, transverse colon, descending colon, sigmoid colon order parts; intermediate clip a counterclockwise pushing, is the retrograde route of the colon, “two Shun folder a reverse” can directly and repeatedly stimulate and promote colon (the main part of the large intestine) peristalsis to speed up defecation. At the same time, it also has the effect of clearing heat and removing fire. (The above points to the tip of the patient’s middle finger and thumb tip even into a ring, the distance between the two ends of the middle finger side of the transverse head folded as an inch)
Five, the idea of guiding method to help you defecate successfully
Through the imagination of the idea of guiding the evil out of a treatment method, the method is: general defecation, squatting well are anxious to discharge the stool, but some constipation is contrary to expectations, the more anxious the more caused by the anal sphincter tension, contraction, but increased defecation difficulty. The idea of guidance is: first, the doctor to explain to the patient the anorectal physiological curvature and anorectal sphincter around the anus; second, the patient to the toilet after squatting, not emergency force defecation, but closed eyes meditation (because the eyes closed attention is easy to focus) perianal sphincter slowly relax, stool with the rectum anus physiological curvature slowly be expelled from the anus. At the beginning, it may not adapt, and it is necessary to try repeatedly through repeated training, confidence and patience are the key factors for its success. Ideas guide method for export obstructive constipation is satisfactory, especially pelvic floor coordination movement disorder constipation, while the slow transmission of constipation is less effective.
Six, boiling old hen for tonic is better than moxibustion foot three miles
What is the relationship between the Foot San Li and the old hen? The old hen can nourish the kidneys, benefit the spleen and stomach, nourish blood and nourish yin, which is suitable for people who have been sick for a long time and have a weak body. Foot San Li is one of the main acupuncture points of the Foot Yang Ming Stomach Meridian, which is a key point for strengthening the body and mind. Moxibustion is a method of preventing and treating diseases by burning or smoldering moxa on acupuncture points with the heat of moxibustion fire to give the body a warm stimulus. It has the effect of warming the Yang and dispersing cold, unblocking the meridians, regulating the qi and blood of the internal organs, and helping to dispel evil, as the saying goes: “If you want to be safe, the three miles are always dry”, which literally means that if you want to be healthy, you have to keep the three miles of the feet moist. The ancient people in the process of long-term struggle with disease found that moxibustion foot three miles has a similar effect to drinking old hen soup, often moxibustion foot three miles can play a regulating the spleen and stomach, nourishing the middle and benefit qi, through the meridians, dredging wind and dampness, support the right to dispel evil, strong body role.
So, how to keep this “not dry” state? The ancient people often use “septic moxibustion”, that is, once a day moxibustion foot three miles point, moxibustion moxa, once about 15 minutes or more. When small blisters appear at the acupuncture point, stop moxibustion and keep the local skin clean, leaving the blisters to absorb on their own. This is considered by the ancients to be equivalent to the effect of a daily tonic for an old hen. However, “septic moxibustion” is not popular in modern times, why is that? Because the initial use of septic moxibustion will cause some damage to the patient’s skin, the epidermis will appear scars, many people do not want to accept this treatment. The patient with constipation can use moxa suspension on his own, or he can use wheat grain moxibustion. The moxa cone is a cone of moxa that uses a cone of moxa the size of a grain of wheat, and is one of the common moxibustion treatments. Operation with fine moxa made of wheat grain size cone moxa cone, then put it upright above the acupuncture point, and then incense from the top gently contact point, until a slight pain, quickly press it out, while using the left thumb, index finger, middle finger massage around the acupuncture point. Once a day, each time 7-9 strong, long-term persistence, can improve the body, will have unexpected results.
Seven, non-insert enema – colon hydrotherapy let your intestines take a bath
Colon hydrotherapy, also known as colon hydrotherapy, is through the colon hydrotherapy instrument through the anus to the intestine to inject purified warm water, part of the colon and rectum for clean irrigation to restore the mucosal secretion function of the large intestine, improve rectal perception, restore intestinal compliance, promote the peristalsis of the large intestine group to help fecal excretion, compared with the traditional enema method has a larger cleaning range, thorough cleaning, water pressure and water temperature is easy to control the advantages It is a better way to improve constipation symptoms. It is a better way to improve constipation symptoms and other auxiliary methods.
Non-inserted colon hydrotherapy equipment can be installed on an ordinary toilet; patients take a sitting position, as normal toilet, the use of water temperature constant at 38 ± 2 ℃, water pressure: 20kpa; water flow rate of 1200ml/min; non-inserted hydrotherapy handle, the patient himself, the operation of the hydrotherapy handle in hand against the anus, relying on the pressure of the small pump inside the instrument will be water or enema solution into, each time 200 -700ml. It can soften the stool and stimulate the contraction reflex of colorectal muscles to help expel the stool. For patients with intractable constipation due to lack of bowel movement and reduced rectal sensory function, this method can reduce or avoid laxative intake and improve quality of life. However, it is especially important to remind that the amount of water used in one enema should not exceed 800 ml.
Chronic constipation treatment is a long-term process, and the patient’s patience, confidence, determination and persistence are the keys to ensure the efficacy!