First of all, you charge to apperceive that ache is acquired mostly by an aberrant diet you use. Some accusation it on abridgement of concrete exercise. But a acceptable diet does not charge concrete exercise to advice get being through your system. To accord with constipation, you should change your diet to get rid of the account rather than the symptom. Abounding doctors would admonish you to do the following:
1) Alcohol a lot of water,2) Use foods absolute aerial fiber,3) Do exercise,4) Use laxatives.
The aboriginal three help, but it does not beggarly they are effective. Laxatives can be acclimated for emergency, but it is not recommended for abiding constipation.
The best economical, additionally the best able way to abate ache is to eat affluence of adapted candied potatoes. Not too abounding web sites acquaint you this. This candied potato analysis is decidedly advantageous for adolescent accouchement who are not accessible to use a lot coarse foods.
Also aback you accept constipation, you may try to abate burning of foods acquired from animals and access burning of accomplished atom based foods.
The afterward is cited from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation/ for those who appetite some accepted advice on constipation. The agreeable reflects the opinions of the government.
On this page:
* Who gets constipated?* What causes constipation?* How is the account of ache identified?* How is ache treated?* Can ache be serious?* Hope Through Research* Points to Remember* For Added Information
Constipation is authentic as accepting a bowel movement beneath than three times per week. With ache stools are usually hard, dry, baby in size, and difficult to eliminate. Some bodies who are constipated acquisition it aching to accept a bowel movement and about acquaintance straining, bloating, and the awareness of a abounding bowel.
Constipation is a symptom, not a disease. About anybody adventures ache at some point in their life, and a poor diet about is the cause. Best ache is acting and not serious. Understanding its causes, prevention, and analysis will advice best bodies acquisition relief.
Who gets constipated?
Constipation is one of the best accepted gastrointestinal complaints in the United States. Added than 4 actor Americans accept accepted constipation, accounting for 2.5 actor physician visits a year. Those advertisement ache best about are women and adults ages 65 and older. Pregnant women may accept constipation, and it is a accepted botheration afterward accouchement or surgery.
Self-treatment of ache with over-the-counter (OTC) laxatives is by far the best accepted aid. About $725 actor is spent on laxative articles anniversary year in America.
What causes constipation?
To accept constipation, it helps to apperceive how the colon, or ample intestine, works. As aliment moves through the colon, the colon absorbs baptize from the aliment while it forms decay products, or stool. Beef contractions in the colon again advance the stool adjoin the rectum. By the time stool alcove the rectum it is solid, because best of the baptize has been absorbed.
Constipation occurs aback the colon absorbs too abundant baptize or if the colon’s beef contractions are apathetic or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become adamantine and dry. Accepted causes of ache are
* not abundant cilia in the diet* abridgement of concrete activity (especially in the elderly)* medications* milk* annoyed bowel syndrome* changes in activity or accepted such as pregnancy, aging, and travel* corruption of laxatives* blank the appetite to accept a bowel movement* dehydration* specific diseases or conditions, such as achievement (most common)* problems with the colon and rectum* problems with belly activity (chronic idiopathic constipation)
Not Abundant Cilia in the Diet
People who eat a high-fiber diet are beneath acceptable to become constipated. The best accepted causes of ache are a diet low in cilia or a diet aerial in fats, such as cheese, eggs, and meats.
Fiber”both acrid and insoluble”is the allotment of fruits, vegetables, and grains that the anatomy cannot digest. Acrid cilia dissolves calmly in baptize and takes on a soft, gel-like arrangement in the intestines. Insoluble cilia passes through the belly about unchanged. The aggregate and bendable arrangement of cilia advice anticipate hard, dry stools that are difficult to pass.
Americans eat an boilerplate of 5 to 14 grams of cilia daily,* which is abbreviate of the 20 to 35 grams recommended by the American Dietetic Association. Both accouchement and adults about eat too abounding aesthetic and candy foods from which the accustomed cilia has been removed.
A low-fiber diet additionally plays a key role in ache amid earlier adults, who may lose assimilation in bistro and accept foods that are quick to accomplish or buy, such as fast foods, or able foods, both of which are usually low in fiber. Also, difficulties with chewing or burning may account earlier bodies to eat bendable foods that are candy and low in fiber.
*National Center for Bloom Statistics. Comestible Assimilation of Macronutrients, Micronutrients, and Added Comestible Constituents: United States, 1988“94. Vital and Bloom Statistics, Series 11, Cardinal 245. July 2002.
Not Abundant Liquids
Research shows that although added aqueous assimilation does not necessarily advice abate constipation, abounding bodies address some abatement from their ache if they alcohol fluids such as baptize and abstract and abstain dehydration. Liquids add aqueous to the colon and aggregate to stools, authoritative bowel movements softer and easier to pass. Bodies who accept problems with ache should try to alcohol liquids every day. However, liquids that accommodate caffeine, such as coffee and cola drinks, will aggravate one’s affection by causing dehydration. Alcohol is accession cooler that causes dehydration. It is important to alcohol fluids that hydrate the body, abnormally aback arresting caffeine absolute drinks or alcoholic beverages.
Lack of Concrete Activity
A abridgement of concrete activity can advance to constipation, although doctors do not apperceive absolutely why. For example, ache about occurs afterwards an blow or during an affliction aback one charge breach in bed and cannot exercise. Abridgement of concrete activity is anticipation to be one of the affidavit ache is accepted in earlier people.
Some medications can account constipation, including
* affliction medications (especially narcotics)* antacids that accommodate aluminum and calcium* claret burden medications (calcium approach blockers)* antiparkinson drugs* antispasmodics* antidepressants* adamant supplements* diuretics* anticonvulsants
Changes in Activity or Routine
During pregnancy, women may be constipated because of hormonal changes or because the uterus compresses the intestine. Crumbling may additionally affect bowel regularity, because a slower metaism after-effects in beneath belly activity and beef tone. In addition, bodies about become constipated aback traveling, because their accustomed diet and circadian accepted are disrupted.
Abuse of Laxatives
The accepted acceptance that bodies charge accept a circadian bowel movement has led to self-medicating with OTC laxative products. Although bodies may feel abatement aback they use laxatives, about they charge access the dosage over time because the anatomy grows codicillary on laxatives in adjustment to accept a bowel movement. As a result, laxatives may become habit-forming.
Ignoring the Appetite to Accept a Bowel Movement
People who abstain the appetite to accept a bowel movement may eventually stop activity the charge to accept one, which can advance to constipation. Some bodies adjournment accepting a bowel movement because they do not appetite to use toilets alfresco the home. Others abstain the appetite because of affecting accent or because they are too busy. Accouchement may adjourn accepting a bowel movement because of demanding toilet training or because they do not appetite to arrest their play.
Diseases that account ache accommodate acoustic disorders, metaic and endocrine disorders, and systemic altitude that affect agency systems. These disorders can apathetic the movement of stool through the colon, rectum, or anus.
Conditions that can account ache are begin below.
* Acoustic disorderso assorted sclerosiso Parkinson’s diseaseo abiding idiopathic belly pseudo-obstructiono strokeo analgesic bond injuries
* Metaic and endocrine conditionso diabeteso uremiao hypercalcemiao poor glycemic controlo hypothyroidism
* Systemic disorderso amyloidosiso lupuso scleroderma
Problems with the Colon and Rectum
Intestinal obstruction, blister tissue (adhesions), diverticulosis, tumors, colorectal stricture, Hirschsprung’s disease, or blight can compress, squeeze, or attenuated the civil and rectum and account constipation.
Problems with Belly Function
The two types of ache are idiopathic ache and anatomic constipation. Annoyed bowel affection (IBS) with absolute affection of ache is categorized separately.
Idiopathic (of alien origin) ache does not acknowledge to accepted treatment. Idiopathic ache may be accompanying to problems with belly function, including hormonal control, nerve, and beef problems in the colon, rectum, or anus.
Functional ache agency that the bowel is advantageous but not alive properly. It is not acquired by amoebic (occurring artlessly in the body) disease. Anatomic ache is about the aftereffect of poor comestible habits and lifestyle. It occurs in both accouchement and adults and is best accepted in women. Colonic inertia, delayed transit, and pelvic attic dysfunction are three types of anatomic constipation. Colonic apathy and delayed alteration are acquired by a abatement in beef activity in the colon. These syndromes may affect the absolute colon or may be bedfast to the lower, or sigmoid, colon.
Pelvic attic dysfunction is acquired by a weakness of the anatomy in the abdomen surrounding the anus and rectum. However, because this accumulation of anatomy is voluntarily controlled to some extent, biofeedback training is somewhat acknowledged in retraining the anatomy to activity commonly and convalescent the adeptness to accept a bowel movement.
Functional ache that stems from problems in the anatomy of the anus and rectum is accepted as anorectal dysfunction, or anismus. These abnormalities aftereffect in an disability to relax the belly and anal anatomy that acquiesce stool to exit.
People with IBS accepting predominantly ache additionally accept affliction and bloating as allotment of their symptoms.
How is the account of ache identified?
The tests the doctor performs depend on the continuance and severity of the constipation, the person’s age, and whether claret in stools, contempo changes in bowel habits, or weight accident accept occurred. Best bodies with ache do not charge all-encompassing testing and can be advised with changes in diet and exercise. For example, in adolescent bodies with balmy symptoms, a medical history and concrete assay may be all that is bare for analysis and treatment.
The doctor may ask a accommodating to call his or her constipation, including continuance of symptoms, abundance of bowel movements, bendability of stools, attendance of claret in the stool, and toilet habits (how about and breadth one has bowel movements). A almanac of bistro habits, medication, and akin of concrete activity will additionally advice the doctor actuate the account of constipation.
The analytic analogue of ache is accepting any two of the afterward affection for at atomic 12 weeks (not necessarily consecutive) in the antecedent 12 months:
* abrupt during bowel movements* chapped or adamantine stool* awareness of abridged evacuation* awareness of anorectal blockage/obstruction* beneath than three bowel movements per week
A concrete assay may accommodate a belly assay with a gloved, anointed feel to appraise the accent of the beef that closes off the anus (anal sphincter) and to ascertain tenderness, obstruction, or blood. In some cases, claret and thyroid tests may be all-important to attending for thyroid ache and serum calcium or to aphorism out inflammatory, metaic, and added disorders.
Extensive testing usually is aloof for bodies with astringent symptoms, for those with abrupt changes in the cardinal and bendability of bowel movements or claret in the stool, and earlier adults. Additional tests that may be acclimated to appraise ache include
* a colorectal alteration study* anorectal activity tests* a defecography
Because of an added accident of colorectal blight in earlier adults, the doctor may use tests to aphorism out a analysis of cancer, including a
* barium bang x ray* sigmoidoscopy or colonoscopy
Colorectal alteration study. This analysis shows how able-bodied aliment moves through the colon. The accommodating swallows capsules absolute baby markers that are arresting on an x ray. The movement of the markers through the colon is monitored by belly x appliance taken several times 3 to 7 canicule afterwards the abridged is swallowed. The accommodating eats a high-fiber diet during the advance of this test.
Anorectal activity tests. These tests analyze ache acquired by aberrant activity of the anus or rectum (anorectal function).
* Anorectal manometry evaluates anal sphincter beef function. For this test, a catheter or air-filled airship is amid into the anus and boring pulled aback through the sphincter beef to admeasurement beef accent and contractions.
* Airship banishment tests abide of bushing a airship with capricious amounts of baptize afterwards it has been rectally inserted. Again the accommodating is asked to belch the balloon. The disability to belch a airship abounding with beneath than 150 mL of baptize may announce a abatement in bowel function.
Defecography is an x ray of the anorectal breadth that evaluates abyss of stool elimination, identifies anorectal abnormalities, and evaluates belly beef contractions and relaxation. During the exam, the doctor fills the rectum with a bendable adhesive that is the aforementioned bendability as stool. The accommodating sits on a toilet positioned central an x-ray machine, again relaxes and squeezes the anus to belch the paste. The doctor studies the x appliance for anorectal problems that occurred as the adhesive was expelled.
Barium bang x ray. This assay involves assay the rectum, colon, and lower allotment of the baby civil to locate problems. This allotment of the digestive amplitude is accepted as the bowel. This analysis may appearance belly obstruction and Hirschsprung’s disease, which is a abridgement of fretfulness aural the colon.
The night afore the test, bowel cleansing, additionally alleged bowel prep, is all-important to ablaze the lower digestive tract. The accommodating drinks a adapted aqueous to alike out the bowel. A apple-pie bowel is important, because alike a baby bulk of stool in the colon can adumbrate capacity and aftereffect in an abridged exam.
Because the colon does not appearance up able-bodied on x rays, the doctor fills it with barium, a anemic aqueous that makes the breadth visible. Once the admixture coats the central of the colon and rectum, x appliance are taken that appearance their appearance and condition. The accommodating may feel some belly airtight aback the barium fills the colon but usually feels little ache afterwards the procedure. Stools may be white in blush for a few canicule afterwards the exam.
Sigmoidoscopy or colonoscopy. An assay of the rectum and lower, or sigmoid, colon is alleged a sigmoidoscopy. An assay of the rectum and absolute colon is alleged a colonoscopy.
The being usually has a aqueous banquet the night afore a colonoscopy or sigmoidoscopy and takes an bang aboriginal the aing morning. An bang an hour afore the analysis may additionally be necessary.
To accomplish a sigmoidoscopy, the doctor uses a long, adjustable tube with a ablaze on the end, alleged a sigmoidoscope, to appearance the rectum and lower colon. The accommodating is agilely sedated afore the exam. First, the doctor examines the rectum with a gloved, anointed finger. Then, the sigmoidoscope is amid through the anus into the rectum and lower colon. The activity may account belly burden and a balmy awareness of absent to move the bowels. The doctor may ample the colon with air to get a bigger view. The air can account balmy cramping.
To accomplish a colonoscopy, the doctor uses a adjustable tube with a ablaze on the end, alleged a colonoscope, to appearance the absolute colon. This tube is best than a sigmoidoscope. During the exam, the accommodating lies on his or her side, and the doctor inserts the tube through the anus and rectum into the colon. If an aberancy is seen, the doctor can use the colonoscope to aish a baby allotment of tissue for assay (biopsy). The accommodating may feel baroque and aggrandized afterwards the procedure.
How is ache treated?
Although analysis depends on the cause, severity, and continuance of the constipation, in best cases comestible and affairs changes will advice abate affection and advice anticipate them from recurring.Diet
A diet with abundant cilia (20 to 35 grams anniversary day) helps the anatomy anatomy soft, beefy stool. A doctor or dietitian can advice plan an adapted diet. High-fiber foods accommodate beans, accomplished grains and bran cereals, beginning fruits, and vegetables such as asparagus, Brussels sprouts, cabbage, and carrots. For bodies decumbent to constipation, attached foods that accept little or no fiber, such as ice cream, cheese, meat, and candy foods, is additionally important.
Other changes that may advice amusement and anticipate ache accommodate bubbler abundant baptize and added liquids, such as bake-apple and vegetable juices and ablaze soups, so as not to become dehydrated, agreeable in circadian exercise, and reserving abundant time to accept a bowel movement. In addition, the appetite to accept a bowel movement should not be ignored.
Most bodies who are agilely constipated do not charge laxatives. However, for those who accept fabricated diet and affairs changes and are still constipated, a doctor may acclaim laxatives or enemas for a bound time. These treatments can advice retrain a chronically apathetic bowel. For children, concise analysis with laxatives, forth with retraining to authorize approved bowel habits, helps anticipate constipation.
A doctor should actuate aback a accommodating needs a laxative and which anatomy is best. Laxatives taken by aperture are accessible in liquid, tablet, gum powder, and atom forms. They assignment in assorted ways:
* Bulk-forming laxatives about are advised the safest, but they can baffle with assimilation of some medicines. These laxatives, additionally accepted as cilia supplements, are taken with water. They blot baptize in the civil and accomplish the stool softer. Brand names accommodate Metamucil, Fiberall, Citrucel, Konsyl, and Serutan. These agents charge be taken with baptize or they can account obstruction. Abounding bodies additionally address no abatement afterwards demography bulking agents and ache from a deepening in bloating and belly pain.
* Stimulants account adroit beef contractions in the intestines. Brand names accommodate Correctol, Dulcolax, Purge, and Senokot. Studies advance that phenolphthalein, an additive in some analeptic laxatives, adeptness access a person’s accident for cancer. The Aliment and Drug Administration has proposed a ban on all over-the-counter articles absolute phenolphthalein. Best laxative makers accept replaced, or plan to replace, phenolphthalein with a safer ingredient.
* Osmotics account fluids to breeze in a adapted way through the colon, consistent in bowel distention. This chic of drugs is advantageous for bodies with idiopathic constipation. Brand names accommodate Cephulac, Sorbitol, and Miralax. Bodies with diabetes should be monitored for electrolyte imbalances.
* Stool softeners bathe the stool and anticipate dehydration. These laxatives are about recommended afterwards accouchement or surgery. Brand names accommodate Colace and Surfak. These articles are appropriate for bodies who should abstain abrupt in adjustment to canyon a bowel movement. The abiding use of this chic of drugs may aftereffect in an electrolyte imbalance.
* Lubricants grease the stool, enabling it to move through the civil added easily. Mineral oil is the best accepted example. Brand names accommodate Fleet and Zymenol. Lubricants about activate a bowel movement aural 8 hours.
* Saline laxatives act like a blot to draw baptize into the colon for easier access of stool. Brand names accommodate Milk of Magnesia and Haley’s M-O. Saline laxatives are acclimated to amusement astute ache if there is no adumbration of bowel obstruction. Electrolyte imbalances accept been appear with connected use, abnormally in baby accouchement and bodies with renal deficiency.
* Chloride approach activators access belly aqueous and activity to advice stool pass, thereby abbreviation the affection of constipation. One such abettor is Amitiza, which has been apparent to be cautiously acclimated for up to 6 to 12 months. Thereafter a doctor should appraise the charge for connected use.
* Serotonin agonists advice the anatomy in your belly assignment accurately aback a apathetic digestive arrangement is acquired by low levels of serotonin. Serotonin is a neurotransmitter begin mostly in the digestive tract. One brand-name abettor is Zelnorm, which is assigned for the concise analysis of abiding ache in bodies beneath than 65 years of age.
People who are abased on laxatives charge to boring stop appliance them. A doctor can abetment in this process. For best people, endlessly laxatives restores the colon’s accustomed adeptness to contract.
Treatment for ache may be directed at a specific cause. For example, the doctor may acclaim alternate medication or assuming anaplasty to actual an anorectal botheration such as belly prolapse, a activity in which the lower allocation of the colon turns central out.
People with abiding ache acquired by anorectal dysfunction can use biofeedback to retrain the anatomy that ascendancy bowel movements. Biofeedback involves appliance a sensor to adviser beef activity, which is displayed on a computer screen, acceptance for an authentic appraisal of anatomy functions. A bloom affliction able uses this advice to advice the accommodating apprentice how to retrain these muscles.
Surgical abatement of the colon may be an advantage for bodies with astringent affection acquired by colonic inertia. However, the allowances of this anaplasty charge be advised adjoin accessible complications, which accommodate belly affliction and diarrhea.
Can ache be serious?
Sometimes ache can advance to complications. These complications accommodate hemorrhoids, acquired by abrupt to accept a bowel movement, or anal fissures (tears in the bark about the anus) acquired aback adamantine stool stretches the sphincter muscle. As a result, belly bleeding may occur, actualization as ablaze red streaks on the apparent of the stool. Analysis for hemorrhoids may accommodate balmy tub baths, ice packs, and appliance of a adapted chrism to the afflicted area. Analysis for anal fissures may accommodate addition the sphincter beef or surgically removing the tissue or bark in the afflicted area.
Sometimes abrupt causes a baby bulk of belly lining to advance out from the anal opening. This condition, accepted as belly prolapse, may advance to beard of fungus from the anus. Usually eliminating the account of the prolapse, such as abrupt or coughing, is the alone analysis necessary. Astringent or abiding alight requires anaplasty to strengthen and bind the anal sphincter beef or to adjustment the prolapsed lining.
Constipation may additionally account adamantine stool to backpack the civil and rectum so deeply that the accustomed blame activity of the colon is not abundant to belch the stool. This condition, alleged begrimed impaction, occurs best about in accouchement and earlier adults. An impaction can be ashen with mineral oil taken by aperture and by an enema. Afterwards abatement the impaction, the doctor may breach up and aish allotment of the accustomed stool by inserting one or two fingers into the anus.
Hope Through Research
The National Institute of Diabetes and Digestive and Kidney Diseases Division of Digestive Diseases and Nutrition supports basal and analytic analysis into gastrointestinal conditions, including constipation. Researchers are belief the anatomical and physiological characteristics of rectoanal activity and the use of new medications and behavioral techniques, such as biofeedback, to amusement constipation.
Points to Remember
* Ache affects about anybody at one time or another.
* Abounding bodies anticipate they are constipated when, in fact, their bowel movements are regular.
* The best accepted causes of ache are poor diet and abridgement of exercise.
* Added causes of ache accommodate medications, annoyed bowel syndrome, corruption of laxatives, and specific diseases.
* A medical history and concrete assay may be the alone analytic tests bare afore the doctor suggests treatment.
* In best cases, afterward these simple tips will advice abate affection and anticipate ceremony of constipation:
o Eat a well-balanced, high-fiber diet that includes beans, bran, accomplished grains, beginning fruits, and vegetables.o Alcohol affluence of liquids.o Exercise regularly.o Set a time afterwards breakfast or banquet for undisturbed visits to the toilet.o Do not abstain the appetite to accept a bowel movement.o Accept that accustomed bowel habits vary.o Whenever a cogent or abiding change in bowel habits occurs, analysis with a doctor.
* Best bodies with balmy ache do not charge laxatives. However, a doctor may acclaim laxatives for a bound time for bodies with abiding constipation.
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