What is constipation?
Meaning of constipation is an adverse change in bowel habits. This change may include hard stools more or fewer than normal, the frequency outputs of less than three times a week, the need for an increased effort to activate the gut and sense of incomplete emptying after defecation. Please note proper frequency outputs is between two and three ports on one port every other day. In other words, not all who does not have a bowel movement every day is considered constipated.
What Causes Constipation?
There are two types of constipation: constipation, functional, resulting from dysfunction of the colon, and constipation secondary, resulting from other diseases, medications and lifestyle.
The reasons for functional constipation and secondary can be many and varied:
• different medications, including some painkillers, medication for high blood pressure, psychiatric drugs, chemotherapy drugs, drugs containing iron and aluminum.
• Door Economy fiber, low consumption of fluids, strict diet, lack of physical activity.
• Diseases that cause damage to the peripheral nervous system such as diabetes, neuropathy (damage to peripheral nerves).
• neurological diseases that damage the functioning of the central nervous system such as Parkinson's disease, multiple sclerosis, stroke, dementia, brain tumors, brain injuries and spinal cord injuries.
• Hormonal disorders such as sub - hyperthyroidism or activity - the rest of the thyroid gland.
• various disorders salt balance as an increase in calcium and a decrease in serum potassium.
• older age.
• Traffic fit disorders of the digestive system, for example following Hirschsprung's disease, where neurons are missing some of the intestine, so it is not shrinking.
• dysfunction of the pelvic floor, such a condition where muscles contract instead of being lax when insides work.
• Diseases of the colon: colon tumors that block the inside or the outside pressed, inflammation, narrowing, thickening and bowel obstruction, rectal fissure.
• Irritable Bowel Syndrome which suffer from intermittent periods of diarrhea and constipation periods. Alternatively it is possible irritable bowel syndrome accompanied by only diarrhea or constipation only.
What are the symptoms?
Constipation may be accompanied by a feeling of puffiness in the stomach and abdominal pain and bleeding or pain during bowel movements.
Inform your doctor when started stops, if there is an increase or decrease in weight, were bleeding or pain during ports, are often also have diarrhea, do have relatives who suffer or have suffered gastrointestinal tumors and inflammatory bowel disease such as Crohn's disease and ulcerative colitis. If you pass tests such as colonoscopy and abdominal CT, make sure that your doctor got the results.
How long did it last?
Constipation can be chronic or one - time. If constipation occurs for obvious reason, such as the use of certain medications, it is expected to pass with the disappearance of her reason, for example, stop using those drugs.
However many people suffer from chronic constipation often worsens progressively with age.
How to diagnose?
The doctor diagnoses the patient stops when two or more are held six following symptoms for three consecutive months during the six months preceding the review:
• Less than three departures a week.
• At least a quarter of departures are needed to run effortlessly.
• At least a quarter of departures stool is hard or lumpy.
• At least a quarter of departures has a sense of incomplete emptying.
• There is a feeling of obstruction or blockage.
• A Help Manual for achieving emptying.
In fact the diagnosis is made based on the patient's complaint (clinical diagnosis). After the doctor had impressed the medical background and were reviewed and it makes a complete physical examination, including a rectal examination, he must decide if you need further inquiry, and which tests should be done.
If the complaints, that the existence of an increase in the gastrointestinal tract, has directed the respondent to clarify - usually a colonoscopy. Have to consider doing a colonoscopy every adult who complains about the new constipation or bleeding from the anus or if he lost weight significantly. Furthermore consider the option of sending it to various laboratory tests such as blood counts, examination of the thyroid function and test for levels of calcium and potassium.
If the investigation does not increase actual findings, and subject continues to suffer from severe constipation not responding satisfactorily various treatments, you may consider making special tests for assessing intestinal motility and function of the pelvic floor. This tests like EMG (testing the electrical activity of the muscles that are responsible for the mechanism of departure), Dfkografih (rectal emptying test), ingestion of labeled material and track when it passes through the intestine and rectal pressure measurement and colon. The tests are done to find problems such as dysfunction of the pelvic floor and to refer to those who are suffering as a result of different treatments biofeedback.