Constipation – Do Not Underestimate!

Constipation is one of the most common symptoms of digestive system pathology and is a symptom of many pathologies in other organs of the body. Although small symptoms do not affect the quality of life much, they cause a lot of inconvenience to patients, and huge economic losses.
In many people, constipation is less likely to defecate. However, for others, constipation means hard, dry stools that have to strain, or a feeling of stools in the bowel after defecation. The number of bowel movements often decreases with age

. In 95% of adults, 3 to 21 stools per week are considered normal. The most common form is to defecate once a day.
What causes constipation?
There are many causes, but it can be divided into two main causes:
Functional causes group
Systemic disease: high fever, postoperative, because dehydration is dry
Due to medication: they are addictive pain relievers such as codeine, oxycodone, hdrophormone; antidepressants such as amitriptylene (Elavil) and imipramine (Tofranil); antiepileptic drugs such as phenytoin (Dilantin) and carbamazepine (Tegretol); calcium channel blockers such as diltiazem (Cardizem) and nifedipine (Procardia); aluminum containing antacids such as Amphogel, phosphalugel and Basaljel .



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Due to the habit: defecation reflexes can be adjusted as desired. This means that an ordinary person can prevent the urge to urinate. However, preventing the feeling of frequent bowel movements will lead to a loss of urgency and constipation.
Due to the diet: fiber is important for maintaining soft, large stools. Therefore, low fiber diets can cause constipation The best sources of natural fiber are fruits, vegetables and nuts.




Due to laxatives: one of the suspected causes of severe constipation is the abuse of laxative stimulants (such as acacia, castor oil, and some herbs). Using colon stimulants causes abnormal cycles, then damage can cause constipation and more laxative stimulation is needed.
There are also a number of other causes such as: due to reflexes, due to sitting a lot, because the elderly lie down for a long time, due to nervous tension ...
Real cause group
Injury to the digestive tract
- Impeding circulation: u, tight ...




- Colon deformity: large, long or medium to too long.
- Chronic colitis may have spasms.
- Irritable bowel syndrome.
- Anal rectal injury: hemorrhoids, rectal stenosis.
Injury outside the digestive tract.
- Pregnant in the last month.
- Uterine, prostate, postoperative adhesion.
- Brain damage to the brain: meningococcal hypertension damages the spinal cord, meningeal syndrome .



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How to treat constipation?
In addition to root cause treatment, it is necessary to treat constipation according to the cause.
- If due to side effects of the drug, you can ask the doctor to stop the drug or change another drug.
- If due to unreasonable eating and drinking, must improve eating, eating more fiber and fiber (green vegetables 200 - 300g / day), drinking lots of water (2 - 2.5 liters / day), eating more foods laxative products such as jute vegetables, spinach, sweet potatoes, loofahs, sweets, cocoa, chocolate ...



abstain from drinking solid tea, coffee and alcohol.
- If due to disorder of defecation reflexes: restore reflexes by peeing on time, go right after the first time of bowel, do not hold fast, do not have a bowel movement on time to create gradual reflexes to defecate .
- Finally, the use of laxatives, there are many different laxatives depending on the mechanism of action: Fiber and mucus (food fibers, agar agar) Laxatives and stool softeners ( Vaseline or paraphin oil) Osmotic laxatives (Forlax, Fortrans) Laxatives that stimulate peristalsis (Phenolphtalein, Bisacodyl) Topical laxatives (glycerin suppositories, suppositories with Bysacodyl), when used These drugs should be prescribed by a doctor.
Constipation is a common symptom in life, most people think that it is not complicated and have disregarded symptoms, self-treatment because they think that just using laxatives is enough. That condition will lead to many consequences such as hemorrhoids, desert rectal mucosa ... It is best to see a doctor to find the cause and the right treatment to avoid abuse of laxatives.




MSc. Nguyen Hai.

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