Constipation

Constipation is a disorder of defecation, in which the bowel is emptied not systematically and with difficulty. Delay defecation more than 48 hours is constipation. Stool with constipation stands out a little, it has high hardness and dryness.

All locks can be divided into seven main groups:

reflex constipation (occur in lesions of the digestive organs, and other body systems);

- neurogenic constipation (arise when organic or functional diseases of the CNS, conscious frequent inhibitions defecation reflexes caused by working conditions or life - work of the seller, the driver, no toilet, and so on);

- toxic constipation (arise when nitrobenzene poisoning, nicotine, morphine, drugs lead, and when taken over a long period of time in high doses, antispasmodics and anticholinergic);

mechanical locks occur as a result of disease, Hirschsprung's disease, narrowing of the colon scars or swelling);

endocrine constipation (arise when reducing the function of the ovaries, thyroid, pituitary);

- nutritional constipation (result from insufficient intake of fiber);

- hypokinetic constipation (occur when a sedentary lifestyle and low physical activity).

All these reasons can cause vasomotor disorders, disorders of absorption and secretion. However, as a rule, the clinical manifestations are provided by a combination of several disorders.

First of all, this delay defecation for a long time. Atonic constipation is characterized by coveragename, decorated, heavy feces. This initial portion, usually very dense, large diameter end portion - proformance. The act of defecation is very painful, with great difficulty, on the stool, due to a rupture of the mucous appear streaks of blood. Calories in spastic constipation has the shape of a sheep faeces (fragmented chair). Often constipation accompanied by spastic abdominal pains, a feeling of expansion and pressure, flatulence. Prolonged constipation is often accompanied by decreased performance, lethargy, fatigue.

When atonic constipation increase in the daily diet of a number of products that contain fiber (fruits, vegetables). Especially useful carrots, beets, prunes. For constipation spastic appoint sparing diet (fruits and vegetables are pureed or mashed, boiled meat and fish, shown regular consumption of yogurt and other dairy products). Patients suffering from atonic constipation, shown subaqueous baths, physiotherapy, circular shower, active lifestyle. In spastic constipation good help coniferous baths, paraffin baths and other treatments that help relieve intestinal spasms. If the main cause of constipation is in the field of psychology, shows the use of tranquilizers and sedatives.

In spastic constipation prescribe a combination of drugs, antispasmodics (no-Spa, papaverine hydrochloride), anticholinergic (platyptilia hydrotartrate, atropine sulfate, etc.). When atonic constipation shows the use of laxatives (Senna, drugs buckthorn, rhubarb, phenolphthalein, etc.). With timely treatment the prognosis is good.

Remember that constipation is dangerous complications. Thus, long-term constipation can lead to the development of secondary colitis, reflux enteritis, diseases of the rectum (paraproctitis, fissures, hemorrhoids), and cancer of rectum and colon.

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