TREATMENT OF CHRONIC CONSTIPATION

 

TREATMENT OF CHRONIC 

CONSTIPATION

CONSTIPATION:

Before taking the knowledge of treatment of chronic constipation, we must know the knowledge that what is constipation, so constipation is a different pattern and varies from person to
person, it depends on nature or depends on a diet or depends on exercise, or
water intake. But constipation is defined as tension bowel movements less than 3 times a week. The normal pattern is that people have bowel
movements daily two to three times in 24 hours.

If we focus on bowl pattern some are its key factors:

• Your stools are hard and dry
• You feel painful abdomen cramps and stools are uneasy to pass
  out.
• You have felt that you couldn’t empty your intestine
  Completely.

TREATMENT:

Chronic constipation treatment usually starts with lifestyle
changes and diet patterns that extend the peristalsis, and movements of your
intestine which move your stools forward. If this does not happen properly, the doctor prescribes medicine or other symptomatic treatment.

 

1. DIET AND LIFESTYLE CHANGES:

Your consultant might explain to you some important factors
or things by which you can treat your chronic constipation, which include,

Whole grains include bread, cereals, beans, brown rice, vegetables, and dried and fresh fruits. bran cereal, prunes, herbal tea, and oats are the true remedies for constipation.

 

2. INCREASE YOUR FIBER INTAKE:

 Intake of diet increases
the load of your stool and speeds up the peristalsis movement of your
intestines. You have to take fresh juicy fruits and vegetables daily. Select brown
bread and cereals in your daily diet. 

Your doctor prescribed for the treatment of constipation, a selected number of grams of fiber to
consume each day. generally, plan to take 14 grams of fiber for every 1,000
calories in your diet.

 An explosion in the amount of fiber you eat can cause cramping
and gaseous formation, so increase gradually your fiber diet and work your high
to your aim over 3-4 weeks.

 

3. EXERCISE:

Increasing your physical activity increases muscle activity
in your intestines. attempt to fit in exercise regularly in a week, it helps you to treat constipation and increase intestine peristalsis movement.

Don’t ignore any bowel peristalsis movement, it’s an
important factor. Take some time in the washroom, preparing yourself to start an
exact bowel movement without obstruction and without going into anxiety.

4. LAXATIVES:

A different type of laxative focuses on and enhances bowel movement over time. Which are given below,

 

a. Fiber supplements.  It is the easiest way to treat constipation. Fiber supplements mix between your stool.  Bulky stools are easier
and softer to pass. Fiber supplements which include psyllium mean Konsyl, etc.,
calcium polycarbophil means Fibercon, Equa lectin, etc, and methylcellulose means
Citrucel.

 

b. Stimulants. Stimulants such as bisacodyl, Correctol, Dulcolax, etc., and sennosides, Senokot, Ex-Lax, Perdiem, etc. help you to increase peristalsis movement and to treat constipation.

 

c. Osmotic. Osmotic laxatives help stool to move forward from the colon by secretion
of fluid increases from the intestines and motivating peristalsis movements of the
intestine, which helps the treatment of constipation. 

Examples oral milk of magnesia means Phillips’ Milk of Magnesia or
Dulcolax Milk of Magnesia etc, magnesium citrate and lactulose means Cholac,
etc, polyethylene glycol means Glycol ax, etc

 

d. Lubricants. Lubricants like mineral oil can easily move through your intestine or colon So for the treatment of constipation doctor prescribes some lubricants, such as natural, mineral, or synthetic oil.

e. Stool softeners. Stool softeners like docusate sodium mean Colace and
docusate calcium means Surfa moist and softens the stool by mixing with water in the
intestines, which helps you to treat constipation.

 

f. Enemas and suppositories. Water enemas with or without soaps can play an important
role in soft stool and enhance bowel movement. Glycerin suppositories also play
an important role to treat constipation and to move forward stool out from the body by providing stimulation
and lubrication.

5. MEDICATION:

If you have irritable bowel syndrome, the doctor prescribes medications
for chronic constipation.

                               

 Medications that add water
to the patient intestines. A variety of different prescription treatments for constipation is
available here.

• Lubiprostone (Amitiza)
•  linaclotide (Linzess)
•  plecanatide (Trulance)

         work by floating water into the patient
intestines and increasing the peristalsis movement of the intestine to move
forward the stools.

• Serotonin 5-hydroxytryptamine 4 receptors mean Prucalopride
  (Motegrity) helps move forward stool through the large colon.

 

6. TRAINING OF PELVIC MUSCLES:

 

Biofeedback is a training method for the treatment of constipation, that works with a doctor who
uses equipment to assist you to learn to calm and tighten the pelvic muscles. Pelvic
muscles relaxing properly during passing stool can assist you forward
stool more quickly.

During a biofeedback training session, a unique catheter tube
to calculate muscle tense when it is inserted into the patient’s rectum. The doctor
teaches you through different exercises to calm and tighten your lower pelvic
muscles. A machine will calculate your muscle tension and use different lights
and suction to assist you to understand when your muscles are in a relaxing
position.

 

7. SURGERY:

Surgery could also be an option if you have already tried
other prescriptions and the cause of your chronic constipation is due to rectocele,
blockage, or stricture.

For people who have abnormal slow peristalsis movement of the
intestine, surgical extraction of a small part of the colon might be an option.
Surgery to get rid of the entire colon will rarely happen.