1/23/10

Constipation Symptoms, Causes, and Treatments

Constipation is not having a bowel movement (pooping) as often as you usually do or having a tough time going because the poop is hard and dry. Normal poop is sort of soft and easy to pass, so it shouldn't be too hard to have a bowel movement. The term constipation is used for severe constipation that prevents passage of both stools and gas. Causes of constipation may be dietary, hormonal, anatomical, a side effect of medications or an illness or disorder.


Constipation means different things to different people. For many people, it simply means infrequent stools. For others, however, constipation means hard stools, difficulty passing stools (straining), or a sense of incomplete emptying after a bowel movement. The cause of each of these "types" of constipation probably is different, and the approach to each should be tailored to the specific type of constipation.


By constipation hard stool assembles in the lower colon or rectum without coming out in due time. This causes the stomach region to engorge, causes diffuse discomfort and sometimes sharp pain. When the hard stool eventually pass out it can over stretch the tissue in the anal region and tear up the mucosa and skin in this area.


Constipation also can alternate with diarrhea. This pattern commonly occurs as part of the irritable bowel syndrome (IBS). At the extreme end of the constipation spectrum is fecal impaction, a condition in which stool hardens in the rectum and prevents the passage of any stool.


It is important to distinguish acute (recent onset) constipation from chronic (long duration) constipation. Acute constipation requires urgent assessment because a serious medical illness may be the underlying cause (for example, tumors of the colon). Constipation also requires an immediate assessment if it is accompanied by worrisome symptoms such as rectal bleeding, abdominal pain and cramps, nausea and vomiting, and involuntary loss of weight. In contrast, the evaluation of chronic constipation may not be urgent, particularly if simple measures bring relief.


Bowel movements are under voluntary control. This means that the normal urge people feel when they need to have a bowel movement can be suppressed. Although occasionally it is appropriate to suppress an urge to defecate (for example, when a bathroom is not available), doing this too frequently can lead to a disappearance of urges and result in constipation.


Here are some home remedies that may be used for the treatment of constipation.


Drink a glass of warm water early in the morning, walk around for a while, and then visit the toilet. Simply drinking more water will not provide a complete cure for constipation. However, additional fluids in the digestive system will help to keep stools soft and facilitate digestive processes such as bowel movements.


Eat a lot of raw salads and green vegetables. Drink plenty of water, but not immediately before or after a meal. Regular exercise is also important in establishing regular bowel movements. If you are confined to a wheelchair or bed, change position frequently and perform abdominal contraction exercises and leg raises. A physical therapist can recommend exercises appropriate for your physical abilities.


Drink a glassful of warm water with a spoonful of honey every night before going to sleep. However, be aware that you might go to the bathroom often!


Children and adults should get enough fiber in their diet. Vegetables, fresh fruits, dried fruits, and whole wheat, bran, or oatmeal cereals are excellent sources of fiber. To reap the benefits of fiber, drink plenty of fluids to help pass the stool.


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