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Constipation


Constipation affects a substantial portion of population, particularly prevalent in oider adults, women and children.

What is Constipation ?

Constipation is defined as straining, hard stools and inability to have bowel movement. Bowel movements frequency varies widely among healthy people from three bowel movements per day to three bowel movements in a week.


Causes

  • Low fibre diet
  • Inadequate fluid intake
  • Low levels of physical activity
  • Poor toilet training
  • Medications
  • Medical conditions including diabetes mallitus, hypothyroidism, neurological disorder, colorectal diseases and etc.
  • Symptoms

  • Stool frequency less than three times per week
  • Abdominal discomfort / bloating
  • Straining frequently while passing stool
  • A sensation of incomplete bowel movements
  • Having to apply manual pressure to have a bowel movement.
  • Diagnosis

    Diagnosis of constipation requires a detailed medical history and physical examination including per rectal examination. Treating doctor will determine exact cause of constipation and treat accordingly.

    Biofeedback therapy or Surgery:

    Rarely, patients having pelvic muscle dysfunction may need biofeedback or surgery.

    Treatment

  • Lifestyle modification and dietary changes are all most importat components that are needed to relieve constipation.
  • Dietary changes: Food with high fibre including vegetables and fruits, beans, high fiber cereals and breads. Plenty of fluid intake. Avoid caffeinated beverages.
  • Toilet Habits: Sufficient time should alloted for undisturbed visits to the washroom. After breakfast bowel movement is often most productive. Person should not ignore the urge to have a bowel movement.
  • Physical activity: Regular exercise including walking, cycling or swimming.
  • - Along with lifestyle changes you may require other treatment options including:
  • When to consult Doctor?

  • An unexplained alteration in bowel habits
  • Pain and straining while passing stool that does not improve after diet and lifestyle changes
  • Stool mixed with blood
  • Rectal pain / discomfort
  • Constipation alternates with diarrhea
  • Pencil like thin stools
  • Unexplained unintentional loss of weight
  • Something coming out from the rectum when you strain down.
  • A Centre for Comprehensive GI Care