. Constipation often affects appetite and intestinal nutrient absorption, so that the body's toxic substances in the intestinal tract to prolong the residence time, and be absorbed by a large number of toxic reactions; serious cases can lead to
acute myocardial infarction, cerebrovascular accidents and endangered life.
The main manifestations are abdominal distension, loss of appetite, nausea, bitter taste in the mouth, mental exhaustion, dizziness, fatigue, general body aches and pains, some people have anemia, malnutrition.
Two types of constipation:
1, no tension constipation: (flaccid constipation or no tension constipation) due to the loss of the original sensitivity of the large intestine muscle or tension, resulting in the promotion of fecal peristalsis slow, so that feces through the large intestine spends too much time, so that the water is absorbed out of the feces become hard, thick, resulting in defecation difficulties. This type is mostly seen in the old and weak, multiple pregnancies, malnutrition, obesity, and too little exercise; in addition, it is also seen in people who do not have regular bowel habits. Food texture is too fine, too little fiber and dietary lack of sugar, fat, water, B vitamins and so on can also be caused.
2, spasmodic constipation: due to excessive stimulation of intestinal nerve endings, so that the large intestine and the colon of the intestinal wall muscle overstrain or spasmodic contraction, caused by stools become small grains or thin strip like a pencil (feces through the spasmodic parts, there is a painful sensation), this constipation after a period of time will be diarrhea, constipation and diarrhea can occur alternately. Common causes include gastrointestinal disease or some kind of nervous disorder, eating too rough food, and using laxatives too much for too long.
3, obstructive constipation (organic constipation) due to colorectal lesions caused by part of the intestinal thinning, or due to tumor compression of the intestinal tract caused by intestinal stenosis and impede the passage of stool. If the feces is excessively bloated in the rectum and sigmoid colon, the left lower abdominal distension and pressure may occur. Left lower abdominal distension and pressure pain can occur, and there is a feeling of wanting to have a bowel movement.
4, accompanied by constipation is due to the side effects of drugs (such as painkillers, inhibit gastrointestinal motility of the drug, cough medicine, anesthesia, sleeping pills, etc. can be caused by constipation) and pregnancy produced by the lower abdominal compression and other reasons accompanied by the emergence of constipation.
Three, the causes of constipation:
(a) primary factors
1. dietary factors some people eat too little, food is too fine and fine, the food in the fiber and water is not enough, the intestinal tract can not form a certain amount of stimulation, intestinal peristalsis is slow, can not be pushed in time to the rectum of the food residue, the prolongation of the intestinal residence time, the water is too much absorbed to make the fecal matter dry. After entering the rectum after the fecal residue because the amount of small, can not form enough pressure to stimulate the nerve sensory cells to produce defecation reflex and cause constipation.
2. Insufficient power of defecation, defecation not only requires the anal sphincter of the diaphragm, the anal muscle upward and outward pulling, but also requires the diaphragm to fall, abdominal muscle contraction, breath holding force to push the feces out. Elderly and weak, bedridden, postpartum, etc., can be due to the diaphragm, abdominal muscles, anal sphincter contraction force is weakened, abdominal pressure is reduced and defecation power is insufficient, so that the feces can not be clean, fecal matter residual, constipation occurs. So the elderly more constipation.
3. delayed stool time some people take the stool as insignificant, can be early or late thing, ignore the habit of regular defecation; or because of work too busy, emotional tension, travel life, delayed stool time, so that has been to the rectum of the feces return to the colon; or because of anal fissure and hemorrhoids and other anal diseases, fear of pain, fear of bleeding, dare not stool and delay the interval between stools. This may make the nerve cells on the rectal wall to the feces into the rectum after the pressure feeling response becomes sluggish, so that the feces in the rectum to stay longer without causing defecation feeling, the formation of habitual constipation.
4. Excessive water loss, sweating, vomiting, diarrhea, blood loss and fever can cause water loss, compensatory cause of fecal dryness.
(2)Secondary factors
1.Organic obstruction of intestinal stenosis or intestinal compression, such as benign and malignant tumors of the intestinal tract, chronic inflammation caused by narrowing of the intestinal lumen to a small size, megacolonosis caused by spastic stenosis of the rectum, intestinal adhesions after the surgery complication of the intestinal adhesions, part of intestinal obstruction, etc., or a huge tumors in the abdominal cavity, such as ovarian cysts, uterine fibroids, as well as pregnancy, Ascites compression of the large intestine, etc., can be controlled by fecal passage is impeded, in the intestinal tube stays too long, the formation of constipation. In recent years, a new type of constipation, called outlet obstruction constipation (or pelvic floor muscle dysfunction), has been discovered by means of defecography, anorectal manometry, colonic transit time measurement, pelvic floor electromyography, and other technological means of examination. It is characterized by obstruction at the outlet of the pelvic floor during defecation, some of which can be eliminated or relieved by surgery. The outlet obstruction type constipation is not introduced here, professionals can go to the outlet obstruction type constipation to understand.
2. Diseases of the large intestine, such as allergic colitis, diverticulitis of the large intestine, congenital megacolon and other diseases can cause spasm of the large intestine, dyskinesia, so that the feces can not pass through and constipation occurs.
3. The influence of drugs taking calcium carbonate, aluminum hydroxide, atropine, probenecid, morphine, phenethylprednisolone, bismuth carbonate, and lead, arsenic, mercury, phosphorus and other metal poisoning can cause constipation.
Long-term abuse of laxatives, so that the intestinal wall of the neuroreceptor cells of the stress is reduced, even if there is a sufficient amount of feces in the intestines, but also can not produce normal peristalsis and defecation reflexes, thus leading to intractable constipation.
4. Mental factors mental strong stimulation, panic, emotional tension, worry and anxiety or highly concentrated on a job will make the intention to disappear, the formation of constipation.
Additionally, neurological disorders, endocrine disorders, and vitamin deficiencies can also cause constipation.
(C) Chinese medicine on the understanding of constipation
The Chinese medicine believes that constipation is mainly caused by dryness and heat within the knot, stagnation of qi, insufficient fluid and spleen and kidney deficiency and cold.
1.dry heat internal knot Chinese medicine believes that over-eating spicy and thick, over-served warm tonic products, etc. can lead to Yang Sheng burns Yin; after the heat disease, the residual heat to stay in the stomach and intestines, depletion of fluid; or damp heat downstream of the large intestine, so that the intestinal tract is hot and dry, the injury to the fluid and constipation, this kind of constipation is also known as the heat of the constipation.
2. The gas stagnation caused by emotional discomfort, sadness and anxiety, sedentary, bedridden and other causes of gas stagnation, resulting in the large intestine conduction dereliction of duty, the dregs of the internal stop, and become a secret, that is, the so-called "gas stagnation and things can not be". The feces is not dry, but difficult to discharge is the characteristics of this type, so it is also known as gas constipation.
3. Fluid insufficiency: prolonged illness, postpartum, old age and physical decline, deficiency of qi and blood; internal injury to the spleen and stomach, low water intake, insufficient source of chemistry, too much sweating in the disease, diarrhea and injury to the yin, and so on. Qi deficiency is the large intestine transfer powerless, blood deficiency and fluid loss is the large intestine nourishment loss of nourishment, so that the intestinal tract is dry, the stool line is difficult and astringent, so it is known as virtual constipation.
4. Spleen and kidney deficiency and cold, high and long illness, kidney yang deficiency, yang qi does not transport the yin and evil condensation; or have spleen yang insufficiency, and cold attack, and lead to the spleen and kidney yang failure, temperature according to the power of the cold stagnation of gas stagnation, the intestinal transmission of the powerlessness of the bowel, the bowel is difficult, known as the cold constipation.
Four, constipation may cause diseases:
Symptoms
Possible diseases
Frequent constipation, accompanied by abdominal distension and discomfort, loss of appetite, flatulence
Constipation
Hard stools, constipation and diarrhea alternately. Accompanied by abdominal pain, which can be relieved after defecation
Intestinal tuberculosis
Vomiting, abdominal distension, intestinal colic, and sometimes even shock
Intestinal obstruction
After the use of certain medications, there is and constipation
Side effects of the medications
Fecal matter in fine segments, such as goat's feces, with neurological dysfunction
Intestinal spasms and irritable bowel syndrome
It is also possible to have a chronic lead poisoning, which can cause a lot of pain. p>
History of long-term lead exposure, periumbilical pain, blue-gray dotted banded lead lines visible on the edge of the gums
Chronic lead poisoning
Packed bulges in the abdomen
Intestinal obstruction, intussusception, colon cancer, intestinal tuberculosis
Changes in bowel habits in middle-aged and older people, or constipation is constantly worsening
Colon cancer, rectal cancer
V, Treatment of constipation:
There are many factors that cause constipation, but most patients belong to the atonic constipation and spasmodic stool. For this kind of constipation, the general treatment is as follows:
(a) Eating bifidus factor sugar
Bifidus factor sugar, after consumption, in the intestines, selective effect on the bifidobacteria, lactobacilli and other beneficial bacteria, and make them proliferate. The acetic acid and lactic acid produced during the proliferation of bifidobacteria can enhance the coordination of intestinal dynamics and peristalsis, promote the contraction movement of the intestinal wall, regulate the intestinal microecology, correct intestinal dysfunction, improve constipation and maintain the intestinal tract. Bifidus Factor Sugar has a brand new concept to repair the biological barrier on the intestinal mucosa, improve the intestinal function, promote peristalsis of the digestive tract, and fundamentally solve the constipation. Thus, the consumption of Bifidus Factor Sugar is the safest and most effective way for all people to solve constipation, and it is now being widely used all over the world.
(2) Diet therapy
1. Consumption of porridge water and sugar water which are favorable for defecation. - "Please refer to sugar water that is good for defecation"
2. Eat more green vegetables and fruits with skin;
3. Eat more peanuts and sesame seeds;
4. Eat more gas-producing foods such as onion, garlic cloves, radish, raw cucumber and jam;
5. Eat less, preferably no, chili peppers, ginger, Wine and glutinous rice, yam, gravy and other foods that are not conducive to defecation.
(C) Develop good dietary and living habits
1, drink more water. Because bifidobacteria need a lot of water in the process of proliferation. In addition, water-soluble dietary fiber can only absorb more water to achieve the effect of laxative.
2, to have enough, regular sleep. People only when resting, the blood will flow to the intestines in large quantities, to promote intestinal peristalsis. People want to sleep when they are full, which is a good example.
3, more exercise. Some people say: exercise can make people young. In fact, exercise is to promote your body circulatory system is more smooth, intestinal and gastrointestinal function is more powerful. Therefore, regular moderate exercise will enhance the effect of bifidogenic factor sugar.
4, develop a good habit of defecation after getting up or after breakfast, no matter whether there is no intention to squat first, over time will develop a good habit of defecation after meals.
5, consciously rejected the widespread antibiotic drugs. The antibiotics kill both beneficial and harmful bacteria in the body, leading to an imbalance in the body's flora and fauna. Therefore, please be careful with the use of antibiotics.
(D) Physiotherapy
Doing abdominal massage before going to bed can promote intestinal peristalsis, the specific method is: lie on your back in bed, with the root of the palm of your right hand to massage the abdomen, according to the direction of the right epigastric - left epigastric - right epigastric side of the rubbing Push the side, but be careful not to be too heavy, each time for 10 minutes, do 2 to 3 times a day.
Experts remind:
1, local medicine and enema local medicine (enema, corkscrew) is only a temporary measure, generally should not be used, never long-term application.
2, stimulating laxatives can only temporarily defecate, destroying the environment in the intestinal tract, permanent damage to the human body.
3, patients with obstructive constipation should remove the cause of the disease in a timely manner (such as receiving surgical treatment).