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How should constipation be treated?
Western medicine treatment

Some of these drugs are not suitable for long-term use, so it is best to choose them under the guidance of a doctor?

<1> wetting agent: sodium octyl butyl sulfonate, oral, 50~200mg daily? Used for patients with hard stool, weak defecation, rectal disease and postoperative patients?

< 2 > lubricant: paraffin oil, 65438+ 0.5 ~ 30 ml before going to bed, suitable for dry stool caused by anal diseases?

< 3 > irritant laxative: phenolphthalein, 0. 1~0.2g/ time? Castor oil, 10~30ml/ time? Rhamnus bosch skin, 300~600mg/ time?

〈4〉 Volume laxative: magnesium sulfate 10~20g each time? Magnesium oxide 65438+ 0~3g each time, suitable for hyperacidity and constipation? Magnesium milk every time 15ml? Sorbitol is taken orally 5~ 10g/ time, 2~3 times/day? 60% lactulose 10~30ml/ time, 3 times/day, suitable for patients with hepatic coma and constipation? Methyl cellulose 1.5~5g/ day?

〈5〉 Suppository and enema: each time 1 tablet of glycerin suppository, put it into anus? Every time 1 bottle of kaizelu is inserted into the anus, the liquid medicine is squeezed into the rectum? 2000~3000ml warm saline, 500~ 1000ml warm water, 75ml soapy water (add water to 1000ml) for enema? Mineral oil or cottonseed oil 200ml retention enema, mostly used to temporarily clean the intestines?

Chinese traditional treatment

<1> heat secret: dry stool, short and red urine, red face and upset, or body heat, dry mouth and bad breath, abdominal distension or pain, red tongue with yellow or dry coating, and rapid pulse?

Take drugs related to clearing heat, moistening dryness and relaxing bowels?

The secret of qi: difficulty in defecation, dry or dry stool, frequent belching, fullness in the chest and hypochondrium, abdominal pain, white tongue coating and thready pulse?

Taking drugs related to qi stagnation?

< 3 > Qi deficiency: constipation without constipation, although there is a feeling of defecation, fatigue in going to the toilet, sweating and shortness of breath when earning, accompanied by mental fatigue, weakness of limbs, lazy speech, pale tongue with white fur and weak pulse?

Take drugs related to invigorating qi and relaxing bowels?

Blood deficiency: dry stool, dull complexion, dizziness, palpitation, forgetfulness, pale lips and tongue, and thready and astringent pulse?

Take drugs related to nourishing blood, moistening dryness and relaxing bowels?

< 5 > Yin deficiency: dry stool like sheep dung, accompanied by emaciation, dry mouth and thirst, or palpitation, red cheekbones, insomnia and dizziness, sore waist and knees, red tongue with little fur, and rapid pulse?

Take medicine related to nourishing yin and moistening intestines?

But proper treatment should be given according to the type of constipation? For example, organic constipation should be operated in principle, habitual constipation should improve the law of life, spastic constipation should relieve mental stress, and patients should be advised to participate in sports and entertainment?

Compared with the common flaccid constipation, diet therapy should be carried out first? Then take part in appropriate activities, keep warm, and set a defecation time with plenty of time (especially for the elderly), regardless of whether you feel comfortable or not (try to do it in the morning)? If it still doesn't work, can I take medicine or enema? Relying solely on fiber-rich foods is not an ideal diet? For the loose large intestine, why not use high-quality fat instead of increasing the amount of stool? Fruits and cold drinks (especially in the morning) can stimulate the large intestine properly, but the effect is better?

For foods with no special restrictions on flabby constipation, you can have a balanced diet like ordinary people, and on this basis, you can add more fiber-rich vegetables and fruits and high-quality fat, or drink a little wine (beer)?

For spastic constipation, food with little irritation is the main food, so food with more fiber is not suitable? Should we ban drinking and eating spicy food? Intestinal lavage can sometimes make rectal mucosa allergic and cause diarrhea or aggravate constipation, which should be avoided as far as possible? But there are also cases where bowel washing is better than laxatives, such as constipation in infants? Constipation and feces accumulation caused by long-term recuperation or Hirschsprung's disease, especially the feces accumulation of the elderly sometimes leads to rabbit feces, so it is better to wash the intestines?