INTRODUCTION Constipation is a common disturbance of the digestive tract .In this condition , the bowels do not move regularly . Constipation is the chief cause of many diseases . B ecause such a condition produces toxins which find their way into the blood stream & are carried to all parts of the body . This results in weakening of the vital organs & lowering of the resistance of the entire system like Appendicitis, arthritis , high blood pressure , cataract & cancer.
The number of motions required for normal health varies from p erson to person . Most people have one motion a day , some have two a day , while others have one every other day . Definition of the constipation tend to be highly subjective but usually include hard stools , straining with defecation & infrequent bowel movements . Normal stool weight is about 100 to 200g daily .
TYPES OF CONSTIPATION ATONIC CONSTIPATION SPASTIC CONSTIPATION OBSTRUCTIVE CONSTIPATION
Atonic constipation Atonic constipation is most commonly due to ; lack of fluids ,lack of roughage , vitamin B deficiency ,lack of potassium , Irregular habit , purgation or enema . Lack of fluids If adequate amount of fluids is not taken , water from the colon is more completely absorbed . This leaves a small quantity of hard dry feces .
Lack of roughage Faulty food habits which include irregular hours of meals , taking inadequate bulk , fasting or avoiding foods containing unabsorbable cellulose in the form of vegetables . This leaves little residue for evacuation . Vitamin B deficiency D eficient intake of vitamin B also produces loss of tone of the bowel wall .
Lack of potassium Deficient intake of potassium or excessive loss , as occurs with purgatives , may result in loss of bowel tone . Irregular habit Irregular bowel habits may be due to getting up late in the morning & trying to rush through the morning rituals & breakfast , leaving very little time for the visit to the toilet before going to the school or the office .
Purgation or enema The constant use of artificial aids for evacuating the bowels results in the loss of natural reflexes & tone of the bowel .
Spastic constipation It results from excessive tone of the bowel . Spastic constipation may be caused by irritation of the intestinal mucosa through the excessive use of alcohol , spices , tea , coffee, bran . Highly strung , nervous people are more frequently affected by this type of constipation then by the atonic type .
C hronic constipation can be due to any one of a number of factors such as ; Inadequate diet . Failure to establish regular times for eating , adequate rest & elimination . Faulty dietary habits such as inadequate fluid & fiber intake or use of highly refined & concentrated foods that leave little residue in the colon . Chronic use laxatives .
Obstructive constipation Obstructive constipation is any kind of obstruction or blockage in the stool passage . It is usually due to malignancy . And it cause tumor & cystic fibrosis . Excessive straining . Poor response to laxatives over a period of time .
ETIOLOGY The most important causes for chronic constipation are an unsuitable diet & a faulty style of living . Much of the food we eat today is deficient in natural bulk or roughage & this result in chronic constipation. Intake of refined & rich food lacking in vitamins & minerals , insufficient intake of water , consumption of coffee , insufficient chewing , over eating & a wrong combination of food , irregular habits of eating & drinking may all contribute to poor bowel function .
Other frequent use of purgatives , weakness of abdominal muscles due to sedentary habits , lack of physical activity & emotional stress & strain . Diseases such as tumours or growths sluggish liver colitis spastic condition of the intestines hyperactivity Diseases of the rectum & colon Bad teeth Uterine disease Diabetes
Use of certain drugs for treating other enlargement of the prostate gland can also cause chronic constipation . Elderly patients may suffer from constipation due to relaxed muscle tone , inadequate dietary intake for nutritional needs & reduced activity .
Having lumpy , hard , dry stool that’s difficult to pass . Straining to pass stool Feeling like still need to go after have a bowel movement . Feeling of fullness Pain or bloating in the abdomen Reduced appetite Sluggishness or lethargy Nausea , headache & malaise ( general feeling of discomfort ) may be associated with constipation .
In fact , constipation is more often just bothersome rather than serious . But chronic constipation can lead to some complications including ; Hemorrhoids Tears in the skin around the anus & rectal prolapse ( a condition in which part of the rectum sticks out of the anus ). Hernia Rectal bleeding Uterine prolapse
Primary nutrition therapy for the constipation is adequate consumption of both soluble & insoluble dietary fiber . Fiber increases colonic fecal fluid , microbial mass , stool weight & frequency and the rate of colonic transit . The recommended amount of dietary fiber is about 14g per 1000kcal . For adult women the diet should contain 25g of fiber daily & men about 38g . Fiber is the best provided in the form of whole grains , fruits , vegetables , legumes , seeds & nuts .
These foods are high in nutrients & healthful phytochemicals and may serve as prebiotics to maintain the desired colonic micro flora . Brans & powdered fiber supplements may be helpful in persons who cannot or will not eat sufficient amount of fibrous foods . When changes in diet & activity patterns do not improve constipation , further evaluation is warranted .
High fiber diet Dietary fiber refers primarly to edible plant materials not digested by the enzymes in the upper digestive tract of the humans . It generally consists of cellulose , hemicellulose , pectins , gums & lignin . The term roughage tends to refer to the end result of digestive , secretory , absorptive & fermentative processes . Fiber in the diet should be ingested in the form of foods such as fruits , vegetables , whole grains , bread & cereals, legumes , nuts & seeds . These foods are not only rich in fiber but are excellent sources of vitamin , minerals , trace elements & numerous protective phytochemicals . The high – fiber diet is most effective when consumed continuously for several months .