Habitual constipation
Introduction
Introduction Habitual constipation refers to long-term, chronic functional constipation, which occurs mostly in the elderly. However, some scholars believe that habitual constipation is not limited to functional constipation. It also includes colon constipation and rectal constipation. Therefore, people with habitual constipation should go to the hospital early to find out the cause of constipation. Habitual constipation is mainly caused by changes in life, diet and bowel habits, as well as psychological factors. If the treatment is not correct, the treatment effect is often poor. Drug treatment is only a temporary move. Long-term dependence on laxatives will only gradually increase the degree of constipation. Life adjustment is the fundamental treatment.
Cause
Cause
The cause of habitual constipation is still a functional gastrointestinal disorder, that is, no physical lesions can be found. It is caused by nervousness, stress, gastrointestinal motility disorder, or constipation, forming a vicious circle, leading to habitual constipation. .
Habitual constipation, also known as functional constipation. Habitual constipation is common in primary bowel movement dysfunction, stool movement delay or megacolon.
There are other reasons:
1. Poor diet: If the rice noodles are too fine, the food intake is too small, and the vegetables, fruits, and foods containing crude fiber, especially non-digestible fiber, are too small, the oil is too scarce, and the drinking water is insufficient.
2. Poor bowel habits: If you have a willingness, you should not defecate in time to suppress your intentions. I am used to reading books during bowel movements and do not actively defecate. Reliance on laxatives or laxatives reduces the sensitivity of bowel excretion.
3. Life is irregular, daily bowel movements are not regular, sleep is not enough or can not afford to sleep for a long time. Long-distance travel or busy work (such as a stewardess) does not develop a regular bowel habit.
4. Elderly debilitation and defecation are weak, multiple pregnancies are weak, and the diaphragm, abdominal muscles, and intestinal wall smooth muscle weakness can cause difficulty in defecation.
Chinese medicine believes that constipation is caused by abnormal function of the large intestine.
a. Gastrointestinal dryness type: excessive drinking, eating spicy, so that the stomach heat, consumption of intestinal fluid, large intestine loss, constipation, urine yellow, abdominal pain, dry mouth and bad breath, treatment with Ma Ziren pills heat and intestines.
b. Qi stagnation type: unsatisfactory emotions, excessive anxiety, or sedentary and less movement, so that the qi stagnation, dysfunction, large intestine conduction dereliction of duty, constipation, bloating, belching, chest fullness and other symptoms, Treatment with Liu Mo Tang Shun Qi stagnation.
c. Insufficient blood type: spleen qi deficiency is weak in the large intestine, blood deficiency can not moisturize the large intestine, causing constipation, when the stool is unable to earn weakness, then tired and discomfort, the stool is not hard. If the sweat is short, it is qi deficiency constipation. His face is dull, dizzy, and his heart is insomnia for blood deficiency and constipation. Qi deficiency constipation with Huang Qi Tang Yi Qi Run, blood deficiency constipation with Runchang pills to nourish the blood.
d. spleen and kidney yang deficiency type: physique yang deficiency, or post-mortem, postpartum, old age, spleen and kidney yang deficiency, yang deficiency, yin and cold condensation, difficult bowel transmission, difficulty in bowel movement, difficulty in discharge, urination I am afraid of cold and warm, cold pain in the abdomen, and treatment with Jichuan fried warm Yang Tong.
Examine
an examination
Related inspection
Conventional fecal matter fecal leukocyte fecal trait fecal occult blood test (OBT)
Habitual constipation, also known as functional constipation, refers to less than 3 bowel movements per week, or frequent bowel movements. People with constipation not only absorb too much toxins because of the retention of stool, but also absorb too much cholesterol from normal people because of slow discharge of stool. Therefore, people with long-term constipation, fainting and bloated, present an abnormal pathological appearance. Habitual constipation is common in the abnormal function of primary intestinal peristalsis, delayed delivery of stool and peristalsis.
Diagnosis
Differential diagnosis
(1) Functional constipation is mainly caused by intestinal dysfunction. A person who appears to have a smooth bowel movement and has temporary constipation. It usually occurs in people who do not eat breakfast, eat too little, or eclipse. Here, busy work, insufficient water intake, changes in living environment, anxiety, menstruation, pregnancy, etc. are also the causes of constipation. As long as the above reasons are excluded, it will return to normal immediately.
(2) Acute organic constipation is mainly caused by acute defecation difficulties caused by organic lesions of the gastrointestinal tract, which represents intestinal obstruction and volvulus. In addition to difficulty in defecation, the main symptoms are the symptoms of the primary disease, often accompanied by severe abdominal distension, abdominal pain, vomiting and other symptoms. Because it is caused by abnormalities of organs, it is called organic constipation and must be treated as soon as possible.
(3) Refractory constipation is mainly characterized by constipation symptoms, too few stools or poor bowel movements, laborious, difficult, dry stool and less. Normal time. Defecation is performed 1 or 2 times a day or 2 to 3 days, but the amount and stool of the stool are often affected by the type of food and the environment. Many patients have less than 3 bowel movements per week. Severe cases last 2 to 4 weeks before defecation. Some daily platoons can be repeated several times, but defecation is difficult. Defecation time can be more than 30 minutes each time. Feces are as hard as Sheep dung, and the number is very small.
Habitual constipation, also known as functional constipation, refers to less than 3 bowel movements per week, or frequent bowel movements. People with constipation not only absorb too much toxins because of the retention of stool, but also absorb too much cholesterol from normal people because of slow discharge of stool. Therefore, people with long-term constipation, fainting and bloated, present an abnormal pathological appearance. Habitual constipation is common in the abnormal function of primary intestinal peristalsis, delayed delivery of stool and peristalsis.
