Difficult and delayed passage of stool. It is one of the most bothersome problems. Almost every other person suffers from constipation. Over a period of time, this results in tears in the rectum. Constipation leads to headache and overall discomfort. Constipation is usually called mother of diseases ( Umm ul amraaz = in Urdu / Persian )
Some of the best cures are obtained by changing dietary habits. The diet must include fibrous food, lots of vegetables, fruit, and other roughage. Whole-wheat bread should be preferred to while bread. Regular exercise helps.Routine use of laxatives should be avoided. Sufficient quantities of liquids must be consumed.
Causes :-
According to the medical dictioneries the main causes of constipation include:
• Hardening of the feces
o Insufficient intake of dietary fiber
o Dehydration from any cause or inadequate fluid intake
o Medication, e.g. diuretics and those containing iron, calcium, aluminum
• Paralysis or slowed transit, where peristaltic action is diminished or absent, so that feces are not moved along
o Hypothyroidism (underactive thyroid gland)
o Hypokalemia
o Injured anal sphincter (patulous anus)
o Medications, such as loperamide, opioids (e.g. codeine & morphine) and certain tricyclic antidepressants
o Severe illness due to other causes
o Acute porphyria (a rare inherited condition)
o Lead poisoning
o Lactose Intolerance
o Dyschezia (usually the result of suppressing defecation)
• Diverticula
o Tumors, either of the bowel or surrounding tissues
• Obstructed defecation, due to:
o Mechanical causes from morphological abnormalities of the anorectum including megarectum, rectal prolapse, rectocele, and enterocele
o Functional causes from neurological disorders and dysfunction of the pelvic floor muscles or anorectal muscles, including anismus, descending perineum syndrome, and Hirschsprung's disease
o Retained foreign body or a bezoar
• Psychosomatic constipation, based on anxiety or unfamiliarity with surroundings.
o Functional constipation
o Constipation-predominant irritable bowel syndrome, characterized by a combination of constipation and abdominal discomfort and/or pain[8]
• Smoking cessation (nicotine has a laxative effect)[9]
• Abdominal surgery, other types of surgery, childbirth
• Severe dehydration
• Some causes are with particular respect to infants:[10]
o Switching from breast milk to bottle feeds, or to solid meals
o Potty training anxiety
o Hirschsprung’s disease - a condition from birth where the child has a nerve cell defect that affects communication between the brain and bowels
There are many things you can do to prevent constipation. They include :-
• Eating more fruits, vegetables and grains, which are high in fiber.
• Drinking plenty of water and other liquids
• Getting enough exercise
• Taking time to have a bowel movement when you need to
• Using laxatives only if your doctor says you should
• Asking your doctor if medicines you take may cause constipation
It's not important that you have a bowel movement every day. If your bowel habits change, however, check with your doctor.
HOMOEOPATHIC REMEDIES
ALUMEN 200:
• Constipation of the most aggravated kind. No desire for days. Marble-like masses. Rectum full.
• Violent ,ineffectual urging to stool.
• Itching in anus, rectum raw after stool.
ALUMINA 30:
• No desire. No ability.
• From dryness of intestinal tract and lack of peristaltic action. Complete intertia of the rectum. Even soft stool is expelled with difficulty.
• Large stool accumulates inside. Has to strain before and during motion.
• No appetite. Mouth dry. Tongue irritated.
• Stool is hard, dry, knotty.
• Of women with sedentary habits.
• During pregnancy.
• Of infants. Of old persons.
• Worse in the morning, on waking up.
BRYONIA 200:
• Absolutely no desire.
• Stool dry, hard as if burnt. Caused by absence of secretions in the intestines.
CAUSTICUM 200:
• Constipation with tenesmus. Face becomes red while starining to pass stool.
• Can pass stool only when standing.
• Swollen piles; moist, raw, burning.
• Worse on walking.
GRAPHITES 200:
• No urging. No stool for days together. Then blotches appear on the face.
• With hemorrhoids and fissures which burn and itch severely.
• Obese persons of sensitive and sad temperament they are nervous and find it difficult to concentrate.
LYCOPODIUM 200:
• Obstinate constipation. No desire to pass stool although inside is full.
• Flatulence. For days no urge.
• First stool hard; later gushing.
MAGNESIA MUR 200:
• Of infants during dentition. Stool hard, crumbles at the verge of anus.
NAT MUR 200:
• Obstinate retention of stool. Rectum dry, inactive.
• Stool large but difficult to expel.
• Anus torn, bleeding.
NUX VOM 200:
• Frequent desire to pass stool; yet, each time a small quantity is passed.
• Constipation in persons leading a fast life and indulging in alcoholic drinks. Fond of late nights.
OPIUM 200:
• Obstinate constipation. No urge for days. No discomfort.
• Stool hard, dark balls.
PARAFFINE 30:
• Obstinate constipation o children.
• Chronic constipation with hemorrhoids.
PULSATILLA 200:
• Chronic. Troublesome. Dysentery. Diarrhea alternate.
• Stool large, hard, difficult to wake out.
• No two motions alike.
• Blind hemorrhoids with stitching pain.
SEPIA 200:
• Obstinate constipation in children, stool has to be physically removed.
SILICEA 200:
• Typical of teething children. Rectum weak, paralyzed. Expulsive power of the rectum lost, stool protrudes, slips back.
SULPHUR 200:
• Chronic.
• Renders instant help. Acts as a catalyst for other medicines.
Sunday, November 8, 2009
CONSTIPATION
Posted by Dr.Mubashar Ahmad Khan at 2:59 AM
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