Title : Effective Simple Remedies for Constipation
link : Effective Simple Remedies for Constipation
Effective Simple Remedies for Constipation
chronic constipation is a problem all-too-common is rarely discussed in polite company and doctors only reluctantly mentioned during the controls. Although realizes eight million doctor visits each year, only "a minority of patients with constipation seek medical attention," Dr. Arnold Wald, a leading expert on the issue, reports .
However, this hesitation can perpetuate misconceptions about its consequences, causes and treatment, and often results in a failure to achieve the desired effect. Most of the time, relatively simple treatments demonstrate adequate. Even the most complex cases such as those involving a disorder of the action of the muscles of the pelvis, usually respond well to currently available resources. Chronic constipation may accompany a long list of medical problems - mechanical as stenosis or tumor; neurological disorders such as Parkinson's disease or multiple sclerosis; or metabolic conditions such as low severe or low blood levels of magnesium thyroid. Constipation can also be a side effect of medications , especially opiates such as Percocet and OxyContin, as well as some antidepressants, anticonvulsants and antihistamines .
As someone who has dealt with constipation, with varying degrees of success, for most of my life, I've had more than an academic interest in learning more about it. Therefore this column, driven by a very painful problem of a friend who seemed to appear from nowhere and for new review of studies on the subject published in JAMA by Dr. Wald, a gastroenterologist of University of Wisconsin School of Medicine and Public Health. Many strongly held beliefs about constipation are not based on medical evidence, Dr. Wald and colleagues observed .
One of the oldest yet most persistent of these notions baseless is that failure to empty the bowels one each and every day can lead to the so-called autointoxication - absorption of poisonous substances produced from food products and partially digested food in the intestine. Over the years, autointoxication has been wrongly accused of a number of ailments, including high blood pressure, arthritis, atherosclerosis, gallbladder disease, various cancers and skin diseases. autointoxicación is often cited as a reason for the common belief, but wrong that a daily bowel movement is essential for good health. But there is no evidence that foods found in the intestine leads to the accumulation of toxins. The medically accepted definition of constipation is "fewer than three bowel movements per week, or hard, dry and small stools that are painful and difficult to pass," often results in abdominal pain or bloating. Unfortunately, in his first year of college, I met these criteria. A doctor provided astute advice that has helped minimize the problem since. She gave me a list of foods "constipation" to avoid - white rice and other refined grains, green bananas, tea, cheese and chocolate - and more importantly, food to eat regularly: beans, whole grain cereals (especially bran) and breads, vegetables, fruits (especially dried) and nuts. Eating more of these and other high-fiber foods can be very effective in reducing constipation. And it is recommended to drink a full glass of water before bedtime to help soften the stool and other after waking to stimulate my gut. Following this advice I've ever had to rely on laxatives, although these drugs are associated, as well as the myths and misconceptions that are important to dissipate. A misconception Dr. Wald and others have cited is that long-term use of laxatives such as senna stimulants and bisacodyl (Dulcolax and Senokot, respectively) can alter the normal function of the colon and cause dependence on medication. While it is true that the use of stimulant laxatives for many years in more than a dozen times the suggested dose can damage the nerves and muscles of the colon, Dr. Wald and others say that these studies adequately designed laxatives have shown no damage to the colon when taken in the recommended amounts. However, many doctors still warn - inappropriately, Dr. Wald says - against taking stimulant laxatives for more than a few days. In fact, the FamilyDoctor.org site states: "When these laxatives are taken for a long time, the intestine can lose muscle tone and" forget "how to push the stool out on their own." Better forget this outdated idea and always as you stick to the recommended dosage if you have to take these products. short of powerful laxatives, other milder remedies are often useful. One of them is exercise more vigorously done the best. Another is to establish a regular time bathroom and respond promptly to the need to defecate. I am among many who have found that a cup of hot coffee in the morning is often a very effective stimulus . However, as my ability to prevent constipation decreased with age, I added two other aids over-the-counter: a supplement of soluble fiber per day from psyllium dissolved in juice or water (other fiber products such as methylcellulose, polycarbophil calcium and wheat dextrin can also be effective) and a twice daily dose of a stool softener, which can safely be used indefinitely. However good dietary fiber is usually to maintain a healthy bowel, can be harmful when the cause of constipation is muscle weakness or nerve problem, said Dr. Wald. These patients often do better by eating less fiber and instead of taking a secretory drug like lubiprostone (Amitiza) or linaclotide (Linzess) adding water to the colon and softens the stool. Sometimes also standard remedies for chronic constipation are ineffective. None worked for my friend, a New Yorker who suddenly an extremely painful at 73 problem, which was finally diagnosed as a failure of the pelvic floor muscles to relax when you are supposed fecal matter and allow it to pass through developed . Instead of relaxing the muscles surrounding the rectum contract. "It is an unconscious act learned can be unlearned," said Dr. Wald. Despite the usual remedies of diet, exercise and a stool softener expensive prescription only, the problem has recurred every eight days or so he said. She is now being treated with deep breathing exercises 10 times a day and abdominal massage above the colon twice a day, and has begun biofeedback to "recycle" the muscles that are responsible for normal colorectal action. Dr. Wald said biofeedback training, when done correctly, is effective in 80 percent of cases. my friend's experience underlines the importance of consult an expert when constipation persists and does not adequately respond to measures of self-help diet, exercise and counter remedies. st dosing himself prematurely with widely touted as resveratrol substances, the antioxidant found in red grapes and wine, or growth hormone. Consumers should be careful, he warned, because "there is a whole industry out there trying to market the products we are testing before they are evaluated properly." also emphasized that the adoption of a drug found to protect against age-related diseases is not a license to abandon a healthy lifestyle. Doing so "would completely negate the benefit of a compound that slows aging," he said.
Resources -Nyt http://jama.jamanetwork.com/article.aspx?articleid=2481010http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910270/http://gi.org/wp-content/uploads/2014/07/ACG_Guideline_Benign_Anorectal_Disorders_August_2014.pdfhttps://www.ualberta.ca/~loewen/Medicine/GIM%20Residents%20Core%20Reading/DIARRHEA,%20CONSTIPATION%20ETC/Myths%20and%20constipation.pdf
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