Diagnosis, Treatment And Prevention Of Constipation. At the beginning of the examination, the doctor will ask medical history, symptoms, lifestyle, and your routines. Some of the conditions into consideration when making a doctor's diagnosis is straining if you need longer than usual each time you defecate, frequency of bowel movements you if less than three times a week, and texture of stools are often hard or shaped grains.
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| Diagnosis, Treatment And Prevention Of Constipation |
A physical examination will also be undertaken to check if you are having stool impaction or buildup of hard and dry stools in the rectum. This inspection can be carried out through the anus or by grasping the stomach (especially in patients older children).
But if you are experiencing severe constipation symptoms, the doctor will recommend some other examinations to diagnose or to remove the possibility of other diseases.Of which:
- X-rays of the abdomen.
- Manometri examination anorektal. This process indicates the level of performance of the muscles and the nerves around the rectum.
- Colonoscopy.
- CT scan.
Handling Constipation
Handling constipation step aimed at a digestive in order to unleash a can people withbowel movements regularly. The first handling for constipation which is oftenrecommended is correct the diet and lifestyle, especially increasing the consumption of fiber.
Fiber is the part of food that cannot be absorbed by the body so that it is issued in the form of impurities. The fiber contained in many fruits, vegetables, and whole graincereals. The level of adequacy of fiber contained in food intake will impact to the smooth running of the digestive system.
In addition, there are other steps to launch the body's digestive system, among other things:
- Reproduce white water consumption.
- Increase the frequency of exercise, such as running morning or afternoon every day.
- Do not ignore the urge to defecate.
- Try to put your knees on a higher position from the hip at a time when defecating, for example by putting the foot on the bench.
Treatment with Laxatives
If the initial handling measures less effective, physicians will usually recommend the use of a laxative. Please keep in mind that during the use of a laxative, you or your children are encouraged to drink plenty of plain water. This medicine will launch the process of defecation and have several types.
- Osmotic laxatives. This will increase the amount of laxative liquids in the gut so that it stimulates the body to soften and push the stool. The usual example given by the doctor is laktulosa and macrogol.
- Purgative constituent of feces. This remedy will make Your stools to absorb liquids and soft so that it can be issued easily. Therefore, the sufferer should drink plenty of water when using this type of laxative. Is paghula husk and metilselulosa are two examples of a stool forming laxative is often given by the doctor.
- Stimulant laxatives. This remedy will stimulate and assist the muscles that line the digestive tract to propel the stool in the colon towards the anus. Given stimulant laxative if feces remain tough it out, even though it has softened. The kind that is often given is senna and bisacodyl, sodium picosulphate.
The duration of use of laxative depends on the severity of the constipation you are experiencing. If you experience constipation due to drugs or other diseases, you may be consuming a laxative for longer periods of time such as months or even years.Overdose also must be reduced gradually and one by one if you use a combination of several types of laxatives.
Special for children who experience severe levels of sewers, the doctor will usually give the osmotic laxative first before the stimulant laxative if required.
Laxatives can also be used by pregnant women because most of the drug is not absorbed by the digestive system so it will have no impact on the fetus. Laxative safe for pregnancy is the osmotic laxatives macrogol and laktulosa. If both are not effective, the doctor will recommend bisacodyl or senna (purgative stimulant) low doses. But senna was not fit to be drunk during the third trimester of pregnancy because some of these drugs will be absorbed by the digestive system.
Handling Constipation In Infants
Steps for handling the baby depends on whether your baby is already eating solid food or not.
Constipation in infants who have not yet weaned or not eating solid foods can be handled by giving the white water on the sidelines a schedule giving of milk. If your baby is consuming infant formula, give appropriate measure and does not need to bereduced. The movement of the foot such as pedaling a bicycle or massaging his stomach with caution perhaps you can do to stimulate contraction of his intestines.
Whereas the handling of constipation in infants who are already consuming solid food can be done by giving him plain water or fruit juice that is mixed with water. If possible, you can also give him the fruit that's been mashed or chopped. Suitable fruits consumed baby experiencing constipation, among others, grapes, apples,avocados, Kiwis, bananas, mango, strawberries and papaya.
If dietary changes is not effective, the doctor will usually give the osmotic laxatives or stimulants to overcome constipation.
Treatment measures for Stool Impaction
Stool impaction occurs when there are hard and dry stools that pile up and clog up the rectum. Treatment for complications is usually done by combining the osmotic laxatives macrogol of high dose stimulant and laxative.
But if your body doesn't react to this laxative, the doctor will give a small enema or suppository. Enema liquid medication is injected into the colon via the anus. Docusate and sodium citrate can be given as enema. While the suppository is a capsule inserted through the anus. This medicine will dissolve gradually, then absorbed into the blood stream. An example is bisacodyl.
Complications
Constipation rarely causes complications, unless you experience it in the long term or chronic. Some of the complications that may occur are:
- Haemorrhoids or hemorrhoids – swelling of the blood vessels in the lower part of the rectum and anus are usually caused by straining the process too long. These blood vessels can rupture causing bleeding.
- Fissure on the anus. Straining too long, hard stools or a great fissure may lead to tearing of the skin or on the wall of the rectum.
- Stool impaction – pile of dry and hard stools in the rectum due to prolonged constipation.
- Prolapsed rectum – rectum fell from its position in the body and sticking out from the anus due to straining too long.
Prevention Of Constipation
There are a few simple steps to avoid constipation, among others:
- Expand in fiber consumption, for example by eating vegetables, fruits, brown rice,whole grain cereals, whole grains, and nuts.
- Expand the consumption of the liquid so that the dirt in the gut is always soft.
- Reduce the consumption of caffeinated drinks, carbonated drinks, and liquor.
- Increase the frequency of sports until at least 2-3 hours a week. Regular exercise will not only help to lower the risk of constipation, but can prevent the onset of other diseases as well.
- Do not ignore the urge to defecate.
- Regulate bowel habits so that it can be done freely and comfortably.
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