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Constipation Relief - Dr. Nisha's Procare Clinic

Constipation

Constipation

Are you suffering from Constipation?

This is defined as an abnormal retention of fecal matter, a delay in bowel evacuation as compared to the patients’ previously normal bowel habits, or stools are abnormally hard, less in quantity, or relatively less frequent. When a person has infrequent or hard stools or has to exert considerable efforts while passing stool, he may be said to have constipation.

Normal bowel movements may vary from 3 per day to 3 per week.

Bowel movements may vary for each individual and across cultures depending on the intake of fiber in the diet.


Causes:

Constipation may be due to various physiological is psychological conditions.

  • Poor diet & dehydration

  • Poor bowl habits

  • Fissures and hemorrhoids (Piles)

  • Inadequate physical activity

  • Hormonal changes as during pregnancy

  • Anxiety depression & other emotional stress

  • Medications side effects (pain relief, anti-depression medicine)

  • Laxative dependence (excessive laxative use)

  • ODS (A type of chronic constipation)

Are you suffering from chronic constipation?

Self-Assessment can help in diagnosis. Must include 2 or more of the following.

  • Straining during at least 25% of defecations

  • Hard stools in at least 25% of defecations

  • Sensation of incomplete evacuation for at least 25% of defecation

  • Manual maneuvers to facilitate eat least 25% of defecations (e.g digital evacuation)

  • Fewer than 3 defecations per week.

Complication of constipation:

  • Hemorrhoids (Piles) & Anal Fissure

  • Fecal impaction

  • Bowel Obstruction

  • Bowel Perforation

  • Electrolyte imbalance

  • Increase incidence of Colon & Rectal cancer

  • Staining results in se Systemic blood pressure

  • Anal Fissure

Management

Obstructive defecation is a surprisingly common symptom particularly amongst females. These patients can often be difficult to assess as they may well have a mixed pattern of symptoms and some may have co-existing fecal incontinence.

STARR Surgery:

A treatment for chronic constipation. Stapled Trans Anal Resection of the Rectum (STARR) for the Obstructed Defaecation Syndrome (ODS) is the treatment of choice.

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