1 Reasons for the emergence of

Various causes lead to the development of this pathology, because of which the work of not only the intestines but also the entire digestive tract as a whole is disrupted:

1. Hypodynamia. A few centuries ago people did not know about this term and the consequences that this way of life brings. The development of electronic technologies has exacerbated the situation so much that a person spends time at a computer all day long, and physical activity at work does not provide the rate of movement that is necessary for a person. The muscular frame of not only the body but also of the internal organs becomes flabby. The bowel is also dependent on our movements. Imbalance leads to the fact that the defecation happens every few days.
2. Alment factor. The basis of all diseases. As you know, food is the strongest drug, people can not resist the abundance of tasty and unhealthy food. The use of a large amount of sweet and floury significantly reduces peristalsis. Meat, cooked without vegetables, that fiber that is not digested by enzymes of the small intestine in contrast to the above products, is absorbed without residues in the small intestine with the onset of atonic constipation.
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3. The effect is also on how a person eats. Constant snacks, evening meals, and once a day after work, completely knock down the normal biorhythms of bowel defecation.
4. Abundant drinking regime is also necessary for man, and the water must be clean, without lime.
5. Different stressful situations( experiences, conflicts) at work, in the family provoke constipation.
6. Diseases of the endocrine system, such as diabetes mellitus, hyperparathyroidism, hypopituitarism, uremia.
7. Pregnancy.
8. Systemic diseases: lupus, scleroderma, amyloidosis, myxedema.
9. Extended ligament loops, called dolichokolon, dolichosigma, lead to atony, as the movement of the content slows down.
10. Passion for newfangled diets, the terrible consequence of which is anorexia - a constant constipation partner.
11. Chronic poisoning with salts of mercury, arsenic, phosphorus leads to the absence of peristalsis.
12. Chronic inflammatory bowel loophole diseases: megacolon, Hirschsprung disease.

Some medications can easily aggravate the emptying problem, especially such as:

1. Laxatives with long-term use can cause laxative disease - a secondary atony of the intestine.
2. Iron, bismuth-containing preparations.
3. Medications for heartburn.
4. Antidiabetic, containing metformin.
5. Hypotensive( Verapamil).
6. Sympathomimetics from asthma.

2 Signs of the disease

Symptoms:

1. Rare stool less than once a day.
2. Heavy solid stool. The first part of the defecation process is painful, the second part is characterized by the appearance of a stool with liquid residues, according to the Bristol classification - type 2-3.
3. Alternation of constipation with diarrhea with secretions of blood, mucus.
4. Bloating due to incomplete digestion of food residues with the release of gases.

When constipation occurs, the symptoms are also that the general condition of the patient worsens:, lack of appetite.

This problem is handled by a doctor-coloproctologist. When collecting anamnesis, the specialist will focus, first of all, on your diet, lifestyle in a specific locality, hereditary diseases among relatives, on physical data: appearance, character of the chair, duration of constipation.

For the diagnosis of atopic constipation and differential comparison with other diseases, a feces analysis for occult blood, finger examination of the intestine, sigmoidoscopy and colonoscopy will be prescribed, and in some cases a double-contrast polycystonic irrigation with intestinal X-rays is required.

3 Treatment measures

Many patients abuse laxatives, often do enemas, not realizing that this often leads to inflammatory diseases and deterioration. Convince the patient to abandon the old way of life, observe the fractional diet and combine moderate physical activity - sometimes a difficult task for the doctor.

So, if the symptoms are detected in a timely manner, and the treatment will be appointed promptly. The main directions in the therapy of atonic constipation are:

• correction of the psychoemotional sphere, elaboration of the reflex for defecation;
• active way of life( sport, walks);
• diet with increased fiber, more water;
• medications that regulate peristalsis, laxatives, antidepressants;
• massage sessions, electrostimulation.

If constipation is prescribed diet number 3 for Pevzner, which includes the consumption of raw vegetables and various fruits. Dairy products: cottage cheese, yoghurt, kefir. From dried fruits recommend dried apricots, figs and prunes. Fresh juices with the flesh of apricot, carrots, apples. Tea, cocoa, blueberries, red wine, jelly - all that contains tannin, it is desirable to avoid. It is required to observe a 5-time diet with up to 2 liters of water, no more.

To restore the defecation mode, it is necessary: ​​

• , before going to the toilet in the morning, massage the stomach clockwise, combine it with the tension of the abdominal muscles;
• 15 minutes before breakfast, drink a glass of water or fruit juice;
• to go to the toilet at the same time, in the morning especially;
• have a comfortable room with a convenient toilet;
• to go to the toilet in a quiet state, without irritants, which can distract from the act of defecation( telephone, newspaper, books).

4 Drug Therapy

An integrated approach to treatment, diet, physical activity in combination with drugs can cure atonic constipation, but in practice very few people follow the recommendations.

To improve intestinal motility and reduce pressure, it is advised to use wheat bran that is poured with boiling water and after 30-60 minutes mix with soup, kefir or compote. Their use can soften stool and absorb excess water due to the fiber contained in the bran.

Laxative drugs are divided into secretory( vegetable, synthetic, chloride channel activators) by mechanism, increasing fecal masses, osmotic and softening oils.

For the treatment of atonic constipation, plant preparations( senna, aloe, buckthorn) and synthetic( Bisakodil) are used. Oils( almond, olive) are taken orally by 1-2 st.l.within 5 days. Combined drugs in complex therapy: Guttalax, Regulax, as well as pro- and prebiotics.

Relaxing candles made of glycerin give an effect after 20 minutes. Contraindication is hemorrhoids, cracks in the anus.

To stimulate peristalsis, anticholinesterase drugs are prescribed: Itomed, Ganaton, Peristil, Prozerin, Coordinax, etc. 0.1-1.0 ml of 0.05% Peristil solution is injected subcutaneously 2 times a day.

For the anesthetics of the act of defecation, antispasmodics are used: Spasmalgon, Drotaverin, Baralgin, Pentalgin, Analgin, etc.

5 Folk remedies

The following folk remedies are known to help solve the problem of constipation:

1. Boil compote of dried apples and cherries. Drink 1 glass 4 times a day.
2. Decoction of oats and cowberries has a good lax effect.
3. Helps with constipation in the evening before going to bed a glass of yogurt, mixed with 1 tbsp.l.vegetable oil.
4. 2 tsp.milled seeds of cumin or dill brew in a glass of boiling water. Drink during the day.
5. Also cleans the intestines salad from boiled beets, the enema uses juice.
6. Once a day for 1 tbsp.l.use the rhubarb root in the form of infusion or powder.
7. 1 tbsp.l.seed anise pour boiling water, insist for 20 minutes, pass through the mesh. Drink 1/4 cup 4 times a day for 30 minutes before meals.
8. Atonic constipation is easily cured with the help of aloe juice.3 times a day for 30 days before eating, drink 1 tsp.fresh juice.
9. Infusion from licorice root, licorice, fennel seeds. Take 5 g of seeds, 20 g of liquorice and licorice, mix, brew with a glass of boiling water and leave for 15 minutes. Drink half a glass after eating.

6 Preventive measures

It is necessary to pay attention to the following preventive measures:

1. Stop sitting at the computer and go for a walk or start running. Moderate physical activity during the day brings joy and relieves constipation for a long time.
2. Balanced nutrition, rejection of harmful foods, more vegetables and fruits. Drink clean water instead of tea and coffee.
3. Harmful habits to eradicate. These include alcohol, smoking and drugs.
4. Emptying the intestines at least once a day, and the process of defecation should be at the level of reflex, without coercion.

It should be remembered that stress transfer is required with minimal mental loss, otherwise constipation may occur.

With an integrated approach to the treatment and prevention of atonic constipation, the prognosis for life and work is favorable.