BE INFORMED ABOUT CONSTIPATION and IBS
24/10/2016

CONSTIPATION

It is defined as the reduction in the frequency of stools in less than one week, or difficulty in emptying (hard stools). May cause abdominal pain, distension and koprostasi. Factors affecting the lack of activity, diet with little fiber, age and inadequate spending time to empty. The patient usually called constipation bowel movements less frequently than usual, feel that not enough} {evacuated the gut, its hard stools, pain during defecation and even diarrhea.

Young people do not usually require laboratory testing, while at older ages should not exclude the cancer, especially if constipation is recent or associated with bleeding, mucus and tenesmus.

Causes:

Variation mobility colon neurological disorders (multiple sclerosis, spinal cord trauma, diabetes etc.) scleroderma, drugs (based aluminum or calcium antacids, iron supplements, sucralfate, calcium channel blockers) hypothyroidism, hypokalemia, hypercalcemia, dehydration , mechanical reasons (hernias, anorectal tumors, intestinal twisting hernias) and anorectal pain (fissures, hemorrhoids, proctitis or abscesses) causing inhibition stool, constipation and koprostasi. Irritable bowel syndrome, old age.

Treatment:

Exercise, increased fiber intake in the diet, factors that increase the volume of stool (psyllium) and increased fluid intake. Stool softener such as liquid paraffin, which, however, should not be used for a long time because they cause irritation in the rectum, adipose pneumonia and malabsorption of fat soluble vitamins. Stop antacids with aluminum or calcium based and substituting those having stearate. The treatment is with drugs that are based on magnesium or other laxatives. Most effective are those that act osmotic (Lactulose oral rinse solution containing polyethylene glycol), the emollient laxative orally or rectally (suppositories glycerin) and oils. Multi-level enemas with soap and water can cause water intoxication. Stimulants such as senna, which must not be used for a long time because their bowel habit

Irritable Bowel Syndrome

Clinical manifestations:

1) chronic abdominal pain and constipation 2) alternating constipation and diarrhea, or 3) years, painless diarrhea.

Most of these patients often have psychological disorders such as depression, anxiety, stress, affecting the mobility of the small intestine. In other cases responsible intolerance to certain food and malabsorption of bile acids from the terminal ileum.

It usually occurs at the age of 30 years and more frequently in women than in men 2: 1.Diatarachi stool, abdominal pain, abdominal distension, abdominal pain relief after stool, watery stools with pain, mucus in the stool and feeling of incomplete defecation . Also, paste or tape-like worms ~ ~ stools, heartburn, flatulence, back pain, weakness, fainting, palpitations and pollakiuria.

Treatment:

Granting fiber, bulking products like psyllium. For pain anticholinerchika or yosyamini. Antidepressants may help recession pain. Psychotherapy and hypnotherapy likely in people with severe refractory cases.

The text was edited by Pharmacist

Polyzos Apostolos - specialized in Organization and Management of Health Services

Bibliography

Oxford handbook of clinical medicine "R.A.Hope, J.M.Longmore, S.K.McManus, C.A.Wood-Allum"
Harrison INTERNAL PATHOLOGY HANDBOOK SESSION Kasper D., Braunwald E., Fauci A., Hauser S., Longo D., Jameson L.

All the above information is for informational purposes only.

Please consult your physician.

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