Effective Best Constipation Treatment In Jaipur

Constipation (also known as costiveness or dyschezia) refers to bowel movements that are infrequent or hard to pass. Constipation is a common cause of painful defecation. Severe constipation includes obstipation (failure to pass stools or gas) and fecal impaction, which can progress to bowel obstruction and become life-threatening.

Constipation is a symptom with many causes. These causes are of two types: obstructed defecation and colonic slow transit (or hypomobility). About 50% of patients evaluated for constipation at tertiary referral hospitals have obstructed defecation. This type of constipation has mechanical and functional causes. Causes of colonic slow transit constipation include diet, hormonal disorderssuch as hypothyroidism, side effects of medications, and rarely heavy metal toxicity. Because constipation is a symptom, not a disease, effective treatment of constipation may require first determining the cause. Treatments include changes in dietary habits,laxatives, enemas, biofeedback, and in particular situations surgery may be required.

Constipation is common; in the general population incidence of constipation varies from 2 to 30%. In the United States expenditures on medications for constipation are greater than $250 million per year.

Causes

The causes of constipation can be divided into congenital, primary, and secondary. The most common cause is primary and not life-threatening. In the elderly, causes include: insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity, side effects of medications, hypothyroidism, and obstruction by colorectal cancer.

Constipation with no known organic cause, i.e. no medical explanation, exhibits gender differences in prevalence: females are more often affected than males.

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Primary

Primary or functional constipation is ongoing symptoms for greater than six months not due to any underlying cause such as medication side effects or an underlying medical condition. It is not associated with abdominal pain, thus distinguishing it from irritable bowel syndrome. It is the most common cause of constipation.

Diet

Constipation can be caused or exacerbated by a low-fiber diet, low liquid intake, or dieting.

Medication

Many medications have constipation as a side effect. Some include (but are not limited to) opioids (e.g. common painkillers), diuretics, antidepressants, antihistamines,antispasmodics, anticonvulsants, and aluminum antacids.

Metabolic and muscular

Metabolic and endocrine problems which may lead to constipation include: hypercalcemia, hypothyroidism, diabetes mellitus, cystic fibrosis, and celiac disease. Constipation is also common in individuals with muscular and myotonic dystrophy.

Structural and functional abnormalities

Constipation has a number of structural (mechanical, morphological, anatomical) causes, including: spinal cord lesions, Parkinsons, colon cancer, anal fissures, proctitis, andpelvic floor dysfunction.

Constipation also has functional (neurological) causes, including anismus, descending perineum syndrome, and Hirschsprung’s disease. In infants, Hirschsprung’s disease is the most common medical disorder associated with constipation. Anismus occurs in a small minority of persons with chronic constipation or obstructed defecation.

Psychological

Voluntary withholding of the stool is a common cause of constipation. The choice to withhold can be due to factors such as fear of pain, fear of public restrooms, or laziness. When a child holds in the stool a combination of encouragement, fluids, fiber, and laxatives may be useful to overcome the problem.

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