Consider constipation dangerous if there is bleeding, weight loss, or a lump in the abdomen, as these are ominous signs that may be colonic or rectal tumors.
Constipation is a common functional gastrointestinal disorder, with a prevalence of approximately 20% in the general population. In the elderly population, the incidence of constipation is higher compared to the younger population, and elderly women more frequently suffer from severe constipation. Constipation consists of straining during bowel movements, having bowel movements once every 2 to 3 days, or having hard bowel movements by rectal or vaginal fingering to facilitate bowel movements.
Dr BS Ravindra, Director of Gastroenterology and Hepatology Department at Fortis Hospitals, Bangalore has provided a detailed guide on the causes and ways to prevent constipation.
Causes
Common reasons are lifestyle issues, lower fiber intake, lower water intake, and lack of exercise. Some diseases associated with constipation are diabetes, thyroid problems, kidney disease, heart disease, parkinsonism, stroke, and spinal cord problems. Medications are also the reason, especially antacids, iron supplements, some blood pressure medications, and antidepressants. Consider constipation dangerous if there is bleeding, weight loss, or a lump in the abdomen, as these are ominous signs that may be colonic or rectal tumors.
Proper routine and diet are a must.
Necessary tests: sugars, thyroid, calcium, phosphorus, hemoglobin and stool test if these are negative. A colonoscopy and evaluation of the anal sphincter by manometry is performed. Drink from a liter to 1,250 ml of warm water when you get up in the morning if you are not restricted in water, such as in heart and kidney diseases. Another 2 liters of water should be consumed throughout the day. Set a breakfast time of 8 or 8:30 am, allow 6-7 hours between meals, and eat a light dinner of vegetables and fruits before 7 pm Avoid drinking water when you have food. Drink water half an hour before or an hour after. If you are eating food in less than 20 minutes, you probably have constipation because you are not chewing your food well. Everyone should walk or run for 30 minutes a day. Each meal should be 30 to 40 percent salad, either raw or cooked for less than 5 minutes.
When to see a doctor? What are the treatments?
If you have constipation, see a doctor; if symptoms persist, see a gastroenterologist, who is an expert in anorectal manometry, colonic transit, and constipation biofeedback. Constipation medications fall into three categories: stool-softening fibers, laxatives, and medications that increase colon movements. Some people require biofeedback treatment. The role of surgery to shorten the colon is extremely small. Laxative abuse is something people should be aware of; one should not become addicted to laxatives beyond 3 to 4 months. Talk to your gastroenterologists about the fact that you are becoming addicted to laxatives and need to decrease these medications.
Untreated constipation leads to bleeding hemorrhoids and painful fissures, as well as psychological problems such as depression, sleep disturbances, indifference, and an inactive mind. Constipation is a common condition that is likely to recur, but it can be avoided with proper care and attention. It is best to see a doctor if you have underlying constipation-related symptoms that have persisted for more than three weeks to avoid future complications.
