CONSTIPATION

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	CONSTIPATION
	*CONSTIPATION*

CONSTIPATION

Constipation

The digestion is the chemical process through as we extract of foods the useful nutrients, and eliminated the useless rest. The digestion begins in the mouth with the ingestion of foods, and finalizes in the anus with the expulsion of the remainders (lees). These are in favor compound fundamentally of cellulose, intestinal bacteria, and nondigeribles fibrous rest that help the transport of remainder products.

The remainders advance, thanks to the peristaltismo (by involuntary movements of the musculatura of the intestine), by the heavy intestine, that is them drying, until the rectum - where they are accumulated -. Once accumulated a sufficient volume, distiende the rectum and stimulates the nervous completions, sending to the brain the order to come to its evacuation. From the defecación one becomes a voluntary act here.

The alteration in the rate of evacuations of lees originates the diarrea (increase of the number of depositions) or constipation (difficulty to defecate accompanied or not of diminution of the frequency of depositions).

Prognosis

The children often develop a hypersensitivity to certain foods at the age of two to four years.

The dry adults with hypersensitivity to certain foods (specially to milk, fish, seafood and fruits) are less inclined to develop an allergy.

Complications

Anaphylactic reactions (cardiac difficulty in the breathing, irregularities, abrupt slope of the sanguineous pressure and collapse).

Reaction with urticaria or eczema.

Bronchial asthma.

Intestinal inflammation (gastrointestinales symptoms).

Diagnosis and treatment

DIAGNOSIS:

The diagnosis of the constipation is simple. Sometimes it will be necessary to discard underlying causes by means of radiográficos studies, colonoscopias, etc.

TREATMENT:

The foundation of the tatamiento is based, in most of the cases in changes in the dietetic habits and a suitable intestinal education.

Defecatorio is begun not to ignore the stimulus: we must obtain that one takes place daily and to the same hour.

For it, after to have ingested some food we must go to the bath, avoiding the haste, without losing the patience at first, since the results are not immediate. Medication

In the constipation the automedicación induced by next people with the same problem is very frequent. But this alteration can show important ailments and serious, for that reason, it corresponds to him to the doctor to evaluate and to treat this upheaval.

The automedicación independently implies the election of a treatment of the cause that causes it, not being in most of the occasions the most adapted for the type of constipation that we suffer, with which the only thing that we obtained is to aggravate the picture.

Activity

A certain physical activity is due to develop (matutinal strolls, gymnastics, etc.); since tonifica the abdominal musculatura, inducing a suitable peritalismo that will regulate the intestinal habit besides to provide important benefits to us for our health.

Diet

It is important to take an suitable feeding, increasing the integral consumption of fruits, vegetables and products and drinking abundant amount of liquids. This is equivalent to increase the rich diets in cellulose and fibers that help the transport and increase the volume of the fecal skittle.

We can say that the rich fiber diets constitute the natural laxative of greater effectiveness in the treatment of the constipation.

With this disease it is advised to follow the following diets:

Rich fiber diet (laxative)

Diet with abundant remainder

Prevention

The prevention happens to avoid the risk factors and of accustoming to the organism to a suitable habit and schedule.

Signs and symptoms

The distinctive symptoms are:

Spacing between defecaciones. According to a clinical aphorism, the normal margins for the defecación go of three times to the day to once every three days. Greater lapses are considered pathological.

Consistency of lees excessive.

Aside from the rate and consistency, other symptoms can be presented/displayed:

Fullness and weight in the lower abdomen.

Tenesmo (desire to build).

Own Sintomatología of the underlying alteration in the case of the secondary constipations.

Factors of risk

Habit to be contained.

Genetic perhaps factors (usually one occurs by families, influences plus the custom that the genes).

Poor diets in remainders.

Sedentarismo.

Haste.

Use of irritativos laxatives.

Causes

We can distinguish the secondary ones to organic pathologies (tumors, intestinal obstructions, some chronic colitis, etc.), and the secondary ones to psychological pathologies (anxiety, distresses, anorexy) of primary or the idiopáticas ones.

Nothing else ilustrativo of the great importance of the custom in the defecación that the "Constipation of the traveller", relatively frequent situation in which the patients, when being outside their means, and by the stress of the trip, do not build during the duration of the same one.

Between the these last most frequent cause it is the habit to be contained, during long periods. With time, the amount of accumulated remainders to cause the nervous answer will have to be greater originating the constipation. This can to be caused by bad habits or by processes organic local (hemorroides, fistulas) that makes the defecación painful, reason why induce this vicious circle.

Even though a good intestinal habit implies the daily evacuation of remainder products, can exist diets that alter the composition of lees (poor in fibers) diminishing the amount of remainders and increasing their hardness. In order to fill the rectum it is needed greater amount and more time. This induces a weakening of the musculatura and ends up taking place the constipation.

In some patients, from congenital form, or from you are from a constipation pertinaz, extends the terminal segment of the colon (megasigma), prolonging the phase of drying of lees and its hardening.

Finally, an aggravating factor constitutes the abuse of laxatives, mainly the irritating ones (type "drops" or derivatives of "sen"), that finish" burning "the own nerves of the colon, slowing down the passage of their content and increasing their drying.

Since the organic pathologies that cause constipation can be very serious, it must be consulted with the doctor; mainly if it is of recent appearance or it alternates with periods of diarrea.

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