Constipation is a headache for many patients, although it is not as violent as trauma, but a kind of "constant cutting, rationalization" pain, long-term trouble us.
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Xiaobian lurked in the group of patients for many days, and saw many patients ask about constipation. Today, without talking about the incidence of constipation and the causes of constipation, let's talk about the prevention and treatment of constipation.
The picture is from: Screenshot of the medical pulse of the patient group
In general, to deal with constipation, we need to find a balance in prevention, self-care, medication and rectal laxative, which can be summarized as the following "three pairs" - eat right, do right, and use right.
Eat right
The problem of "pulling" should often be solved by "eating". The right diet can effectively avoid and alleviate the occurrence of constipation. To eat right, we can do this:
1. Drink plenty of water:
Drink 1500-2000 ml of water per day, if it is a patient during chemotherapy, it can be increased to 2000-3000 ml. Adequate water intake can soften the stool and facilitate the smooth flow of stool. However, for some patients with underlying diseases who need to control the amount of water they drink, such as patients with hypertension and heart failure, they should consult a doctor in advance.
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2. Eat the right food:
Eat more foods that contain soluble fiber and have laxative effects, such as celery, leeks, honey, sweet potatoes, yogurt and other foods. At the same time, you can eat more fresh fruits and vegetables, and vegetables and fruits often contain more fiber.
3. Light diet:
Foods that are too spicy and irritating will not only cause gastrointestinal discomfort, but also may aggravate constipation.
Do it right
In addition to eating, we can also prevent and relieve constipation by doing the following things:
1. Keep your mood comfortable:
Excessive anxiety or depression may also cause constipation, or lead to worsening of constipation.
2. Correct bowel movements:
Correct defecation includes regular defecation and concentration of defecation, developing the habit of defecating on time is conducive to our completion of defecation, and if we desert when defecating for a long time, in addition to easy to cause constipation, it is also easy to cause hemorrhoids.
3. Choose a comfortable environment for bowel movements:
Bowel movements also require a suitable, private environment. Imagine that you are separated from the street by a window, the window is bustling with people, sitting on the toilet, looking at the bustle of the window clearly through the one-way glass, you must have a hard time staying calm and completing what you want to do (defecation).
At the same time, you should also choose the "right" toilet, if you are because of the uncomfortable toilet, you need to brew for a long time, or even can not brew the result, we may as well change back to the right one. "Sitting or squatting, that's a problem."
4. Get moving:
Proper exercise can increase intestinal peristalsis, and we can choose some gentle exercises, such as tai chi.
5. Massage:
Abdominal massage can also effectively increase intestinal motility and promote defecation. When we massage, it should be done clockwise, i.e., the right lower quadrant, the right upper quadrant, the left upper quadrant, and the left lower quadrant
Use it right
When we have different degrees of constipation, we need to treat it with drugs, and the right drug choice can effectively relieve constipation:
[Note: The choice of drugs and the treatment of enemas need to be carried out under the guidance or assistance of a professional doctor, and cannot be used or enema operations without authorization. ]
1. Stool softener (lubricant): such as liquid paraffin, kaiser dew, etc
These drugs can be used in patients with hemorrhoids, fissures, and long-term bed rest, but long-term use is not recommended.
2. Penetrant: such as lactulose, sorbitol, mannitol, etc
These drugs are suitable for the elderly, pregnant women, and children. It should be noted that long-term use of such drugs in large doses may cause intestinal water and electrolyte disorders, resulting in alternating diarrhea and constipation.
3. Irritating laxatives: such as senna, rhubarb, etc
Irritating laxatives can be used for acute and chronic constipation, through the stimulation of intestinal mucosal epithelial cells, promote gastrointestinal peristalsis, emptying, but long-term use can lead to the formation of dependence, may also lead to refractory constipation.
4. Enema:
In general, enemas are used only if oral laxative therapy fails, in order to prevent fecal incarceration.
Due to the side effects of drugs such as chemotherapy, targeted, and pain relief, the aging of patients, and prolonged bed rest, constipation is common in tumor patients, and many patients are deeply disturbed.
If we use drugs that may cause constipation, we should do a good job of prevention in advance; if constipation has occurred, we should seek the help of a doctor in time and carry out symptomatic treatment under the guidance of a doctor.
Finally, I wish you all a smooth bowel movement!
Resources:
Chinese Medical Association, Journal of Chinese Medical Association, Gastroenterology Branch of Chinese Medical Association, et al. Guidelines for primary diagnosis and treatment of chronic constipation (2019)[J]. Chinese Journal of General Practitioners Vol. 19, No. 12, 2020, pp. 1100-1107, ISTIC, 2020.
[2] Larkin P J, Cherny N I, La Carpia D, etal. Diagnosis, assessment and management of constipation in advanced cancer:ESMO Clinical Practice Guidelines[J]. Annals of Oncology, 2018.
Yao Xiaoyun, Chen Hongyu, Hu Jun'e, et al. Summary of best evidence for evaluation and management of chemotherapy-related constipation in cancer patients[J]. Journal of Nursing, 2020, 27(2):5.
Warm tips: This article is only used as a popular science article, does not provide professional diagnosis and treatment opinions, specific diagnosis and treatment, please carry out under the guidance of professional doctors.