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When you can't pull out the sticks for days in a row
How will the friends come up with suggestions?
Take intestinal cleansing pills!
Drink detox tea!
Poop!
Everyone always thinks that not being able to pull out the cane is constipation
Immediately row the "boarding"
But you may not know
What is constipation
What is "cessation"?
According to the Rome IV diagnostic criteria, constipation should be diagnosed on the basis of 3 months ≥ the presence of the following conditions (and the onset of symptoms ≥ 6 months before diagnosis).
01
The following 2 or more must be met
More than 25% of bowel movements are laborious.
More than 25% of bowel movements are lumpy or hard stools.
More than 25% of bowel movements have an incomplete feeling.
More than 25% of bowel movements have anorectal obstruction/obstruction.
More than 25% of bowel movements require manual assistance (e.g., finger-assisted bowel movements, pelvic floor support).
The number of natural bowel movements is less than 3 times per week.
02
It is rare to have a loose stool without the use of laxatives
03
The diagnostic criteria for irritable bowel syndrome are not met
Looking at the diagnostic criteria, are you really constipated?
In fact, not everyone has to pull the soup every day, and it is not necessarily constipated to pull the sticks for a day.
Factors such as age, gender, eating habits, exercise habits, and individualization all affect bowel habits.
Some people once a day, some people once every two days, some people twice a day, as long as it is a regular bowel habit, can be considered basically normal.
Does the cunalis that remains in the body produce toxins?
Not really!
Where do toxins come from? Is the food eaten toxic? Is gastrointestinal digestion toxic? Or something else?
Think clearly, you know that there is no need to "detoxify and cleanse the intestines".
The vast majority of so-called "intestinal cleansing products" are laxatives, and long-term use of such products can cause serious harm! If people with real constipation eat such products for a long time, it will not only aggravate constipation, but also cause colon black stools and even cancer!
Of course, it is not necessary for constipation patients to eat.
What is "stool"?
Let's talk about "poop"
From a medical professional point of view
There is no concept of "cessation"
Formal textbooks, medical literature
Nor does this concept exist
That's weird
How did I know about "poop"?
Think about it
"Su defecation" is not from the origin
TV commercials, street ads, bloggers
……
Regarding "su defecation", let's refute another rumor:
What you eat in should be pulled out on the same day!
Under normal circumstances, what you eat into it has to go through a series of digestive processes before it is discharged in the form of rice dumplings, and the normal physiological process generally does not let you eat on the same day. In addition, as long as the amount of rectal accumulation reaches about 100 to 200ml, it can be transmitted through the nerve center to the cerebral cortex to form a stool to prompt you to discharge, so you do not need to worry about the long-term storage of rice in your body.
Overnight cannula produce a lot of toxins!
I think you must be familiar with saying that overnight can cause long spots and acne... Then think again about this question, where does the toxin that causes spots and acne come from?
Speaking of which
You'll also foolishly believe it
Is "XX Pill RowIng Good for Health"?
Let's get down to business
What should I do if I am really constipated?
Basal treatment
Adjust your lifestyle
Diet: Increase intake of fiber (25 to 35 g/day) and water (1.5 to 2.0 L/day).
Moderate exercise: especially for elderly patients who have been bedridden for a long time and have little exercise.
Bowel habits: colonic activity is most active in the morning and after meals, it is recommended to try to defecate in the morning or within 2 hours after a meal; concentrate during defecation; each stool should not be too long (
Cognitive therapy
Risk factors for chronic constipation include advanced age, femaleity, economic status, educational attainment, lifestyle, eating habits, and psychosocial factors. Strengthening a patient's own cognition is important for the treatment of constipation.
drug therapy
After 4 to 8 weeks of ineffective basic therapy, the corresponding drug therapy can be used as appropriate.
Lactulose is a synthetic disaccharide, it is not metabolized by intestinal enzymes, undigested lactulose through osmotic action to keep water and electrolytes in the intestinal lumen, can effectively improve the frequency of bowel movements and stool traits.
Polyethylene glycol causes intestinal secretion of water, which increases the frequency of bowel movements.
Bulking laxatives such as methylcellulose, polycarboprope calcium, and wheat dextrin, which are polysaccharide or cellulose derivatives, are mainly used to absorb water and increase the volume of stool to exert laxative effects. Patients with poor or intolerant fiber may require non-bulking laxatives.
If the above treatments are still ineffective for your symptoms, you will need to go to a gastroenterologist or constipation specialist clinic. Your doctor will evaluate whether there is a secondary cause (such as a systemic disorder or medication) and consider primary constipation after excluding the secondary cause, which may be related to colonic transmission speed and/or bowel function (pelvic floor dysfunction).
Patients with constipation should seek medical attention immediately if there is an "alarm" phenomenon: blood in the stool, positive fecal occult blood test, anemia, weight loss, persistent abdominal pain, abdominal mass, as well as a history of knots, rectal polyps and knots, and a family history of rectal tumors!
Finally, I hope that readers and friends with constipation symptoms can be treated in a scientific and standardized way!
bibliography:
1．Tramonte SM, Brand MB, Mulrow CD, et al. The treatment of chronic constipation in adults. A systematic review. J Gen Intern Med 1997; 12:15.
2．Badiali D, Corazziari E, Habib FI, et al. Effect of wheat bran in treatment of chronic nonorganic constipation. A double-blind controlled trial. Dig Dis Sci 1995; 40:349.
3． Chinese Journal of General Practitioners, 2020,19(12) : 1108-1114.DOI: 10.3760/cma.j.cn114798-20201030-01110.
Source: Department of General Medicine, Run Run Shaw Hospital
Author: Lu Danhong Instructor: Qiao Qiaohua
Original works, reprinted please indicate the source and source
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