You think it's the hardest thing in the world to wait
Only boyfriend?
No!
It's harder to wait than boyfriend
A smooth bowel movement!
Studies have found a prevalence of chronic constipation in men and women
1:1.22~1:4.56[1]
Heaven forbid, the proportion of constipation in women is significantly higher than that in men
How many sins do you have to give to women?
First, constipation, why prefer women
There are two main types of constipation: "slow transmission type" and "outlet obstruction type".
Slow-transport type is also called snail-type constipation,
Mainly because the ability of the intestine to move is decadent,
Decreased ability to transport stool,
This is seen more often among older friends.
The outlet obstruction type is also called the "plug type",
This is common to female friends,
It's because the anus doesn't open smoothly,
Poop can't come out.
Know a little more: in the long process of human evolution, women in order to adapt to upright walking and smooth childbirth, the pelvis has become wider than men, which reduces the support of the rectum.
In addition, pregnancy and childbirth in women can more or less damage the pelvic floor muscles, resulting in a rectal protrusion (rectal wall protruding into the vagina). It may not be easy to detect at first, but as you age or give birth multiple times, the defect becomes apparent, leading to constipation.
The following reasons are also prone to constipation in women:
Reproductive system diseases: such as uterine reclining, excessive uterine fibroids, adenomyosis, etc. The site of these lesions may also cause constipation if pressed onto the rectum [3].
Hormonal effects: When women menstruate, progesterone can inhibit intestinal peristalsis and reduce bowel intentions; some people have aggravated constipation as soon as they reach their menstruation, which is related to this situation.
Eat too little: the stool must reach a certain volume, and the large intestine can activate the transport mechanism. If you eat too little, the large intestine can only wait until you have saved enough to start shipping. In the process of waiting, food residues are constantly drained in the large intestine, becoming drier and drier, and less likely to be discharged.
Second, to what extent is constipation, do you need to see a doctor?
If you defecate less than 3 times a week, there are still feelings such as laborious and incomplete defecation, and even need to have an enema or a kaiser, the above several situations appear for two months, you should pay attention to it and seek medical treatment in time.
In addition, constipation can not be used arbitrarily to induce diarrhea, there are two common misunderstandings to avoid:
Myth 1: Use laxatives at will.
Doing so is likely to lead to electrolyte disturbances in the internal environment and increase the burden on the kidneys!
In addition, long-term use of irritating laxatives that act on the enteric nervous system can also lead to irreversible intestinal nerve damage, which may trigger colonic melanosis.
Myth 2: Self-enema as soon as it can't be pulled out.
In fact, the method of enema is usually only suitable for slow-moving constipation, and does not help much for outlet obstructive constipation.
In addition, as a medical act, there are many risks associated with enemas operating on their own.
Not only does it cause edema due to irritation of the intestinal mucosa, but it also affects the intestinal environment, and if it is not handled properly, it may also cause intestinal perforation!
3. 3 Golden Rules for Improving Constipation
If you only occasionally have too long and laborious bowel movements, you don't have to see a doctor right away, you can try to make some life adjustments first.
The following 3 tips for improving constipation are useful and must be taken a closer look:
Recommendation 1: Increase dietary fiber intake
In terms of diet, attention should be paid to appropriately increasing the intake of dietary fiber and drinking more water. Dietary fiber is usually found in large quantities in vegetables and whole grains [4], and people with constipation can eat more appropriately.
Reminder: People with poor gastrointestinal function, ingesting too much dietary fiber, may have bloating, abdominal pain, eat 3 to 4 times a week, each time to 30 to 60 grams is appropriate.
Recommendation 2: Exercise more, especially pelvic floor muscle training.
Most people usually don't have time to exercise, but even a walk after a meal can promote intestinal peristalsis.
In addition, usually do more lifting exercises to enhance the strength of muscles near the anus, but also help to alleviate constipation.
Specific method: forcefully lift and contract the anus, keep the upper mentioned contraction state to their limits, and then slowly relax the anus, so that one close and one release is once. It is recommended to do 20 to 30 retracting movements per group, and do 3 sets per day.
The main point is to use rapid force when lifting and contracting, and slow when relaxing.
Tip 3: Develop a regular, focused bowel habit every day.
The large intestine is most active in the morning and after meals, so it is smoother to queue in the morning or within two hours after a meal.
In the defecation should also be concentrated, many people like to play while playing with the mobile phone while defecating, it seems that there is no direct impact, but in the long run, it will reduce the control of the muscles, which is easy to lead to constipation.
Finally, it should be noted that if you have certain reproductive system diseases (such as large uterine fibroids, severe prolapse of the anterior rectum) or anorectal diseases, you should promptly treat the cause [5].
Review expert: Cui Limei, deputy chief physician 丨 Department of Endocrinology, Weeping Willow Hospital, Tsinghua University
bibliography:
[1] Gastrointestinal Dynamics Group, Gastroenterology Branch of Chinese Medical Association, Colorectal Science Group, Surgery Branch of Chinese Medical Association. Guidelines for the diagnosis and treatment of chronic constipation in China (2013, Wuhan)[J]. Gastroenterology, 2013, 018(010):605-612.
Ouyang Zhenbo, Liu Ping, Yu Yanhong. Research progress and significance of female pelvis[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2010(2):140-142.
ZHANG Dianwen, MENG Fancheng. Diagnosis and differential diagnosis of constipation in women[J]. Chinese Journal of Practical Surgery, 1993, 013(012):713-715.
[4] Kim Woo-shin. Prevention and treatment of constipation in women[J]. Journal of Surgery of Colorectal Diseases, 1997(3):24-25.
WU Jiayan. Investigation and analysis of constipation characteristics in women[D]. Peking Union Medical College, China, 2008.
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