Click on the Shaw Hospital star
Do you know?
March 28 is "China Constipation Day"
For a variety of reasons
More and more people are constipated
Zhejiang University Shaw Hospital refractory constipation joint outpatient clinic
Each time, a large number of patients suffering from constipation are received
How painful is constipation?
Let's see what the patient has to say
Constipation began after childbirth, and every time I defecated, it was like having a baby, and if I did the math, I now had more than twenty children.
Because of constipation, I have squatted out of the 8-pack abs...
From the moment I crouched, I knew it was going to be an uphill battle...
As long as it can make me smoothly,
I can get by with any obstacle in life.
What is "constipation"?
Constipation is a symptom of a group of stools that manifests as difficulty in defecating and/or decreased frequency of bowel movements and dry and hard stools.
Difficulties with bowel movements include laborious defecation, difficulty passing, feeling of incomplete defecation, anorectal obstruction, time-consuming defecation, and the need for manual assistance in defecation.
Decreased frequency of bowel movements refers to fewer than 3 bowel movements per week.
The course of chronic constipation is at least 6 months.
What are the dangers of constipation?
More harmful than constipation itself is that some patients believe rumors.
It is believed that "stool" is not excreted, and intestinal toxins are absorbed.
Long-term constipation can definitely lead to bowel cancer.
Constipation can lead to skin pigmentation, acne and obesity.
Certain net red clear intestinal teas and slimming teas can relieve constipation.
Some patients with constipation have long abused irritating laxatives because of these rumors, leading to greater intestinal health problems.
Last week, the Constipation Clinic of Run Run Shaw Hospital encountered a 30-year-old white-collar woman with chronic constipation for more than 10 years, who had long taken laxatives such as senna, Changrun tea and "small powder pills", which has now led to severe colon melanosis.
How does constipation occur?
Many constipation is caused by poor lifestyle eating habits and bowel habits, such as long-term water intake and insufficient dietary fiber intake, and less exercise. At the same time, he has the experience of taking the potency and has the habit of reading mobile phones and newspapers when defecating.
The above problems can easily lead to constipation.
Clinically, chronic constipation is divided into functional diseases, organic diseases, and drug-secondary diseases. When you have chronic constipation, it is recommended to go to the hospital for scientific and standardized diagnosis and treatment.
Which patients with constipation require colonoscopy?
If a patient with constipation has the following "alarm symptoms", it is recommended to come to the hospital for treatment and improve the colonoscopy. include:
Elderly patients (> 50 years);
Family history of colon cancer or inflammatory bowel disease;
Significant recent weight loss;
Blood in the stool.
If constipation is not effective after laxative treatment, it is recommended to refer to a tertiary hospital to improve colorectal function testing, including: manometry, defecation contrast, colon transmission experiment, pelvic floor ultrasound, pelvic floor electromyography and psychological assessment.
Run Run Shaw has the most advanced 3D anorectal manometry
Treatment of chronic constipation
Lifestyle changes
Regulate dietary patterns, increase dietary fiber and water intake, increase exercise.
Good bowel habits
It is recommended to try to defecate in the morning and within 2 hours after meals, and concentrate during defecation. If it is difficult to defecate, the following bowel positions can be selected: squatting for defecation, forward leaning position, and defecating footstool.
drug therapy
Commonly used safety drugs include volumetric laxatives: polycarbo non-calcium and wheat bran; osmotic laxatives: polyethylene glycol and lactulose; prokinetics: plucapride; secretory agents: linalotide, rubigetone, etc.; probiotics. Medications should be used as directed by a physician.
biofeedback
Biofeedback therapy is the treatment of choice for patients with functional bowel disorders.
Surgical treatment
For patients with constipation who do not respond to strict medical treatment, surgery may be considered.
Joint clinic for refractory constipation at Run Run Shaw Hospital
Run Run Shaw Hospital has introduced the new concept of multidisciplinary comprehensive diagnosis and treatment of constipation from abroad, and specially launched the "Joint Outpatient Clinic for Refractory Constipation" jointly participated by doctors from gastroenterology, rehabilitation, anorectal surgery, mental health, nutrition and radiology, etc., to develop an individualized comprehensive treatment plan for patients, so that patients can get rid of pain and resume normal bowel movements.
Time
Monday afternoon (Xiasha Courtyard)
Wednesday Morning (Qingchun Campus)
Source: Run Run Shaw Hospital
Author: Department of Gastroenterology Huang Zhizhi
Original works, reprinted please indicate the source and source
share
Click Favorites
Thumbs up