At the beginning of 2021, young people are discussing topics related to sudden death, which is really not so happy.
First, there were internet company employees who worked overtime and died suddenly, which triggered the condemnation of netizens, and then there were child stars who debuted in the actor's birthday after the sudden death, and the two unfortunate deceased people were only in their twenties.
In recent years, cases of sudden death in young people are not uncommon, for obvious reasons, and high-intensity work and irregular life are considered to be major problems. The day before death, people who were still alive said they were not there, which made many young people panic about sudden death.
Sudden death is defined as rapid death after the onset of symptoms (the WHO standard is within 6 hours, there are also standards such as 1 hour, 12 hours, 24 hours, etc.), which is also the terrible point of sudden death. Timid people are already reflecting on their lives, afraid of the sudden arrival of death, and even determined to stay up late and stay away from overwork.
However, even if you escape the "996 blessing" and quit staying up all night, there is another "hidden" danger that is not quite put on the table - constipation.
First of all, to be clear, although we are all talking about sudden death in young people now, the proportion of young patients is still very small in all cases of sudden death.
Secondly, there are many causes of sudden death, most of which are caused by cardiac causes, so clinically sudden death will be divided into sudden cardiac death and non-sudden cardiac death, the former accounting for more than 70%, which is also the focus of research.
In general, the causes of sudden cardiac death are most discussed as overwork, excessive exercise, and excessive psychological stress, and the present is no exception.
In fact, in an analysis study of 1169 cases of sudden cardiac death, 792 cases can be identified as cause of death, of which 307 deaths are induced by mental stimulation, 205 are due to activity and exertion, and the third cause is constipation and defecation, reaching 77 cases.
Good guys, just a constipation is actually a major cause of sudden cardiac death, may be because of the relationship between and pee farts that are inconvenient to put on the table, and many popular science about sudden cardiac death do not mention constipation.
The mechanism of constipation causing sudden cardiac death is actually not difficult to understand, when defecating forcefully, blood pressure, heart rate and heart load are increased when they are quieter, and excessive defecation and excessive breath holding increase the pressure of the atrium, resulting in excessive diastolic period filling and inducing heart failure.
The incidence of constipation in patients with acute myocardial infarction has been reported in the literature to be 40% to 72.9%. There are also many living examples in reality.
Crosstalk master Ma Ji
Crosstalk master Ma Ji had a heart attack on December 20, 2006, and when first responders arrived at the scene, he was sitting on the toilet.
Chen Xiaolu, the son of Marshal Chen Yi, suffered a sudden myocardial infarction on the evening of February 28, 2018, and died on the way to the hospital for rescue, which was caused by excessive exertion during defecation.
Constipation has become a health problem that plagues modern people and is one of the most common manifestations of gastrointestinal dysfunction worldwide. Older people are more likely to develop constipation, which may be associated with factors such as reduced daily activity and insufficient dietary fiber intake.
At the same time, constipation is more common in women because estrogen can reduce colonic transmission rates and prolong colonic transmission time, but it is also possible that women are more likely to confide in their symptoms in surveys, while men may have something to hide.
In short, the problem of constipation is more common and dangerous than we think. In the process of constipation, due to poor bowel movements, patients need to actively exert force for a long time, which is very prone to danger, and is not limited to sudden cardiac death.
If you have other diseases, constipation is likely to become a fuse, the two "strong combination", light aggravation of the disease, heavy will lead to death, causing cardiac arrest, lung thrombosis and so on may suddenly die.
Modern people eat too fine, dietary fiber intake is less, work sedentary, general lack of exercise, in addition, due to the toilet environment and entertainment upgrades, we can sit leisurely on the toilet playing mobile phone, lack of concentration will gradually form constipation.
If you don't care about constipation, you don't go to the toilet for a long time without defecation, or you don't have time to go to the toilet when you are busy, and you will also fall into a vicious circle.
Poop can be brewed again, but the poop is not waiting for anyone, they continue to dehydrate further in the intestine, becoming more dry and hard, and it is more difficult to expel. After the formation of stubborn constipation, the accumulated feces will also support the colon, resulting in an idiopathic megacolon, but can hold more feces.
Surgically removed megacolon containing 28 pounds of feces
So constipation is like binge eating, binge eating is the more you eat the stomach is bigger and bigger, the larger the stomach, the more you can eat, and constipation is the more difficult to pull, the colon is more propped up, the larger the colon is more likely to be constipated, the two are a truth, but one is to eat and one is to pull.
The famous singer Elvis Presley died at the age of 42 due to a heart attack caused by a severe arrhythmia, and subsequent autopsies showed that Elvis had very severe constipation and that his colon had reached twice the diameter of a normal person.
All that has been mentioned earlier is about the consequences of sudden death, but constipation can also cause poisoning. A 2018 news story reported the death of a 17-year-old from the UK from ketoacidosis caused by long-term constipation.
Since constipation is dangerous, how should it be solved? Isn't it okay to take laxatives? It is okay to take laxatives in the short term, but long-term use may form dependence and fall into a vicious circle.
Dr. Xu Feng of Yinzhou People's Hospital shared a case in which 27-year-old Xiaoxue suffered from constipation, often defecating once a week, and each time he was tired and sweaty, he could only discharge a little pimple.
Later, she began to try to take laxatives to relieve constipation, tried many kinds of laxatives, all of which had a very good effect at the beginning, but gradually there was no effect, but she did not eat and could not pull out at all, so she went to the hospital for treatment.
So can Kaseilu solve the problem? As a laxative artifact, the effect of Kaiserol is established immediately, in fact, there are two kinds of Kaisere, one is a glycerol preparation, and the other is a mannitol preparation.
The principle is that through the two components in the intestine to form a high osmotic pressure, so that more water penetrates into the intestinal lumen, softening the feces. At the same time, they also have a certain lubricating effect and may be the most effective laxative method.
However, the use of kaiser dew also has a certain risk, because the use of kaiser dew requires inserting the anus and then squeezing in the liquid, and the plastic shell of the kaiser dew often has burrs, which may stab the intestinal wall, cause bleeding and even intestinal perforation.
In October 2001, Nanjing reported a case of intestinal perforation caused by improper use of kaiserol, stool from the opening into the abdominal cavity, abdominal infection triggered toxic shock, and the patient eventually died.
In addition, for special groups such as pregnant women, the use of Kaiserot is also risky. Pregnant women who were 4 months pregnant saw abdominal pain, and the doctor misdiagnosed it as constipation, which caused a miscarriage after using Kaiselu.
Constipation, some difficult to talk about, some painless, but sometimes it can become a "killer".
Although the vast majority of serious incidents caused by constipation are mostly elderly patients, with the change of modern life, constipation will inevitably become younger and younger, and young constipation will only become more serious.
I just hope that everyone will not become the person who has lost their lives by constipation. When I was young, I escaped overwork and death, and when I retired, I had to be constipated once, so let us hit workers.
Yuan Shaolun,Yuan Huan,Zhang Tao,Zhang Chunlei,Wang Zheng. Constipation in the elderly caused serious cardiovascular events in 9 cases[J].Electronic Journal of Cardiovascular Diseases of Integrated Traditional Chinese and Western Medicine,2017,5(17):13-14.
ZHAO Guoliang. Analysis of causes of death in patients with sudden cardiac death[J].Clinical Medical Research and Practice,2016,1(10):43-44.
WU Jia-hui, ZHONG Wei-ji, YANG Xiao-fang, WU Yi-yun.Clinical analysis of 400 cases of sudden cardiac death[J].Chinese Contemporary Medicine,2016,23(01):26-28.
YANG Xia, WU Feng, ZHANG Shu-ying.Evidence-based care of rectal perforation caused by glycerol enema in an elderly patient with constipation[J].Journal of Nursing,2015,30(22):35-37.
Du Ruzhong. Clinical analysis of 42 deaths in patients related to constipation[J].Chinese Clinicians,2010,38(11):30-32.
ZHANG Dongmei. Lessons and care of sudden death during convalescent period of constipation-induced acute myocardial infarction[J].Chinese Journal of Practical Neurological Diseases,2009,12(18):54-55.
YU Weibo,GAO Fei,XU Qing. Improper use of Kaiser dew and rectal ulcer[J].Chinese Rehabilitation Theory and Practice,2009,15(08):752-754.
DENGFeng Kang, Xiaoying LI, Yingyuan Wang.Retrospective analysis of 1294 cases of sudden cardiac death[J].Journal of Cardiovascular and Cerebrovascular Diseases of Integrated Traditional Chinese and Western Medicine,2007(01):63-65.