What is Constipation?

-Doctor, I have pain,

-How often do you go to the toilet?

-I go every day.

-????!! !!!!!!! How is it constipation then?

-Doctor, I go to the toilet 5-6 times a day, I make ablution with a very small piece as thin as a pencil. The rest is not coming. I try and it doesn't come out. I get up from the toilet before I fully ejaculate. I constantly feel the need to defecate.

SOMETIMES I HAVE A MANUAL HELP TO DO MY TOILET!

WHAT IS NORMAL IN TOILET HABITS?

CONStipation? DOES IT DEFECTION DISORDER?

Slight, Rare, Hard, Hard Defecation

Patients experience constipation with hard consistency, small amounts, infrequent and difficult defecation, the feeling of going to the toilet frequently but not being able to evacuate, as if the intestines are incompletely emptied, It can be defined as staying in the toilet for a long time.
The number of defecations less than three times a week together with the complaint of not being able to empty the intestines easily and completely is considered constipation.
The first condition in constipation is 70%- Since 90% of it is water, the stool should be soft and hard.
The second condition for constipation Less than 35 grams of stool per day
is to be removed. Normally, the average daily amount of feces is 100-200 grams. Straining was used to describe constipation for more than a quarter of the time spent on the toilet. The patient should be asked in detail what he means by constipation. For diagnosis, a prolongation of colon transit time must be demonstrated radiologically.

MAIN CAUSES OF CONSPOLITION
1. Inactivity
2. Nutrition with deficient fiber food
3 .Inadequate fluid intake
4. Drugs such as painkillers, antidepressants, diuretics, anticonvulsants, etc.
5. Irritable Bowel Syndrome (Spastic colitis)
6. Hypothyroidism
7. Pregnancy
/> 8. Obstructive defecation disorders lasting for many years

 

Rome II Criteria

Needing to strain in more than 25% of all defecations

More than 25% of all defecations produce lumpy or hard stools

Feeling of incomplete evacuation in more than 25% of all defecations

Feeling of obstruction during defecation

Supporting the pelvic floor with fingers or hands during defecation in more than 25% of all defecations

 

 What is called 'normal' varies from person to person. Some people go to the toilet three times a day, while others go to the toilet three times a week. Although it is common to go to the toilet once a day, it is okay to go a few days without going to the toilet at all. If you go to the toilet less than once a week, you are considered to have a serious constipation problem. Seek medical attention for sudden cases of constipation or constipation that lasts more than two weeks.

CONStipation IS A SYMPTOM, NOT A DISEASE

Fiber helps relieve constipation. It is possible. But sometimes constipation is caused by medical conditions such as stroke, diabetes, thyroid or Parkinson's disease. It rarely indicates colon cancer or diseases such as prolapse, intussusception, or ballooning of the large intestine (diverticulum, rectocele). If your constipation has lasted for more than 2 weeks or if you are experiencing bloody stools, incomplete emptying, feeling of straining, severe pain on the toilet, or unexplained weight loss, further examination is required.

 

 

I SIT ALL THE TIME DUE TO MY JOB…

Lack of physical activity can worsen constipation. However, exercise can reduce stress by making your bowel movements more regular. Especially exercise early in the morning, walking fast enough to increase the heart rate by at least 30%, and abdominal massage in a clockwise direction while walking will be good for your intestines. It is important to sit on the toilet at the same time every day after breakfast to establish the toilet habit.

DOES MILK INCREASE CONStipation?

Not every human intestine responds the same to milk or other foods. Consuming too much dairy products can cause constipation or worsen existing constipation.

A RELATED OF ME ATE A FIG AND HAD HIS INFECTION CLOGGED,

Especially some of the patients who have had abdominal surgery. due to intra-abdominal adhesions. Adhesions can restrict intestinal passage, and patients may experience cramps and pain from time to time, and obstructions that often resolve spontaneously. In our patients who were operated on due to intestinal obstruction, we witnessed that fresh figs swallowed without chewing completely blocked the passage, especially in our southern provinces, and especially in our southern provinces, the adhesions that already existed and allowed the passage of normal foods in those who consumed a lot of orange, called "talent", which had lost its water and whose fibers had partially dried, were blocked because they could not pass these foods. We are.

The solution is to chew thoroughly and not overeat.

DOES SADNESS AND TRAVEL INCREASE CONSPOSITION?

Sadness and emotional distress can trigger constipation. or may worsen it. Massaging the abdomen can bring movement to the intestines by helping to relax the muscles that support the intestines.

I DON'T EAT SOLID FOODS, I ALWAYS TAKE WATERY FOODS, YET I AM CONSPOSITED

False belief, watery. If there is not enough solid matter in the food, since the water of the eaten food is absorbed in the intestines, there will be little or no dry matter left for the intestine to function. Constipation increases. It is necessary to consume raw and cooked foods such as fibrous foods, vegetables, fruits, lettuce, cucumber, cabbage.

I CAN'T GO TO THE TOILET ANYWHERE. I CONSTANTLY POSTPONE MY NEEDS…

It is the most important cause of constipation. While traveling, you may not be able to go to the toilet in public places and you may postpone it. While working, you may feel too busy to go to the toilet. Or you may want to wait until you get home. However, ignoring the urge to defecate will not only make you feel physically uncomfortable, but may also cause constipation or aggravate existing constipation. Some people find that setting aside a specific time after breakfast or another meal just to go to the toilet helps.

THE MEDICATIONS I USE CAUSE CONSTIPATION…

Medicines for some medical conditions such as pain, depression, high blood pressure and Parkinson's disease can cause constipation. Too much vitamin D and iron also lead to constipation. Calcium pills can also cause problems, especially if taken with another stool-blocking medication or supplement. If you have to take medications, it is necessary to take precautions to prevent constipation.

IT IS SAID TO CONSUME FIBER FOOD. WHICH ARE FIBER FOODS?

Fibers increase the volume of stool. Fibers increase the amount and water content of stool by retaining water. In this way, they help by increasing the movement of the material in the large intestine throughout the intestine.

For a proper bowel movement, 30-35 grams of fiber should be taken daily. Not enough fiber is a common cause of constipation. To prevent this, eat fiber-rich foods 5 or more times a day. Insoluble fiber in foods helps stools consolidate and move through the intestines faster, relieving constipation. The best sources are whole grain breads and pastas. Soluble fiber found in fresh fruits and vegetables is also beneficial. Try citrus fruits and legumes to help grow bacteria that will help keep the gut healthy. Ready bran can be eaten by mixing it with other foods. I especially recommend 3 tablespoons of wheat bran a day to my patients. Consuming it throughout the day by mixing it with yoghurt, soup, or stuffed vegetables is a very successful supportive treatment. Also, reduce processed foods that are low in fibre, high in fat and sugar.

BENEFITS OF EATING DRIED APRICOTS AND PLUMS..

These dried fruits are 'nature's medicine for constipation. He received the title of '. Plums may prevent or relieve symptoms of constipation. Plums are full of fiber, which helps stools come together and pass quickly through the large intestine. Plums also contain sorbitol, a natural intestinal relaxant. There will be no harm from long-term use. In the case of children, add plum juice to ice cream or mix plum juice with other fruit juices to improve the taste.

IS IT USEFUL TO DRINK A LOT OF WATER? ?

That's right. Drinking lots of water prevents dehydration in the body that causes constipation. Liquids keep your stool soft and can prevent or relieve constipation. When you wake up in the morning, 2-3 glasses of warm water will give good news to your intestines. Reduce caffeinated drinks and avoid alcohol completely, as it causes your body to dry out.

WHAT IS BOWEL TRAINING TO CREATE A TOILET HABIT?

Have a few dry drinks on an empty stomach in the morning. After a good breakfast, which includes drinking 2 glasses of water on apricots, dried figs or prunes, adding thyme and 6-7 olives to extra virgin olive oil, and eating brown or whole wheat bread by dipping it in it, go to the toilet and wait 5-10 minutes, whether you need to go to the toilet or not. should be seated. The bowel habit that can be achieved in this way will be relaxing for a long time. The individual should spare time for this defecation attempt every day in the morning. Better results are obtained in young people with this defecation training.

I DRINK A LOT OF COFFEE…

It is true that the caffeine in coffee helps the muscles in your digestive system to contract and causes bowel movements. So why isn't a cup of coffee immediately recommended when we are constipated? Coffee actually makes it harder for stool to pass through the intestines because it is a diuretic and dries out the fluid in the stool. If you are constipated, stay away from coffee and diuretics such as alcohol, caffeinated tea and cola.

CAN WE USE CONSTIPATION MEDICATIONS CONTINUOUSLY…

No. Laxatives, enemas, and bowel cleansing procedures may be helpful in removing waste from the body for short periods of time, but they do not provide an effective way to prevent or treat constipation. In fact, suppositories can even cause constipation in older people who use them regularly. Castor oil is a powerful laxative. However, like other laxatives, it should not be used for a long time. Using laxatives for a long time can harm your body's ability to absorb nutrients. When castor oil is used excessively, it can damage the intestinal muscles, nerves and tissues, and all of these conditions cause constipation.

Constipation in summary;

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