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I can’t eat, I can’t pull it out, it’s too disturbing
There is an old saying: "Going in and out of waste will bring about destruction." It means that the human body loses vitality without material exchange. In layman's terms, people's lives cannot be maintained if they cannot eat and excrete normally. It can be seen that, while "eating well" is important, "pull it up" also cannot be ignored.
However, with changes in dietary structure, faster pace of life, and migration of social values, for modern people, "cannot pull out" has become a more common problem than "cannot eat". Constipation is an experience that almost everyone has had, and the incidence of chronic constipation is increasing year by year. According to relevant statistics, 4 out of every 100 adults are troubled by constipation. Among people over 60 years of age, as many as 1/5 have symptoms of constipation. Moreover, due to different physiological structures, constipation is more troublesome to women than men.
If I ask everyone what constipation is, you might think that there is nothing to say about it. Who doesn’t know what “constipation” is. “No bowel movements for a few days,” “struggling bowel movements”, and “hard stools”. Isn't it constipation?
Indeed, these impressions are correct, but there are still many people who have been plagued by bowel problems for a long time, but never know that they are actually "constipated." This is the case with a friend of mine. This friend is also a doctor, but he still has a disease that he can't cure, so he found me.
"Brother, my bowel movements are always not good, what can you do to help me."
"What's wrong? Diarrhea or constipation?"
"Neither, I can go to the toilet once a day, but I always feel that it is not clean, but I can't pull it out again."
"How long did you last toilet?"
"Twenty or thirty minutes, it's a long time anyway, I have to bring a book to read."
"How long have you been like this?"
"It's been more than two years."
"My buddy, your typical chronic constipation!"
When I heard I diagnosed him with "constipation", his boss didn't understand: "I pull it once a day. Is this also called constipation?"
In fact, not only my friend, I believe you are also a little confused when you see it here: "Is it constipation every day?" Here I have to seriously talk about the latest diagnostic criteria for constipation: Constipation refers to dry stool, the frequency of defecation is less than 3 times a week, or the difficulty of defecation, long defecation time, and the feeling of incomplete discharge. In other words, the diagnosis of constipation is not only based on the traditional impressions of "dry stool" and "low defecation frequency", but "feeling of bowel movement" is also very important. If any one (or several) of these abnormal bowel movements lasts for more than 6 months, it is considered chronic constipation. Therefore, my friend is a typical chronic constipation.
Why do we say that defecation every day may also be constipation? Because normal bowel movements have not only frequency requirements (usually once every two days to twice a day), but also quality and quantity requirements. Qualitatively speaking, the stool should be formed, not dry, easy to defecate, and there is no feeling of incomplete discharge, and "unpleasant bowel movement", "always feel that there is no clean discharge", and "prolonged bowel movement" are all pathological phenomena, all in the category of constipation. Both reflect the nerve conduction of the gastrointestinal tract. In terms of volume, there should be enough volume for each bowel movement. Just a little bit is not enough, which is equivalent to not having a full discharge.
Speaking of which, you can think about your own situation. Even if you defecate once a day, you can't take it lightly.
In addition, I have also encountered another type of extreme patient in the outpatient clinic. One patient said that she only had a bowel movement once a week, but there was no pain during defecation, the discharge was smooth, the stool was not dry and formed. I emphatically observed her skin, it didn't look rough at all, and her complexion was good. For this type of "constipation" patient, I think it can be regarded as a special type of "normal person".
Constipation ≠ getting angry
Speaking of why constipation occurs, I have heard too many sayings like this: "Recently, I have gotten angry and I have some constipation." In the minds of ordinary people, constipation seems to be inseparable from "getting up", and many people even get some bezoar detoxification tablets to eat by themselves when they are constipated. Every time I see this phenomenon, I feel very distressed. I don’t understand why I have constipation and just take it for granted. The result will only make the constipation worse and worse.
Depending on the cause of constipation, there are medically different diagnoses of functional constipation, organic constipation, and drug-induced constipation, but these medical terms are likely to make you big-headed. It doesn't matter. As for the causes of constipation, I have three general points: one is lack of water, the other is lack of gastrointestinal motility, and the third is there are obstructions in the gastrointestinal tract. These three reasons, especially the last two, are not directly related to the "getting up" in the mouth of the people.
As for the three causes of constipation, I believe anyone can easily understand if they just ponder a little bit. Lack of water makes the stool dry, causing constipation; the gastrointestinal tract is insufficiently motivated, and either has no energy to transport food residues to the rectum and stays in the colon (this medically called colonic constipation), or arrives in the rectum but has no energy Stool is pulled out (this kind of medicine is called rectal constipation), so it is constipated; there are obstructions in the intestines, usually rectal masses (tumors or hemorrhoids), which will prevent stool from falling, and can also cause constipation.
There is also a special case, some constipation is caused by psychological factors. Such patients are often too sensitive. Defecation is a normal thing, but some people think it is a "shame" thing, so they are too sensitive to the surrounding environment, and a little movement will affect their defecation mood and cause constipation.
Constipation is the easiest to "hook up" on hemorrhoids
Many people don't take constipation seriously. Doesn't it mean that it takes a little more time to defecate and takes a longer time? It is not a big deal to not stop eating or drinking.
But I said, constipation is not a serious matter, what about blood in the stool? I believe no one takes it seriously.
What are the common causes of blood in the stool? Hemorrhoids, not to mention the most common, are almost the same. In clinical practice, too many people have seen a doctor because of hemorrhoids bleeding, and even more have not seen a doctor. "Nine hemorrhoids in ten people" is not a joke, the incidence of hemorrhoids is indeed very high.
Doctor Li Weapon
How to distinguish the cause of blood in the stool
Blood in the stool can generally be divided into the following three conditions.
① Upper gastrointestinal bleeding: Often the entire stool is purple-red or even black from the inside to the outside. The color of stool is related to the amount of bleeding. The faster the bleeding speed and the more bleeding, the more reddish-purple stool color.
② Bleeding at the end of the lower gastrointestinal tract: usually blood drips on the stool, and the color and boundary of the stool are distinct. It may be hemorrhoid bleeding, rectal inflammation, or even rectal cancer.
③ Bleeding from hemorrhoids: In many cases, there is no blood in the stool, but there is blood in the stool.
The medical profession generally believes that hemorrhoids are a mass of stasis of veins, which is very soft and easily scratched by dry stool, causing bleeding.
Almost all people with hemorrhoids have constipation. Once constipation and hemorrhoids "hook up" together, they will affect each other and form a vicious circle. Constipation can cause hemorrhoids, because the stool is dry and not smooth, it will work harder when defecation, so that the veins near the anus are squeezed together. After a long time, a cluster of veins will form, and hemorrhoids will gradually protrude over the skin. Conversely, hemorrhoids will aggravate constipation, because the large internal hemorrhoids will affect the patency of the anal canal and cause constipation. In addition, external hemorrhoids will have varying degrees of pain, which will make people afraid to defecate and make the constipation more serious.
In addition to hemorrhoids, long-term constipation can also cause mouth sores, bad breath, acne, bloating, and make people easy to catch colds. Defecation is not smooth, and toxins and metabolites cannot be discharged. They accumulate in the body and easily cause local infection. The location of the infection is not fixed, usually where the body is weak. More than most people, the most common site for infection is the thinner oral mucosa and stratum corneum of the face, which also forms mouth sores and acne (acne). If the infection formed by the accumulation of body metabolites occurs systemically, it will cause a cold and fever. As for bad breath and bloating, this is the consequence of indigestion caused by constipation.
Many female friends around me are deeply troubled by acne. They are very enthusiastic about the "acne-removing masks" on the market and tried one after another. In fact, most acne is not something that can be done with a partial facial mask. The most fundamental way is to adjust the body's interior. In many cases, the constipation problem of these girls is solved, and the acne will heal without medicine.
What to eat?
What to eat can relieve constipation, everyone actually has some experience.
First of all, let’s talk about the taboos. It is forbidden to eat spicy and irritating foods, such as boiled fish and spicy crabs. In order to reduce the burden of defecation, the body is smooth and free of toxins. However, many people do not eat spicy food and still have constipation, because it is too salty. Salt will absorb all the water in the intestines (the principle is the same as pickled vegetables), and of course the stool will dry up and cause constipation.
In terms of cuisine, Sichuan cuisine represented by spicy, Shandong cuisine and Northeastern cuisine, which are mainly sauce-colored and salty, should be "laid off". You can eat more light and less salty Huaiyang cuisine.
Let's talk about laxative ingredients. There are indeed some foods that have laxative effects, but everyone's acceptance of these foods is different, and can basically be divided into three levels.
The first layer is delicious fruit, which means that the ingredients are familiar bananas. People who are able to moisturize the bowels and have mild constipation, eat a banana tonight, and they will pull a "banana" the next day. So good. There is also dragon fruit, which is especially effective for many children's constipation. Eat it today and it will be pulled out tomorrow.
The second layer is not very tasty vegetables and drinks, representing the food is light salt water (drink on an empty stomach in the morning), lemonade, raw cucumber, and celery. These are not as delicious as bananas, but they are equally effective.
The third layer is medicinal materials with the same food and medicine, such as tangerine peel, ebony, lily, and aloe.
If the constipation is not that serious, choosing these laxative foods and rubbing the abdomen can basically solve the problem. If it still doesn't work, you should come to the hospital for treatment.
As I have repeatedly said before, the treatment of constipation does not advocate taking Niuhuang Jiedu tablets to remove gunpowder. So if the effect of life conditioning is not good, what medicine will TCM prescribe for patients with constipation? The classic general prescription is Maren Pill, which can invigorate the spleen and moisten the intestines, and is suitable for most patients with constipation.
Maren pill formula: 10 grams of bitter almond, 10 grams of hemp, 15 grams of white peony, 10 grams of Citrus aurantium, 10 grams of magnolia, 10 grams of rhubarb, 30 grams of raw atractylodes, 10 grams of lotus leaf, 15 grams of lily, black 10 grams of medicine, 10 grams of tangerine peel, 10 grams of raw licorice.
The bitter almond, hemp, white peony root, citrus aurantium, magnolia, and rhubarb are derived from the "spleen yue maren pill" in "Treatise on Febrile Diseases". "spleen yoke" means restricting the spleen and stomach (digestive system). The combination of heavy punches is the "vanguard" in the prescription, which solves the most important contradictions and promotes the power of the digestive system; Zhishi, Baizhu, and lotus leaves come from the famous prescription "Zhishuwan" in "The Synopsis of the Golden Chamber". "", while regulating the qi and strengthening the spleen, is the "military master" in the prescription; Lily and Wuyao come from "Lily Wuyao San", which can relieve Qi stagnation (liver, kidney and large intestine) and help strengthen the gastrointestinal tract; , Licorice comes from "Runxia Pill", which slightly regulates the qi, promotes new life and reconciles the strength of the entire team. The combination of various medicines strengthens gastrointestinal motility and solves bowel problems.
After two weeks of treatment, the doctor will gradually reduce the dose of rhubarb so that the patient can develop his own bowel habit, and then gradually withdraw the drug.
Before taking medicine for constipation, try these four methods
If you want to get rid of constipation, or if you have a little bit of constipation, you can take care of it immediately, and lifestyle changes are crucial. Irregular diet, irregular life, and lack of exercise can cause fluid distribution and lack of motivation in the gastrointestinal tract. This is precisely the main reason for constipation.
It is recommended to drink a glass of cold boiled water in the morning (honey water is better), and go to the toilet immediately after drinking. Even if you have no intention of defecation, you should sit in the toilet for 5 minutes and gradually develop the habit of regular bowel movements. .
Let's talk about sports. Aerobic exercise is highly recommended, and sometimes the effect of exercise in treating constipation is unexpected. Exercise 3 times a week, 1 hour each time. In addition to aerobic exercise, local abdominal exercises such as sit-ups can also be added. The intensity of exercise should be more than 30 minutes perspiration.
Finally, talk about lifestyle habits. Scalding your feet with hot water for more than 10 minutes every night. Chinese medicine believes that soaking feet can induce heat downward. When the soles of the feet are comfortable, it will help the movement of the spleen and stomach and indirectly help the discharge of stool. After soaking your feet, it’s best to massage the soles of your feet for 15 minutes. There are acupuncture points on the soles of your feet that help soothe the nerves and invigorate the spleen, which can enhance gastrointestinal motility. Moreover, there are intestinal reaction points on the soles of the feet to stimulate these reaction points. Helps intestinal movement.
I often say to my relatives and friends: "If you have constipation, don't worry about taking the gunpowder. Try rubbing your stomach first." After a lot of people tried it, they told me the effect was very good, very comfortable, and there were no side effects caused by taking medicine. I’m here to teach you this simple and effective "abdominal massage exercise for strengthening the temper and smoothness of the inch".
①Stomach massage (upper left abdomen).
Massage method: Straight down the left nipple at the intersection with the ribs. Use the index finger of the right hand to stick to the ribs. Do not leave the skin of the abdomen on the hand skin. Locally suck and knead for 5 minutes.
Massage organ: stomach
②Duodenal massage (navel).
Massage method: At the midline of the human body, the palm is close to the belly button, and the skin of the hand does not leave the skin of the abdomen. Partially suck and knead (or shake) for 5 minutes.
Massage organs: duodenum and small intestine.
③Massage the junction of large intestine and small intestine (right lower abdomen).
Massage method: The little finger of the right hand is close to the anterior superior iliac spine (the most obvious high bone connecting the abdomen and the leg when the human body is lying flat), the skin of the hand does not leave the skin of the abdomen, local suction, kneading (also shockable) for 5 minutes.
Massage organs: between the appendix, large intestine and small intestine.
④ Massage from colon to rectum (right abdomen, upper abdomen and left abdomen).
Massage method: From the right anterior superior iliac spine to under the right costal margin, transverse to the left costal margin, then slide to the left anterior superior iliac spine, slide to the right anterior superior iliac spine, rub the above parts in sequence with a certain amount of strength The skin, so that the power soaks into the internal organs, repeats itself, a total of 5 minutes.
Massage organs: ascending colon, transverse colon, descending colon and rectum.
This set of "abdominal massage exercises for strengthening the spleen and qi" takes 20 minutes to do, not long, and the operation is very simple. Why is the effect so good? As mentioned earlier, a major cause of constipation is insufficient gastrointestinal motility, and the cause of insufficient gastrointestinal motility is often spleen deficiency. This set of health exercises massages according to the anatomical order of the digestive tract. The warm heat generated by the massage will penetrate into the muscles and organs, and play a warm and stimulating role. It is good for strengthening the spleen and regulating qi, thereby enhancing gastrointestinal motility and promoting gastrointestinal peristalsis. Make the body restore its own rhythm. Seriously doing this set of massage exercises will have a good effect on constipation, abdominal distension and other physical and mental diseases.
Elderly constipation, don't resist taking medicine
For the treatment of constipation, there are two diametrically opposite approaches. One person has symptoms of constipation and immediately finds medicine to take, while the other person refuses to take medicine no matter how uncomfortable it is. In fact, these two approaches are somewhat extreme. It is not good to take medicine casually, and it is impossible to completely resist laxatives. Especially for the elderly, it is often necessary to rely on laxatives to help relieve constipation.
The constipation of the elderly is different from that of the young. The organs of the young are well-functioning, and most of them are temporary defecation disorders. After the adjustment of diet and living habits, most of them can be relieved. The function of various organs in the elderly is decreased, especially the "shen qi" is relatively weak, and the "shen qi" will cause the intestinal tract to be blocked, and constipation is easy to form, and once the constipation is formed, it is often deeply rooted and depends on its own recovery very difficult. At this time, it is necessary to actively carry out medication. Generally, it takes about 1 month, and some even 3 months.
Why is it said that constipation in the elderly should be actively treated, or even actively treated with drugs. This is because constipation in the elderly is more harmful to health than the young.
Many elderly people suffer from cardiovascular and cerebrovascular diseases, and cardiovascular and cerebrovascular diseases are a big "killer" of health. Many elderly people who have suffered cardiovascular and cerebrovascular accidents have passed away directly, and the survivors often have serious sequelae. In the "black time" when a cardiovascular accident occurs, a very important time is the "toilet time". There are not a few elderly people who have had a stroke or myocardial infarction in the toilet, and many of them are caused by constipation. It can be said that constipation is a big "invisible killer" for the health of the elderly.
Here I would like to advise the majority of elderly friends, because once the constipation of the elderly is formed, it is not easy to treat and easy to relapse, so you should pay more attention to the details of life mentioned above and take preventive measures. Once constipation occurs, you must not take it lightly and seek medical treatment in time to relieve constipation as soon as possible. Also, follow the doctor's advice and insist on taking medication.
Practical digestive knowledge, plain and true story. Welcome to the novel popular Chinese and Western medicine popular book "The stomach depends on nourishing the intestines by clearing"