Constipation is a common problem among the elderly. The incidence of constipation in the elderly is 2.5 times that of the normal young people, which is related to the decline of the elderly's physical fitness, decreased digestive function, and lack of exercise.
Defecation less than 2 times a week, lasting more than 3 months, laborious defecation, hard stools, can be regarded as constipation. When constipation occurs, you should first go to a regular hospital to check whether it is an organic cause. If there is no clear cause, it is mostly functional habitual constipation. At this time, different dietary strategies are adopted for different situations.
Cause 1: Intestinal peristalsis slows down. Manifestations are often accompanied by abdominal distension, indigestion, and belching. Relief: increase stool volume and exercise appropriately.
Slow intestinal peristalsis will cause food residues to stay in the intestines for too long, and the water in the residues will be reabsorbed by the intestines, which easily leads to dry stool. Increasing the volume of stool can stimulate intestinal peristalsis and produce bowel movements. Therefore, you should ensure that you eat enough food and eat fiber-rich foods. Fiber cannot be digested, as food residue, can significantly increase the volume of stool and help defecation. Foods with high dietary fiber content, in addition to vegetables and fruits, also include coarse grains such as oats, buckwheat and sweet potatoes, as well as various seaweeds and mushrooms, which can be eaten properly. If the elderly do not have diabetes, drink a glass of honey water on an empty stomach every morning. Gas-producing foods are also good for preventing constipation. Foods such as radishes, garlic, beans, etc. can be eaten appropriately. Gas has a "bloating" effect on the intestinal tract, which is beneficial to increase bowel movements and promote bowel movements. Exercise can promote gastrointestinal peristalsis, exercise more daily (such as jogging, brisk walking, etc.). With the navel as the center, massage the abdomen 30-50 times clockwise, once a day, it also has a certain effect on preventing and curing this type of constipation.
Cause two: dry stool. The stools are dry and hard, with sheep feces-like granular, intended to defecate, but the discharge is laborious and the discharge feels incomplete, and it may also cause anal fissure bleeding. Ways of mitigation. Increase total stool volume and lubricate the intestines.
The secretion of digestive juice in the elderly is reduced, the digestive function is weakened, the food is too fine or the fried food is too much, and the amount of drinking water is insufficient, which often leads to reduced stool volume and dry stool. If you do not defecate in time, the stool will be more dry and harder to pass. It may aggravate hemorrhoids and anal fissure symptoms. In this regard, it is necessary to increase stool volume while lubricating the intestines. Drinking plenty of water can not only replenish water, but also effectively stimulate the intestinal tract to accelerate peristalsis. Drinking a moderate amount of water every day is also helpful for improving constipation. The daily diet should be light and soft, increase the intake of dietary fiber, especially soluble dietary fiber, and eat fat-rich foods, such as almonds, macadamia nuts, almonds and other nuts. You can also choose honey, sesame and other foods with moisturizing and laxative effects. Vegetable oils such as peanut oil and sesame oil can directly moisturize the intestines, but the breakdown product fatty acids help stimulate intestinal peristalsis and can be taken appropriately.
Cause three: inability to defecate. The patient is weak and weak, which is related to muscle contraction and weakness related to defecation, resulting in intention to defecate but unable to defecate on its own. Relief: reduce stool volume and strengthen nutritional support.
Patients in coma, bedridden and physically weak patients are often unable to defecate, which leads to constipation. For such patients, increasing the intake of fiber will increase the burden on the intestines and increase the difficulty of defecation. In this case, manual defecation is usually required. In terms of diet, the volume of feces is reduced, and it is not recommended for patients to eat too much and increase excessive dietary fiber.
How to achieve a balance between eating less and adequate nutrition? Ask a doctor to help calculate the daily nutrient required by the patient, and then give me fine foods or even artificially formulated nutrients to increase the absorption rate. While satisfying nutrition, try to reduce food residues, thereby reducing the frequency of bowel movements and reducing the suffering of patients. If necessary, you can use fully-formulated nutrients.