8. What are the causes of constipation in the elderly?
(1) Dietary factors: Elderly people lose their teeth, prefer to eat low-residue and fine food, or a few patients are convenient and easy to eat. Simple diet and lack of crude fiber can reduce stool volume, increase viscosity, and slow down intestinal movement. Constipation caused by excessive water absorption.
(2) Defecation habits: Some elderly people do not develop the habit of defecation regularly, and often ignore the normal intention to defecate, which causes the defecation reflex to be inhibited and constipation.
(3) Reduced activity: The elderly have reduced activity due to certain diseases and obesity factors, especially those who are bedridden or in wheelchairs due to illness, because of the lack of exercise stimulation to promote the movement of stool, they are often prone to constipation.
(4) People suffering from depression, anxiety, obsessive-compulsive disorder and other psychological disorders are prone to constipation.
(5) Intestinal diseases: Intestinal diseases include inflammatory bowel disease, tumor, hernia, rectal prolapse, etc. Such diseases cause functional outlet obstruction and defecation disorders.
(6) Systemic diseases: systemic diseases include diabetes, uremia, cerebrovascular accident, Parkinson's disease, etc.
(7) Iatrogenic: abuse of laxatives.
9. Why are children prone to constipation?
First of all, children have poor self-discipline and tend to eat a partial eclipse (picky eaters). They tend to emphasize high-sugar, high-fat and other foods in their diets, and lack cellulose-rich fruits and vegetables.
Secondly, parents lack sufficient knowledge of children’s reasonable diets, and are often "responsive" to children, failing to cultivate good eating habits for children.
In addition, milk-fed children can easily cause dry stools because of the high protein content and improper calcium-phosphorus ratio in milk.
Finally, children with a family history of obesity are prone to overweight or obesity, and constipation is more likely to occur on the basis of lack of exercise.
10. When does constipation occur frequently?
Autumn and winter are the seasons for constipation.
The weather is dry in autumn and winter, and the human body is easy to lose water. If you don't add water in time, it can easily cause constipation. In addition, the temperature is low in autumn and winter, excessive intake of high-fat and high-sugar foods, and reduced intake of fruits and vegetables. This unhealthy eating habit can also easily cause constipation. Another important reason is that the temperature drops in autumn and winter, and people’s exercise time is also reduced, and the metabolism in the body becomes slow. After a long time, excessive accumulation of garbage in the body will lead to habitual constipation.
11. What is the harm of constipation?
Constipation is a common clinical complex symptom, not a disease. It mainly refers to the decrease in the number of bowel movements, the decrease in stool volume, dry stool, and laborious defecation. Although it is not a disease, it is very harmful if it is not treated in time.
(1) Impairment of brain function: When constipation, the metabolites stay in the digestive tract for a long time and produce a lot of harmful substances, such as methane, phenol, ammonia, etc. These substances partially diffuse into the central nervous system and interfere with brain function. The outstanding performance is memory. Decline, distraction, slow thinking, etc.
(2) Initiation of heart and cerebrovascular diseases: clinically, there is an increasing trend of heart and cerebrovascular diseases caused by constipation and exerting force to increase abdominal pressure. Such as inducing angina pectoris, myocardial infarction attack, cerebral hemorrhage, stroke sudden death and so on.
(3) Lead to gastrointestinal nerve dysfunction: when constipation, fecal retention, absorption of harmful substances can cause gastrointestinal nerve dysfunction and cause loss of appetite, abdominal fullness, belching, bitter mouth, and excessive anal exhaust.
(4) Impairment of sexual life: This is due to long time defecation, fatigue of the rectum, too tight anus contraction and spastic contraction of the pelvic floor, so that no ejaculation or loss of libido, no orgasm in sexual life, etc.
(5) Cause fecal ulcer: The harder stool compresses the intestinal cavity to narrow the intestinal cavity and the surrounding structures of the pelvis, hinder the expansion of the colon, and compress the rectum or colon to form fecal ulcers. In severe cases, it can cause intestinal perforation.
(6) Causes colon cancer: It may be caused by constipation that makes the carcinogens in the intestines unable to be eliminated for a long time. According to data, about 10% of people with severe constipation suffer from colon cancer.
(7) Causes anorectal diseases: When constipation, it is difficult to defecate and dry stools, which can directly cause or strengthen anorectal diseases. Such as proctitis, anal fissure, hemorrhoids, etc.
(8) It is easy to cause gynecological diseases: it is easy to cause women to have dysmenorrhea, vaginismus, and produce symptoms such as urinary retention and urinary tract infection.
12. What effect does postpartum constipation have on the patient?
(1) Lack of appetite: Constipation slows down intestinal emptying and slows down metabolism. New mothers will feel fullness in the abdomen, fullness and discomfort after meals, and lack of appetite. Long-term lack of appetite can cause malnutrition, anemia, and decreased immunity.
(2) Accumulation and absorption of toxins: feces stay in the intestine for too long, and some harmful toxins in it will gradually accumulate. It is inevitable that some of them will be absorbed by the intestinal wall. They enter the body through the venous circulation and cause mild toxemia. Affect the health of the new mother, and also affect the health of the baby through breastfeeding.
(3) Obstruction of the blood circulation in the pelvic cavity: slow intestinal peristalsis slows down the blood circulation in the pelvic cavity, which is not conducive to the recovery of the new mother's postpartum reproductive system, and will also affect the recovery of postpartum sexual life.
(4) Anal fissures and hemorrhoids: The continued constipation causes pelvic and perianal blood reflux disorders, most of which will form varying degrees of anal fissures and hemorrhoids. The high incidence of hemorrhoids in women is due to postpartum constipation.
(5) Emotional irritability: Constipation can make people anxious and get angry. This is an experience many people have had. The new mother itself is in a psychologically sensitive period, constipation is more likely to cause abnormal emotional reactions, upset, irritability, sometimes anger, sometimes sadness, so constipation can be said to be a potential enemy of mental health.
(6) Endocrine changes: Long-term constipation causes changes in the endocrine system, menstrual cycle disorders, skin pigmentation, and chloasma and acne. It can also cause breast tissue cell mutation and increase the possibility of breast cancer. Scientific statistics show that women with long-term constipation are 20% more likely to develop breast cancer than normal women.