2020年12月23日星期三

what does a hemorrhoids look like,Do you really understand constipation?

    1. What is constipation?

    Perhaps when we see the word "constipation", most of us will think of symptoms such as dry stools and a few days in a row. In fact, some constipation is not limited to these symptoms, such as: "Relieve stool several times a day, but feel every time "Unclean solution", "repeatedly go to the toilet several times to solve the problem", "I want to solve it but I don't feel it when I squat in the toilet", "The stool is thin but the solution is still not clean" and so on. It is constipation. On the other hand, if a person only relieves his bowel movements for several days or even a week, but he does not feel any discomfort, and does not feel that this has any effect, then this situation is not considered constipation. So how should constipation be defined? In fact, there are some discrepancies in the traditional concept. The correct concept of constipation should be like this: Constipation refers to the changes in the structure and function of the colorectal and anus under the action of multiple pathogenic factors, and the clinical manifestation is one of the main manifestations of difficulty in defecation. A complex disease. This has nothing to do with the number of bowel movements and the number of days to defecate. As long as we feel that the physiological process of defecation makes you feel uncomfortable, or even a series of symptoms such as abdominal distension and abdominal pain that seem to be unrelated to defecation, it should be regarded as constipation.

    2. What are the hazards of constipation?

    Turning on TV advertisements about constipation drugs is really overwhelming. Most of them make a fuss about the dangers of constipation. So how terrible is constipation? Which hazards are the most important?

    1. Hemorrhoids. Forceful bowel movements during constipation can directly cause or strengthen rectal and anal diseases, such as hemorrhoids.

    2. Exacerbate cardiovascular and cerebrovascular diseases. In elderly patients with constipation and cardiovascular and cerebrovascular diseases, excessive force during defecation will increase blood pressure and increase the body's oxygen consumption, which can easily induce cerebral hemorrhage, angina pectoris, myocardial infarction, and even life-threatening.

    3. Damage to beauty. With long-term constipation, harmful substances such as hydrogen sulfide, ammonia and indole in the feces are re-absorbed into the blood, causing the skin to be rough and dull, resulting in acne, pigmentation, and facial spots.

    4. Tumors of the digestive tract. Long-term constipation has a significantly higher incidence of colon cancer due to the long-term stimulation of metabolite toxins.

    5. Psychological and mental disorders. The unhealed constipation has brought great pain to his life, aggravated the mental and psychological trauma, and even felt unhappy. Some patients committed suicide because of constipation.

    Among the above hazards, the mental and psychological abnormalities caused by constipation are the most serious.

    3. What are the factors related to the occurrence of constipation?

    1. Bad living habits. Irregular diet, frequent staying up late, poor mood, anger and other bad habits can lead to constipation.

    2. Too little physical activity, sitting and working all year round, slow bowel movements. Our colon also needs exercise to be able to deliver stool well, and frequent inactivity can also lead to constipation.

    3. Unreasonable diet structure. The diet lacks crude fiber vegetables and is based on fine foods.

    4. Old and weak, weak contraction of the abdomen, intestinal wall and perineal muscles around the levator anus, resulting in poor bowel movements.

    5. Abuse of stimulant laxatives. Most of the laxative drugs advertised on the market are harmful to enteric nerve function, such as aloe capsules, various types of laxative teas, Xiangdanqing, etc. Long-term use of such drugs can cause constipation.

    6. Constipation due to changes in living environment. Objective factors such as outings or meetings are not allowed, subjectively inhibiting constipation, leading to temporary constipation.

    7. The influence of other diseases and drugs. Such as anal fissures, hemorrhoids and bleeding who are afraid of pain and dare not defecate. If the elderly suffer from Parkinson's disease, taking medication all the year round can also cause constipation.

    4. How to prevent constipation, what should I do if I get constipation?

    1. Develop good bowel habits. According to the previous point of view, patients are always asked to wake up in the morning to defecate. As a result, many people wait to defecate without intending to defecate. Some people even squat in the toilet to read and read the newspaper. The serious result is increased abdominal pressure and pelvic floor muscles. Excessive stretch, pelvic congestion, etc. Years and months will inevitably lead to relaxation of the pelvic floor muscles, decline of the perineum, loosening of the adhesion between the rectal mucosa and the muscle layer, mucosal prolapse or intussusception of internal hemorrhoids, external hemorrhoids, anal prolapse, etc., which can cause or aggravate defecation disorders. The correct defecation habit should be: change your mind at any time, let it go with the flow, take advantage of the situation, do not limit the moment, and cannot bear it.

    2. Drink plenty of water and adjust your diet

    The elderly should eat more fiber-containing foods, such as coarse flour, brown rice, corn, celery, leeks, spinach, and fruits to increase dietary fiber, stimulate and promote intestinal peristalsis. Sesame and walnut kernels have the effect of moisturizing the intestines. It should be pointed out that crude fiber foods such as celery can not increase intestinal motility, and eating more will increase the burden of intestines. Elderly people recommend eating less.

    3. Appropriately participate in sports: Life lies in sports. If you want to be beautiful, shut your mouth and open your legs! Appropriate exercise is good for health.

    4. Maintain an optimistic mood.

    5. Drug treatment. If constipation cannot be improved by adjusting diet and changing lifestyle habits, drug treatment is required. It is best to ask a doctor to prescribe drugs after seeing a regular hospital gastroenterology department, anorectal department, etc., and try to avoid purchasing laxative drugs by yourself. Most laxatives on the market The drugs are all stimulant laxatives, and occasional use is no problem. Long-term use will definitely damage the function of the colon. For example, long-term use of stimulant laxatives, such as senna leaf and fruit guide, will prevent dependence and degrade bowel movement. Exacerbate constipation. Commonly used drugs are: colon prokinetics, probiotics, osmotic laxatives, etc., such as: methyl cellulose, polyethylene glycol, lactulose, etc.

    6. Biofeedback treatment:

    Principle: Biofeedback therapy is a self-training method, or “re-education”, which uses the physiological signals generated by the human body to train according to the pattern given by the instrument system, and allows the patient to know what indicators of himself during the training Abnormal, and then consciously observe the changes of abnormal indicators through training such as levator anus, abdomen, force defecation, and coordination of internal and external sphincter movements of the anus, and constantly adjust and train to make it normal, and finally achieve normal defecation autonomously.

    Indications: Outlet obstructive constipation caused by external anal sphincter dysfunction, decreased rectal sensitivity, weakened rectal anal reflex, abnormal rectal and anal motility, etc. Symptoms: feeling of incomplete defecation, hard defecation, low defecation, often Anorectal fall.

    Advantages: No medicine, no surgery, non-invasive, no pain, and treat constipation in the game.

    7. Surgical treatment. Constipation that is ineffective after all the above methods is chronic intractable constipation. The course of the disease is often more than 6 months. The conservative treatment by Western medicine and traditional Chinese medicine is ineffective. At this time, we need to go to a hospital that specializes in constipation for systematic examination, such as : Colon transport experiment, electronic colonoscopy, anorectal pressure measurement, barium enema colonography, defecography, pelvic dynamic multiple imaging, gastrointestinal psychological assessment, etc. This series of examinations takes about a week to complete. The doctors who pass these examinations The specific cause of constipation can be found, and more specialized treatment can be adopted. Some oral obstructive constipation treatments and slow transit constipation require surgical operations to cure.

    In short, constipation is a benign disease that will not threaten lives in a short period of time, but constipation has many harms, the biggest of which is the harm to our mentality, so you must pay attention to it when you encounter constipation. Just look at the advertisements, buy drugs on their own, and covet them for a while, causing irreversible damage to the nerve function of the colon. It is best to go to a hospital specialized in constipation for examination and treatment.

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