2021年1月23日星期六

hemorrhoids essential oils,Common causes and triggers of constipation

    2018-02-21 Digestive Liver Disease Channel in the Medical Circle

    Constipation is a problem that causes headaches for many people. What are the causes of constipation? Let us understand together.

    Author丨Zhu Haihang

    Source丨Navigational digestion

    All drugs used to treat constipation are the symptoms, and finding the cause of constipation and treatment is the root cause. There are many causes of constipation. Most constipation has more than one cause, which is often caused by a combination of factors. Some directly cause constipation, and some can induce and aggravate constipation.

    A study on the etiology of chronic constipation in Beijing found that functional non-organic diseases accounted for 57.1%, drug factors accounted for 9.0%, endocrine and metabolic diseases accounted for 6.2%, digestive tract organic diseases and anorectal diseases accounted for 12.4%. In other words, most of the causes of constipation are functional and motility abnormalities. About one in ten patients have structural problems in the anus and rectum.

    The author collected the common causes, triggers and aggravating factors of constipation, so that patients can roughly understand the possible causes of their own constipation. Most of the constipation that is milder or short-term can be relieved by self-maintaining measures. The constipation is more serious, longer and longer. Constipation with tumor alarm symptoms needs to go to the hospital to check the cause and cause of treatment.

    Common causes, triggers and aggravating factors of constipation

    Predisposing factors for constipation

    ■Elderly people, up to 22% over 60 years old;

    ■Women are more prone to constipation than men, female/male=1.22-4.56/1

    ■Physical wasting, low body mass index;

    ■Imature intestinal function of infants and young children;

    ■ Secretion changes during pregnancy, fetal compression;

    Bad life factors

    ■Failure to develop the habit of regular bowel movements every day;

    ■ Overtime, business trip, toilet environment, etc. neglect to defecate and endure;

    ■Sit for a long time;

    ■Lack of exercise;

    ■Long-term bed rest;

    Bad dietary factors

    ■Unreasonable diet structure and insufficient dietary fiber intake;

    ■A small appetite or active dieting due to weight loss;

    ■Irregular eating and reducing due to various reasons;

    ■Toothache, sore throat, stomach pain, etc. affect eating;

    ■ No drinking habit, fail to hydrate in time when sweating increases;

    Mental function factors

    ■Irritable bowel syndrome constipation type (D-IBS);

    ■Functional constipation, functional defecation disorder;

    ■Anxious state, anxiety disorder; Depressive state or depression;

    ■Anorexia nervosa;

    ■Intellectual disability, cognitive disability, dementia;

    Possible drugs that cause constipation

    ■Antihypertensive drugs that relax vascular smooth muscle;

    ■Relax gastrointestinal smooth muscle with gastrointestinal antispasmodic drugs;

    ■Sedatives, sleep well, anti-anxiety and depression drugs;

    ■Antiasthmatic drugs, anti-allergic histamine drugs;

    ■Diuretics, dehydrating agents;

    ■Anti-gastric acid drugs containing calcium and aluminum;

    ■Calcium supplement, iron supplement drugs and health products

    ■Long-term oral laxatives and health products containing anthraquinone ingredients;

    ■Overdose of antidiarrheal drugs;

    ■Anti-Parkinson's disease, epilepsy and nerve blockers;

    ■Morphine and non-steroidal anti-inflammatory analgesics;

    Anorectal lesions obstructed defecation outlet

    ■Anal fissure, hemorrhoids, anal fistula, inflammation and other anal pain, dare not defecate;

    ■ Anal lesions affect defecation after surgery;

    ■Anus spasm pain;

    ■Internal anal sphincter ataxia;

    ■ Levator ani syndrome;

    ■Stool and rectal impaction;

    ■Rectal tumors;

    ■Rectocele; rectal prolapse;

    ■External pressure such as posterior uterus and tumor;

    ■Tumor pelvic plant metastasis (rectal nape sign);

    ■Pelvic floor muscle spasm;

    ■Puborectal muscle hypertrophy;

    ■ Anastomotic stenosis after rectal surgery;

    ■Stenosis after various rectal inflammations such as inflammation after radiotherapy.

    Colonic motility disorder causes weak bowel movements

    Metabolic and endocrine diseases:

    ■Long-term diabetes and failure to control blood sugar ideally;

    ■Hyperthyroidism or hypofunction;

    ■Hypercalcemia, hyperparathyroidism;

    ■Menstrual period, menstrual disorders or disorders;

    ■Glucagon tumor;

    ■Hypermagnesium or hypomagnesemia;

    ■ Hypokalemia;

    ■Porphyria;

    ■ Hypopituitarism;

    Nerve and spinal diseases

    ■Cerebrovascular disease and sequelae;

    ■Parkinson's disease;

    ■Brain tumors;

    ■Multiple Sclerosis

    ■Spine fracture, injury, tuberculosis or tumor;

    ■Lumbar disc herniation;

    Chronic wasting disease;

    ■Heart insufficiency;

    ■ Liver insufficiency, hepatic encephalopathy;

    ■Chronic renal insufficiency, uremia;

    ■Dermatomyositis, scleroderma, systemic sclerosis;

    ■Muscular dystrophy disease;

    Abnormal colon structure obstructed defecation

    ■ Fecal sigmoid impaction;

    ■Intestinal obstruction of various reasons such as volvulus and intestinal adhesions;

    ■Senosis after various chronic colon inflammation;

    ■Colon tumor, huge polyp obstruction;

    ■Colon prolonged disease, colon asthenia;

    ■Congenital or acquired Hirschsprung's disease;

    ■Diversion, adhesion, anastomosis, etc. after gastrointestinal surgery;

    Abdominal disease

    ■A lot of chronic ascites abdominal muscle contraction weakness;

    ■ Diaphragm paralysis;

    ■Old chronic bronchitis emphysema and the lower muscles;

    ■High spinal paralysis.

    references

    (1) Guidelines for the diagnosis and treatment of chronic constipation in China (2013)

    (2) Jiang Xuji Gastroenterology (2nd Edition)

    (3) Practical Internal Medicine (15th edition)

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