Constipation: How to treat & Avoid ?

Constipation is a condition in which a person has uncomfortable or infrequent bowel movements. Generally, a person is considered to be constipated when bowel movements result in passage of small amounts of hard, dry stool, usually fewer than three times a week. However, normal stool elimination may consist of having a bowel movement three times a day or three times a week; it depends on the person.
on the duration and severity of the constipation, since most persons experience constipation at one time or another. The doctor will also take into account the patient's age, and whether there is blood in the stool, recent changes in bowel habits, or weight loss.

Diagnosing constipation may include:

Medical history. The doctor will ask for a description of the constipation, including duration of symptoms, frequency of bowel movements, and other information to help determine the cause of the constipation.

Physical examination. A physical examination may also include a digital rectal examination (DRE), in which the doctor inserts a gloved, lubricated finger into the rectum to evaluate the tone of the muscle that closes off the anus. This examination also helps detect tenderness, obstruction, blood, amount and caliber of stool, and if enlargement of the rectum is present.

Specific treatment for constipation will be determined by your doctor based on:

Your age, overall health, and medical history

Extent of the condition

Your tolerance for specific medications, procedures, or therapies

Expectations for the course of this condition

Your opinion or preference

Most often, constipation can be treated through dietary and lifestyle changes, which relieve symptoms and help prevent the condition. Treatment may include:

Diet modifications. A diet with 20 to 35 grams of fiber daily helps in the formation of soft, bulky stool. While adding foods such as beans, whole grains, bran cereals, fresh fruits and vegetables is helpful in adding fiber to the diet. Limiting foods such as ice cream, cheeses, meats, and processed foods, which contain little or no fiber can also be helpful.

Laxatives. Laxatives may be prescribed after diet and lifestyle changes have failed to be effective.

Eliminating or changing medication

Biofeedback. Biofeedback is used to treat chronic constipation caused by anorectal dysfunction. This treatment retrains the muscles that control release of bowel movements.

Lifestyle changes, such as increased water and juice intake, regular exercise, and allowing enough time for daily bowel movements can be helpful.

Dr. Kush Nandwana
DrNB (Urology), DNB General Surgery, MBBS
DrNB (Urology)- Jaslok Hospital & Research Centre, Mumbai
DNB (General Surgery)- Civil Hospital, Aizawl, Mizoram
MBBS- Mahatma Gandhi Medical College, Jaipur, Rajasthan

Ex-Registrar- Dept of General & Laparoscopic Surgery, Pandit Madan Mohan Malviya Hospital, Malviya Nagar, Govt of NCT, New Delhi
Ex-Medical Officer Incharge- Department of Health and Welfare, Govt of Rajasthan.

Mobile 9636864808
email- [email protected],
[email protected]


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