2023-07-30 06:20:00
Key Point :
bowel obstruction It is a condition in which the stool is full in the abdomen. Often found in patients with excretion problems, constipation, poor excretion or constipation.
Caused by chronic constipation, irritable bowel syndrome, taking certain medications and other diseases such as tumors and cancer in the abdomen. Including the habit of holding back until becoming a habit
constipation treatment They range from taking laxatives, adjusting behavior, increasing fiber intake. to the surgery to shorten the intestines, as well as people aged 50 years and over if they have constipation May also be at risk of cancer
actiondefecateConsistently beneficial to the body. can help reduce the risk ofbowel obstruction Constipation, bowel obstruction bowel cancer and other diseases related to excretion especially obstruction in the stool will result inconstipationSeverely, while many people think that using laxatives will help treat obstruction. But in fact, it may be more detrimental to health.
Dr. Supamas Chuen-aksorn, M.D., Department of Gastroenterology and Liver Disease Department of Internal Medicine Faculty of Medicine Ramathibodi Hospital educate full stool In the program to shorten the queue of Doctor Rama through Rama Channel, Rama Channel, that fecal obstruction not official name It is a condition in which the stool is full in the abdomen. It is mostly found in those who have plain X-rays of the abdomen and the feces in the large intestine. Often found in patients with excretion problems, constipation, poor excretion or constipation. Most of them are divided into two parts:
related news
1. There is no cause. Take it to check anything. It’s normal. There are 2 diseases: chronic constipation and irritable bowel syndrome.
2. There is an obvious cause, such as taking certain medications that cause constipation, such as women taking iron-containing drugs or elderly people with osteoporosis and thinning bones and needing calcium. Or some medicines can cause constipation and cancer can cause intestinal obstruction. It could be an intestinal tumor. Abdominal cancer causes constipation, poor bowel movements, diabetes, low thyroid type slows bowel movements
If there is a clear cause Then go to deal with the cause, such as treating diabetes well, treating thyroid, constipation will improve. Treatment according to the symptoms of the disease But the group that is difficult to treat is the group that has no cause. and found more causing poor quality of life, although not serious but not comfortable Most of the disease group has no cause. will be more female than male and found in younger people Most often start at a young age. When repeated over and over causes stress hormones to be secreted. can’t escape from these conditions
symptom
However, patients often have symptoms. feel that he or she is defecating abnormally, taking less or less, or needing equipment to help, may have to use a garden, use fingers, and a washing line Taken every day but hard have a stomach ache or some people have to strain and bleed
Dr. Supamas further explained that When looking at patients with chronic constipation, they will find that they may have intestinal insufficiency. slow motion This group encourages The feeling of the intestines may be less than others, about 3-4 days, may have pain once, have experienced 2-3 weeks without defecating at all, or 1 month, defecating once. which is about bowel movements that may be slow may include the small intestine and other abnormalities of the gastrointestinal tract even eating normal food
or there may be abnormal excretory behaviors such as pain, but in a situation that is not suitable for going to the toilet, having to hold back The body will learn to keep it, so it may take up to 3 days before the pain comes back. Some people don’t like to go to the bathroom outside. Or while traveling, traffic jams make your body get used to it.
How many days did not take therefore considered abnormal
Dr. Supamas explains that in fact, we don’t need to take pictures every day. Everyone’s normal is different. But when do we think we’re wrong? and interfere with the quality of life Must consult a doctor, however, people can take from 3 to 21 times a week. The smallest allowed is 3 times a week. However, the small number of times alone does not mean that you have bowel problems. Some people take it every day but it takes a lot of effort to go to the bathroom. Or go out every day, but not a lot This is also called having problems with excretion as well.
“If not taken for a long time Most of the time, people with last stools are expelled and have no complications. But one complication that will occur In the case of a type that has no cause, that is, when getting older May result in intestinal obstruction or pressure causing intestinal perforation ulcers, but not a lot but if it is caused by a tumor There will be complications more easily. Whether it’s bleeding, intestinal obstruction”
Will the body actually suck waste back or not? when not shooting for a long time
However, the understanding that if holding the stool for a long time will cause the body to absorb some waste back into Dr. Supamas, M.D. Explain that most will not be like that. feces when it reaches the large intestine The function of the large intestine is the reabsorption of water. Has the ability to absorb a lot of water back but unable to absorb various wastes can go back besides water But the long pending What’s going to be a problem is making the stool harder, harder to pass, and more constipation.
But there may be little information that people who have been constipated for a long time may increase the chances of infection But this information is not clear, it’s just an observation. Including many people who say prolonged constipation causes acne, scientific proof is not clear. is just an observation
How to treat frequent constipation?
Dr. Supamas explained that must be noted that constipation Is it related to behavior? Behavioral adjustments can help in some patients, such as eating less fiber. Some people eat a little more vegetables and can have a normal bowel movement. But many people who eat a lot of vegetables are still not out. You can increase the amount of fiber naturally or in sachets and you need to drink a lot of water and have the right bowel habits. may need to retrain Responds promptly to the pain of excretion. Increasing exercise such as aerobics and yoga helps to improve excretion. Some people just adjust their behavior.
But if behavioral adjustments are still insufficient, the next step is the use of laxatives. that might help which has many groups Each person may be suitable for certain groups of drugs. and caution in some groups of patients But if laxatives still do not work. It may be a drug that works better than a laxative. But if it’s not good, you need to check more. If the intestines are sluggish unresponsive to medication May have to shorten the large intestine. as a last resort Additional assessment is required. Whether the patient is suitable to remove the entire bowel or not. to shorten the intestines
“A person who has a sluggish bowel because the intestine looks long Until it moves to the bottom, it makes it difficult to take photos. But make sure there are no other reasons. and not a person with abnormal straining not a person who is restrained If someone who likes to hold back Even if the intestines are removed, but they cannot be flexed, they cannot be taken. Therefore, in most cases, if they do not respond to medication Whether it’s a basic laxative or a drug that is a special mechanism. Often have to check the function of the colon to see where it is abnormal. should be solved by teaching new excretion training how to excrete but if there is no problem here Only intestinal problems that do not respond to medication should consider amputation.”
Suppositories, douching, can I do it often?
At the same time, suppositories or enema are recommended for temporary use. because it only acts in the distal colon But the behavior that requires the use of devices to help, such as finger picking, flushing, detox means that the patient has problems with the control of straining, must be examined and repeatedly repeated. Chances of developing ulcers in the large intestine and bleeding
for products that say fiber Take it and take a large amount. Most of them are not the only fiber. Because usually natural or powdered fiber does not have a laxative effect. Most of them increase stool mass and need to drink a lot of water. to shoot more Sometimes people who eat fiber alone don’t have bowel movements, so they often mix with stimulant laxatives. Must look at the ingredients carefully.
seniors must be careful Always check the warning signs.
However, in the beginning, most people tend to find help first. But the case that should not go to buy medicine is at a very old age. and never examined the colon Since the general population aged 50 years and over is at risk of developing colon cancer, it is advisable to check if there is a problem with colon cancer, such as a stool test or a colonoscopy.
Next is the warning signs such as bloody diarrhea. (Blood does not mean that all cancers. If it’s fresh blood, it may be hemorrhoids or anal sphincter torn from forceful straining). Or people with a family history of colon cancer must be careful.
protection
Practice excretion for a time. drink enough water Eat foods that contain fiber, refrain from flour, oil and fat, exercise, avoid holding stools.
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