Constipation Treatment
1. General treatment: including diet, exercise, change bad habits and so on. There is no organic lesion for the ordinary people, are the preferred diet, an increase in dietary fiber foods such as bran bran, fruits, vegetables, etc.; exercise helpful for the people of the bowel, often bed-ridden patients constipation caused by impaction of the situation then; correct tension of life and slow down the pace of work and long-term forbearance will be such as to correct the bad habit of some constipation are also essential.
2. Drug therapy: Although the above-mentioned application, but should also use a number of constipation laxative to assist defecation. Even the general who used laxatives constipation is not cause adverse effects, but long-term use of laxatives, there are likely to cause dependence. Generally divided into cathartic irritant laxative (such as rhubarb, senna, phenolphthalein, castor oil), salt and cathartic (such as magnesium sulfate), permeability of laxatives (such as mannitol), the expansion of laxatives (such as bran Paper, konjac powder, agar do intestinal filling agent), lubrication of laxatives (such as paraffin oil).
According to the severity of constipation in a targeted manner is very important to choose cathartic. Expansion of chronic constipation to laxatives appropriate only when necessary irritant cathartic choice can not be long-term use; acute constipation can choose cathartic salts, and lubrication of cathartic irritant cathartic, but not more than one weeks time ; on long-term chronic constipation, especially those caused by fecal impaction, the method can be used enema, enema soapy water solution and the two sub-salt, and soapy water than salt water for a small irritant.
Cisapride is a new prokinetic drug for treatment of constipation in the colon. Its mechanism is to promote the intestinal myenteric plexus of the release of acetylcholine can enhance the intestinal movement and to promote the functioning of the small intestine and large intestine. Absorption after oral administration promptly, thoroughly, 1 ~ 2 hours of peak plasma concentration, half-life of 10 hours a day. Colon constipation can be used as an ideal drug treatment. But for serious constipation, and achieve the desired therapeutic effect, you may need 2 to 3 months.
3. Fecal impaction treatment: used enema, oral laxatives and anal Kai Sai Lu shot and so on, are often invalid. Perianal extrusion may be the way, women can be a finger to help the oppressed will be vaginal wall. Clinical commonly used method is the index finger (wear gloves) into the anus, the Mission will be dry manure is separated into small pieces by cutting out or stimulate the Kai Sai Lu discharge, should be null and void under local anesthesia will be in Mission dug manure.
4. Hydropathy: This is the treatment of intractable constipation an effective new therapies. Through the apparatus, the purification of salt water sterilization continuously injected into the anus, after repeated washing, so that the plot of the large intestine in the feces, to removal of intestinal toxins, bacteria and parasites, to restore normal intestinal function of absorption and excretion purposes. Oral laxative and colon hydrotherapy and the general difference is that the therapy without pain, a thorough cleaning, suitable for a variety of constipation, and beauty with the effectiveness of detoxification. Generally every 1 to March 1 each time and 45 minutes.
5. Surgical treatment: constipation as a result of the need for surgical treatment of primary lesions.
Slow transit constipation surgical conditions:
1) colon tension-free;
2) no outlet obstruction;
3) except for irritable bowel syndrome. Colon can cut the whole paragraph or sub-operation.
Outlet obstruction constipation: Treatment includes:
1) rectocele: repair anterior vaginal wall or rectum;
2) rectal prolapse: the treatment of rectal occlusion often used to shorten the length of injection sclerotherapy may also increase surgical ligation of the combination therapy.