Constipation

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HTM Pharmacy

What is Constipation?

Constipation is generally describes as having fewer than 3 bowel movements per week.

Pathophysiologically, constipation may result from slow colonic transit, faecal evacuation disorders, and a combination of both disorders.

 

Common Risk Factors

•Being an older adult
•Dehydration
•Diet low in fibre
•Too little/no physical activity
•Taking certain medications, including sedatives & opioid pain medications
 

Sign & Symptoms 

•Passing fewer than 3 stools/week

•Having lumpy/hard stools

•Straining to have bowel movements

•Feeling as though there is a blockage in the rectum

•Feeling as though unable to empty the stool completely

 

Complications:

•Swollen veins in the anus (haemorrhoids)

•Torn skin in the anus (anal fissure)

•Stool that cannot be expelled (fecal impaction)

•Intestine that protrudes from the anus (rectal prolapse)

 

Food to Focus

•Fruits and vegetables

•Whole grains

•Bean

 

Food to Avoid

•Meat

•Dairy

 

Lifestyle Modifications

•Increase fibre intake of at least 20-35g/day

•Don’t hold the urge of going toilet

•Drink lots of fluid to stay hydrated

•Curb your stress

•Do some exercises

 

References

1. Marc D Basson MD. Constipation [Internet]. Practice Essentials, Background, Pathophysiology. Medscape; 2021 [cited 2022Jan4]. Available from: https://emedicine.medscape.com/article/184704-overview

2. UC G. Review of pathogenesis and management of constipation [Internet]. Tropical Gastroenterology. [cited 2022Jan4]. Available from: http://www.tropicalgastro.com/articles/28/3/Review-of-pathogenesis-and-management-of-constipation.html#:~:text=Pathophysiologically%2C%20constipation%20may%20result%20from,transit%20and%20faecal%20evacuation%20disorder.

3. John P. Cunha DO. 12 foods to eat for constipation: Remedies for painful, hard stool [Internet]. MedicineNet. MedicineNet; 2021 [cited 2022Jan4]. Available from: https://www.medicinenet.com/top_foods_for_constipation_relief/article.htm

4. John P. Cunha DO. 15 foods that cause constipation (caffeine, red meat, alcohol) [Internet]. MedicineNet. MedicineNet; 2021 [cited 2022Jan4]. Available from: https://www.medicinenet.com/top_foods_that_cause_constipation/article.htm

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