How to treat stubborn constipation

summary

Intractable constipation occurs in the elderly, which refers to a long-term, chronic functional constipation. But some scholars believe that habitual constipation is not limited to functional constipation. It also includes colonic constipation and rectal constipation. Therefore, the elderly with habitual constipation should seek medical treatment as soon as possible and find out the cause of constipation. So, if suffer from stubborn constipation how to do?

How to treat stubborn constipation

First: comprehensive sequential therapy for intractable constipation, in the rapid timing of defecation before, should first Qingchang. Normal saline enema was used to clean the intestinal tract, 2 / D, a total of 3 / d. After bowel cleaning, the abdomen was examined and plain film was taken to confirm that there was no fecal impaction in the intestine. Paraffin oil, 5-15ml / kg? D, or lactulose 15-30ml / D can be given after bowel cleaning to make the stool frequency reach at least 1 / d. At the same time, encourage patients to defecate after preterm delivery. If they still don't defecate, encourage them to defecate again after dinner, so that patients can gradually return to normal defecation habits. Once the regular occurrence of postprandial defecation, and more than 2 to 3 months, can gradually stop using liquid paraffin or lactulose. In the above process, if 2-3 / d do not understand the stool, still want to clear the intestines, in order to avoid the occurrence of fecal impaction again. It is reported in the literature that this method of clearing intestines, taking laxatives and training defecation habits can treat habitual constipation with a success rate of 70% - 80%, but many of them will relapse.

Second, biofeedback therapy is a kind of training to control the body function with the mind. It was used to treat fecal incontinence before, but in recent years, many literatures have reported that it is used to treat pelvic floor muscle spasmodic constipation, including balloon biofeedback and electromechanical biofeedback. The success rate of defecation can reach 75% - 90%. Feedback therapy is to insert a special manometer into the anus. Through the display of the instrument, many information can be obtained, including the pressure of the anal sphincter, the rectal compliance, and the sensory sensitivity of the anorectum, so that the patient can feel when there is a defecation reaction, and then try this reaction again to inspire the defecation feeling and achieve the purpose of eliminating feces.

Third: a large number of literature reports on the treatment of traditional Chinese medicine, traditional Chinese medicine in the treatment of elderly constipation quite effective, such as fried Semen Cassiae 60g, pressed powder, take 3G each time, sooner or later, sooner or later each time. Jiawei Zengye decoction, Shaoyao decoction, Gancao Decoction, Jiawei nifan TONGJIE decoction, Zengye Shichang pill and so on, from the overall point of view of human beings, the rational use of Qi and blood Tianye, yin and Yang viscera basic theory, medication from different angles, can treat both the surface and the root cause. In addition, there are also the use of traditional Chinese medicine theory, foot massage, self massage, anal push, acupoint injection and other methods for the treatment of senile constipation, which can make Qi and blood unobstructed, stool self-regulation.

matters needing attention

Modern medicine shows that the structural imbalance of intestinal flora is the fundamental cause of constipation. There are about 100 trillion bacteria living in human intestinal tract, which can be divided into three kinds: beneficial bacteria, harmful bacteria and neutral bacteria. Human health is closely related to the number of probiotics in the gut. The proportion of probiotics in the intestines of healthy people is 70%, that of ordinary people is 25%, that of constipated people is reduced to 15%, and that of cancer patients is only 10%.