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Constipation

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Constipation

Constipation is the inability of an individual to empty his bowels. Generally having less than 3 bowel movements per week. It occurs when the stool moves very slowly through the bowels making it very hard and dry.
Occasional constipation is very common but for few, it becomes chronic and can interfere with their daily routine life. In chronic constipation, symptoms persist for several weeks.

Constipation is considered Chronic if symptoms are present at least 3 times per week for 3 months. It’s very common and affects up to 27% of the world’s population. 

Complications :

Chronic constipation can lead to many complications such as Piles, Anal Fissure, Fecal impaction ( stool that simply cannot be expelled and gets stuck in the bowels ), and Rectal prolapsed ( Bowel protruding out through the anus due to constant and forceful straining).

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Causes

  • Blockages in the bowel movement like anal fissure, bowel obstruction, bowel cancer, stricture’s , other abdominal cancer’s causing pressure on the bowel, rectocele ( internal prolapsed of the rectum )
  • Neurological problems like Autonomic neuropathy, multiple sclerosis, Parkinson’s , Spinal cord injury or even stroke
  • Pelvic muscles problems like failure to relax (Anismus) , weakness or improper co-ordination (dyssynergia)
  • Hormonal imbalance leading fluid imbalance and causing dry stools

Symptoms

  • Passing fewer than three stools a week
  • Experiencing lumpy or hard stools
  • Straining to have bowel movements
  • Feeling as though there's a blockage in your rectum that prevents bowel movements
  • Feeling of not completely emptying the stool from your rectum
  • Need of help to empty your rectum, such as using your hands to press on your abdomen and using a finger to remove stool from your rectum.

Constipation is considered to be chronic if you’ve experienced two or more of these symptoms for the last three months.

Treatments for Constipation

At SIICP, we have developed a comprehensive programme that deals with constipation exclusively. After a detailed analysis of the condition, we plan an appropriate treatment process for every individual.
It may be a change in the diet to include more fiber’s, relaxation technique’s, specially designed exercises to strengthen the pelvic muscles or even toilet-retraining.
Few patients may have to undergo an operation called STARR which is done with staplers to remove the obstruction. It is a minimally invasive operation with no cuts and is done completely inside the rectum with the help of specially designed staplers.

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