Treatment of chronic constipation includes not only the use of laxatives. In addition to the symptomatic, there should also be a therapy directed at the stimulus that caused the constipation.
Self-medication in this case is not recommended, since prolonged regular constipation may be a sign of severe pathology, or contribute to the occurrence of life-threatening complications.
It should also be understood that the independent use of laxative drugs, which does not take into account the characteristics of the drugs, their effects on the body, and side effects, often leads to even more serious problems with the act of defecation, as the motor activity of the intestine is reduced. In addition, in this case the dose of the medicine becomes more and more each time, as a result of which, in the course of time, it generally loses its effectiveness and does not affect the body.
Having ascertained the cause of the development of chronic constipation, the doctor determines what treatment to assign to the patient. This takes into account all the pathogenetic factors, so that drugs affect the body more effectively, while not causing side effects that can exacerbate the disorder of the intestine.
Enema for chronic constipation
With chronic constipation, enemas should be single. Patients should alternate the application (1 p./ed.) Of water-oil (every day in the morning, a maximum of 200 ml) and cleansing enemas. This procedure is performed in order to restore the reflex lost by the intestine.
Laxatives for chronic constipation
Chronic constipation most effectively eliminates laxatives from the group of prebiotics: they help stabilize the intestinal microflora, and also stimulate intestinal motility. Due to this the effect of the drug will be long and stable.
Prelax is used in a daily dosage of 2-6 tablespoons. During the meal. The duration of the treatment course can be at least 2 weeks, and a maximum of 3 months. Contraindicated with high individual sensitivity to the elements of the drug.
The daily dosage of syrup Lactusan for adults is 20 ml (divided into 2 receptions); children are prescribed 10 ml with the same conditions. Take the drug when you need food. In tablets, the dosage for adults is 8-10 pcs / day, and for children older than 5 years - 3 pcs / day. Therapeutic course lasts 1-2 weeks. If the form of the disease is started, the treatment can be extended up to 1 month. Side effects: at the beginning of the treatment course, bloating may be observed, which disappears after a few days. Because of lactulose, laxative effect may be too strong and provoke the development of diarrhea. Lactusan is contraindicated with high sensitivity to additive elements and other components of the drug, with lactase deficiency, as well as galactosemia.
Dufalac is consumed in the morning while eating. Dosages are set for each patient individually. For constipation or for softening of stool, such dosages are used:
- Adult - 15-45 ml initial dose and 10-25 ml maintenance;
- At the age of 7-14 years - 15 ml initial, 10 ml supporting;
- At the age of 3-6 years - 5-10 ml and the initial, and supporting;
- Children under 3 years old - 5 ml initial and supportive.
Usually the dose is reduced after 2 days of use according to the needs of the patient. The effect of the drug manifests itself 2 days after the first reception, since this is the property of lactulose. Dosage or frequency of use may be increased if after 2 days of taking the medication the patient's condition did not improve.
Side effects of Dufalac: disorders of the digestive tract (nausea, bloating, vomiting); with an overdose, diarrhea may start. Contraindicated with intestinal obstruction, high sensitivity to galactose, fructose lactose, or active substance of the drug, as well as galactosemia. With caution is prescribed for diabetes.
Physiotherapeutic treatment will be more effective in combination with diet. If the constipation is of an alimentary nature, irrigation of the intestine, for which mineral waters having a laxative effect, is suitable as a method of treatment. Mineral sulfate water should be drunk on an empty stomach in the morning and in the evenings for about 2 weeks. If constipation also causes abdominal cramps, you should drink warm water.
If constipation occurs as a result of atony of the colon, you need to do a stomach massage, perform the procedures of mechanotherapy and therapeutic gymnastics, take a circular shower and sub-aqua baths. Thanks to massage, the intestinal motility improves. If the patient feels spasms, you should use thermal procedures - apply appliqués from the paraffin on the stomach, take coniferous baths.
There are also methods of alternative treatment for chronic constipation.
Pour 1 stack. Boiling water 2 boxes. Bran and leave to cool, then drain the liquid, and the resulting mixture of bran to eat on an empty stomach. With the correct application of this alternative laxative, an improvement in the digestive system occurs after only 5 days of admission, and stool stabilization occurs on day 10. Even more effective this tool will be combined with enemas.
Equally effective for constipation is also tea, obtained from the bark of the buckthorn.
Another recipe: take the lemon peel, rhubarb (0.5 kg), and sugar (200 g). Dissolve sugar in water (0.25 ml), peel and cut the rhubarb. Ingredients pour into a saucepan and cook until the mixture is cooked. You need to take the medicine every day until there are improvements.
Tea from the leaves of oregano - pour 30 g of ingredient 1 liter of boiling water, insist and use 0.5 cups each. 3 rubles / day.
Chronic constipation is very effective in fighting celiac disease. To prepare a laxative from this herb, you need to cut it and mix it with sugar (take 250 g for both ingredients). Put the mixture on gauze, wrap it in a tourniquet, and then put it in a jar full of serum. Close it with a lid and roll in a dense fabric. Put the container in the place closed from the light and leave to infuse for 2 weeks. The resulting tincture strain and consume 0.5 stack. Before meals (for 20 minutes). In treatment, adhere to the following regime - take the medicine 2 weeks daily, then take a break for 2 days, and then resume the reception.
A quality laxative effect on the body has senna. To make a medicine from it, you need to mix 2 tsp. Leaves of this herb with prunes (100 g) and pour a mixture of 3 stacks. Boiling water. Infuse the medicine for 3 hours, then drain. Ready tincture to drink every hour for 5 tablespoons. Before the full restoration of the intestine.
Among the homeopathic preparations that help with constipation, the following are distinguished: Sulfuris eliminates disturbances, stabilizing portal blood circulation in cases when, together with constipation, the patient has an itch in the anus and hemorrhoids. With similar symptoms, but with more severe hemorrhoids, Aesculus hippocastanum should be taken.
Nux vomica is used if the bowel function is reversed - when urged to defecate the sphincter does not relax, but rather contracts, preventing the feces from exiting.
Diet for chronic constipation
Features of the diet for chronic constipation: the basis of a nutritious diet should be foods and dishes from them that improve intestinal peristalsis. At the same time, food should be completely excluded from it, which can cause rotting or fermentation in the intestine, as well as stomach.
To normalize the functional activity of the intestine from the diet, it is necessary to remove products from puff and yeast dough, fast food, soups, infused on the first broth, kvass, sweet carbonated water, legumes, and also pasta products. In addition, you can not eat mushrooms. It is forbidden to drink cocoa, too strong tea, jelly, and coffee. From sweet it is impossible to use the cakes containing a custard, and also chocolate; from berry and fruit - blueberries, bananas and dogwood.
Menu with chronic constipation
An approximate day menu for chronic constipation.
The diet should be divided - there is a need for small portions of 5-6 rubles / day. The menu can have approximately this sequence:
- For breakfast lettuce (tuna and fresh vegetables), cottage cheese with the addition of jam or honey, as well as weak tea;
- The 2 nd breakfast includes fruit salad (it is recommended to make it from pears, apples, cherries, as well as oranges, pineapples, plums, etc.);
- At lunch, eat seafood soup, an omelette with vegetables, and a compote made from dried fruits;
- Afternoon snacks should consist of a weak tea with a dessert (this may be, for example, marshmallow or pastille);
- For dinner, cook a side dish, which includes friable buckwheat with butter and fish bits (baked);
- 3 hours before going to bed, drink defatted kefir (1 stack).
Exercises for chronic constipation
When chronic constipation exercises are best done in the morning, and later again after lunch. Please note that the procedures can be performed no earlier than 1.5-2 hours after a meal.
Lie on your back, while dilating your arms around the sides, inhale with inhalation and at the same time draw in the anus, then exhale back to the previous position. Perform this procedure 2-3 r.
Having assumed the position of lying, bending / unbending, and also to reduce / raise legs, in addition to rotating stops (all movements of 4-5 rivers).
In the lying position, place the arms along the body. Expand your palms upward, stretch out your arms and bend them in your elbows, then return them to the previous position and turn your palms to the bottom. The procedure should be repeated 5-6 r.
In a lying position with hands along the body. On an exhalation turn to the right, reach with the left hand to the edge of the bed, take the former position on the inspiration. Repeat the motion with your right hand. Do this exercise 3-5 r.
Taking the position lying down, grasp the back of the bed with your hands and carry out cycling movements with your legs - make 8-20 turns with each foot.
In the lying position, bend the legs in the knees, then reduce / dilute them - repeat 4-5 r.
Lie on your back with your hands on your head. Perform lifting of the trunk, using as support points of the hand, the occipital part of the head and the heel. When climbing, draw in the anal input. The procedure should be repeated 4-5 r. After completing the above exercise, place your hands on your chest, as well as your stomach, then twice deep breathe in your chest, and then your belly.
Take the position of "elbows-knees" and in turn pull your legs back (repeat 4-5 rubles).
In the knee-elbow position, lift the pelvis by straightening the knees. The procedure should be repeated 3-4 r. If possible, after this procedure, try to stand in the arms of 3-4 short-lived racks, while kicking at the wall. Doing struts, perform kicking moves.
Take the standing position, and the legs are brought together. Do the stretching while drawing in the anus. The procedure is 2-3 r.
Adopt standing with crossed legs. Stretch, pulling the anal passage - repeat the procedure 2-3 r.
To keep legs together, being in a standing position, and arms to dissolve on the sides and on an inspiration to be stretched, having pulled in an anal input. Perform the procedure 3-4 r.
Stand up straight and close your legs. Make flies legs to the side, as well as back and forth. Repeat the exercise 3-4 r.
Walking at first is the usual step, then - lifting your knees high, then back to normal again. The procedure lasts 1-2 minutes.
Take a standing position and reduce your legs, put your hands on your waist, then take your elbows back to inhale, thereby pushing your chest forward. Together with this movement, draw in the anus. On exhalation take the initial pose. Perform the procedure 2-3 r.
Stand up, reduce your legs, place your arms along the body. Quietly and deeply inhale / exhale 2-3 r.