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CONSTIPATION

Dietary and lifestyle changes will help relieve symptoms
of constipation and help prevent constipation from recurring.

Diet
A diet with enough fiber (20 to 35 grams each day) helps the body form soft, bulky stool.  High-fiber foods include beans   whole grains    bran cereals    fresh fruits    vegetables    asparagus    cabbage, and carrots.  For people prone to constipation, limit foods that have little or no fiber: ice cream   cheese   meat   processed foods
Lifestyle Changes
Other changes that may help treat and prevent constipation include drinking enough water and other liquids, such as fruit and vegetable juices and clear soups, so as not to become dehydrated, engaging in daily exercise, and reserving enough time to have a bowel movement. In addition, the urge to have a bowel movement should not be ignored.

Laxatives
Most people who are mildly constipated do not need laxatives. If constipated, eat:   prunes   prune juice   canned pears   mashed yams    sweet potatoes   Try Milk of Magnesia.    Only after trying these remedies should you use laxatives like: Metamucil Bisacodyl (Duculax)  Ex Lax  Colace  Phillips MO.  Follow directions.

Prolonged or improper use of constipation may result in an
electrolyte imbalance, too much or too little of certain nutrients.


Sometimes constipation can lead to hemorrhoids, caused by straining to have a bowel movement, or anal fissures (tears in the skin around the anus) caused when hard stool stretches the sphincter muscle. As a result, rectal bleeding may occur, appearing as bright red streaks on the surface of the stool or observed in the toilet. Treatment for hemorrhoids may include warm tub baths, ice packs, and application of a special cream to the affected area. Treatment for anal fissures may include stretching the sphincter muscle or surgically removing the tissue or skin in the affected area.

Sometimes straining causes a small amount of intestinal lining to push out from the anal opening. This condition, known as rectal prolapse, may lead to secretion of mucus from the anus. Usually eliminating the cause of the prolapse, such as straining or coughing, is the only treatment necessary. Severe or chronic prolapse requires surgery to strengthen and tighten the anal sphincter muscle or to repair the prolapsed lining. Constipation may also cause hard stool to pack the intestine and rectum so tightly that the normal pushing action of the colon is not enough to expel the stool. This condition, called fecal impaction, occurs most often in children and older adults. An impaction can be softened with mineral oil taken by mouth and by an enema. After softening the impaction, the doctor may break up and remove part of the hardened stool by inserting one or two fingers into the anus.

Constipation affects almost everyone at one time or another. The most common causes of constipation are poor diet and lack of exercise.  Other causes of constipation include medications, irritable bowel syndrome, abuse of laxatives, and specific diseases. Eat a well-balanced, high-fiber diet that includes beans, bran, whole grains, fresh fruits, and vegetables.  Drink plenty of liquids.   Exercise regularly.  Set aside time for undisturbed visits to the toilet.   Do not ignore the urge to have a bowel movement.   Black, tarry stools may indicate bleeding - whenever a significant or prolonged change in bowel habits occurs, check with a doctor.
 

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