The term constipation may have a different meaning from person to person. The frequency of a bowel movement varies considerably among people, ranging from 1-3 times/day to once in 3 days. Therefore, it is difficult to have a precise definition for constipation that would stand true for all. Thus, constipation is generally described as having fewer than three bowel movements a week. It also means passing stools very infrequently, passing hard stools, or having any kind of difficulty in evacuating the bowel. Though occasional constipation is very common, some people experience chronic constipation that can interfere with their ability to go about their daily tasks. Typically lasting for more than several weeks, chronic constipation can cause significant pain and discomfort and affect one’s quality of life.
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Constipation basically occurs when the waste matter moves very slowly through the large intestines, causing it to become hard and dry.
Some of the common causes of constipation include:
Transient episodes of constipation are fairly common and should not be a reason to worry. However, its best to take an expert opinion when symptoms last for more than 3 weeks.
Kindly note that if you have worsening nausea and repeated vomiting or if abdominal pain becomes severe and constant,you should seek immediate help.
Also, if constipation is associated with a change in stool size – narrow like a pencil or ribbon, change in frequency, or if any blood is seen from the rectum, consult a doctor immediately.
Although diagnosis of constipation is pretty straightforward, investigations may be required to evaluate the underlying cause in case of chronic cases. Thus, after a detailed history of your bowel habits and general health and lifestyle, your doctor may consider getting one or few of the following tests done :
MCDPA is the idea of Dr Ashwin Porwal, who has dealt with thousands of patients of piles and chronic constipation. He noticed that a lot of these patients do not need to go under the knife. What is needed in these cases is a conservative approach along with lifestyle modifications. With these observations he formulated a treatment technique he labelled MCDPA ( Medicines-Constac-Diet-Physiotherapy-Ayurveda ). It is a pioneering amalgamation of modern science, age-old Ayurveda and Pelvic Floor Physiotherapy, which ensures a multipronged attack on the disease, effectively increasing possibilities of a satisfactory cure. Emphasis on approved scientific treatments and all round care of the patient is the basis of MCDPA.
M-Medicines: Probiotics are micro-organisms ( bacteria and yeast ) that our beneficial to the health of the gut. It has been found that a decrease in the count of these healthy gut bacteria may be a cause of constipation and hence, a short course of probiotic supplement may be given.
C-Constac: Ayurvedic medicines can be wisely used to treat conditions like constipation, sans the side effects that Allopathic medicines often have. Extensive research from ourteam comprising of Ayurvedic doctors enabled us to formulate purely herbal products, Constac and Constac Plus. They are given under the guidance of doctors and are extremely safe.
D-Diet: A diet rich in fiber aids in formation of stools and is the backbone of any constipation treatment. Our nutritionists will guide you in formulating a diet that suits your lifestyle and culture.
P-Pelvic Floor Physiotherapy: This is aimed at strengthening the muscles of the pelvic region as they play an important role in evacuation of stools. Many a time, especially in females, the weakened pelvic floor muscles are the major cause of the constipation. The exercises are taught by a Physiotherapist.
A-Ayurvedic therapy: This includes Basti which is an Ayurvedic oil enema therapy. It is one of the components of the highly revered Panchakarma therapy of Ayurveda. It helps in relaxing the rectal muscles and anal sphincter.
Biofeedback is basically done to regain control over the rectal muscles. In chronic constipation, especially in Obstructed Defecation Syndrome, impaired rectal muscle function is an important causative factor leading to difficulty in expulsion of stools. In this non-invasive treatment, a probe is inserted into the rectum and the muscle activity is monitored on a computer screen. A physiotherapist will then guide you and train you to improve your defecation effort.
n cases of Obstructed Defecation Syndrome or when Chronic Constipation has led to rectal prolapse, surgical intervention in the form of STARR Surgery may become necessary. The aim of the surgery is to remove the part of the obstructed/prolapsed rectum and replace it with a healthy portion of the remaining rectum. In STARR surgery,done under general anaesthesia, two circular staplers are used to produce a circumferential trans-anal full thickness resection of the lower rectum. The combination of the two stapled resections eliminates the structural abnormalities associated with ODS.
STARR ( Stapled Trans Anal Rectal Resection ) Surgery was invented by world-renowned colorectal surgeon, Dr Antonio Longo. Dr Porwal was fortunate to get an opportunity to learn the technique from Dr Longo himself. We have cured hundreds of patients of Chronic Constipation some having suffered from it for decades.
Transient episodes of constipation do not cause any serious complications. However, chronic constipation may lead to certain sequelae:
Constipation may be functional, caused by Obstructed Defecation Syndrome ( ODS ), a relatively common cause that can now be diagnosed with newer tests like MRI Defecography ( MRD ). Other more serious conditions that may cause constipation include Bowel cancer, Crohn’s disease, and Spinal cord injuries/diseases
Obstructed Defecation Syndrome ( ODS ) is an inability to smoothly evacuate stools out of the rectum. This means that there is no malfunction in the digestive process and stools are formed normally. But the problem lies at the last stage i.e. excretion of the stools. It is believed that ODS is a result of an anatomical abnormality of the pelvic organs. An improper functioning of the muscles involved in defecation process is another cause. ODS accounts for almost 30-50% cases of Chronic Constipation. It is usually found in women due to nerve damage as a result of childbearing.
The most common symptom of a person suffering from ODS is incomplete evacuation. They typically complain of a feeling that something is left behind in the rectum after passing stools. Other symptoms include:
Constipation occurs when the waste matter becomes very hard and dry that it passes very slowly through the intestines. So you can cure constipation by following these methods:
The doctor must be consulted in case of following symptoms:
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