Vivekanantha Homoeo Clinic & Psychological Counselling Centre Welcomes You

Friday, May 23, 2014

Adult & Children Chronic Constipation - Homeopathy Specialty Treatment Clinic at Chennai, Villupuram, Cuddalore, Panrui, Pondicherry, Tamilnadu,



   Constipation is defined as having a bowel movement fewer than three times per week. With constipation stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel. Some people think they are constipated if they do not have a bowel movement every day. However, normal stool elimination may be three times a day or three times a week, depending on the person. Constipation is a symptom, not a disease. Almost everyone experiences constipation at some point in their life, and a poor diet typically is the cause. Most constipation is temporary and not serious. Understanding its causes, prevention, and treatment will help most people find relief. Lower digestive system.  Who gets constipated? Constipation is one of the most common gastrointestinal complaints in the United States. More than 4 million Americans have frequent constipation, accounting for 2.5 million physician visits a year. Those reporting constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem following childbirth or surgery. Self-treatment of constipation with over-the-counter (OTC) laxatives is by far the most common aid. Around $725 million is spent on laxative products each year in America.  What causes constipation? To understand constipation, it helps to know how the colon, or large intestine, works. As food moves through the colon, the colon absorbs water from the food while it forms waste products, or stool. Muscle contractions in the colon then push the stool toward the rectum. By the time stool reaches the rectum it is solid, because most of the water has been absorbed. Constipation occurs when the colon absorbs too much water or if the colon’s muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry. Common causes of constipation are • not enough fibre in the diet • lack of physical activity (especially in the elderly) • medications • milk • irritable bowel syndrome • changes in life or routine such as pregnancy, aging, and travel • abuse of laxatives • ignoring the urge to have a bowel movement • dehydration • specific diseases or conditions, such as stroke (most common) • problems with the colon and rectum • problems with intestinal function (chronic idiopathic constipation)   Not Enough Fibre in the Diet People who eat a high-fibre diet are less likely to become constipated. The most common causes of constipation are a diet low in fibre or a diet high in fats, such as cheese, eggs, and meats. Fibre—both soluble and insoluble—is the part of fruits, vegetables, and grains that the body cannot digest. Soluble fibre dissolves easily in water and takes on a soft, gel-like texture in the intestines. Insoluble fibre passes through the intestines almost unchanged. The bulk and soft texture of fibre help prevent hard, dry stools that is difficult to pass. A low-fibre diet also plays a key role in constipation among older adults, who may lose interest in eating and choose foods that are quick to make or buy, such as fast foods, or prepared foods, both of which are usually low in fibre. Also, difficulties with chewing or swallowing may cause older people to eat soft foods that are processed and low in fibre.  Not Enough Liquids Research shows that although increased fluid intake does not necessarily help relieve constipation, many people report some relief from their constipation if they drink fluids such as water and juice and avoid dehydration. Liquids add fluid to the colon and bulk to stools, making bowel movements softer and easier to pass. People who have problems with constipation should try to drink liquids every day. However, liquids that contain caffeine, such as coffee and cola drinks will worsen one’s symptoms by causing dehydration. Alcohol is another beverage that causes dehydration. It is important to drink fluids that hydrate the body, especially when consuming caffeine containing drinks or alcoholic beverages.  Lack of Physical Activity A lack of physical activity can lead to constipation, although doctors do not know precisely why. For example, constipation often occurs after an accident or during an illness when one must stay in bed and cannot exercise. Lack of physical activity is thought to be one of the reasons constipation is common in older people.  Medications Some medications can cause constipation, including • pain medications (especially narcotics) • antacids that contain aluminium and calcium • blood pressure medications (calcium channel blockers) • antiparkinson drugs • antispasmodics • antidepressants • iron supplements • diuretics • anticonvulsants  Changes in Life or Routine During pregnancy, women may be constipated because of hormonal changes or because the uterus compresses the intestine. Aging may also affect bowel regularity, because a slower metabolism results in less intestinal activity and muscle tone. In addition, people often become constipated when travelling, because their normal diet and daily routine are disrupted.  Abuse of Laxatives The common belief that people must have a daily bowel movement has led to self-medicating with OTC laxative products. Although people may feel relief when they use laxatives, typically they must increase the dose over time because the body grows reliant on laxatives in order to have a bowel movement. As a result, laxatives may become habit-forming.  Ignoring the Urge to Have a Bowel Movement People who ignore the urge to have a bowel movement may eventually stop feeling the need to have one, which can lead to constipation. Some people delay having a bowel movement because they do not want to use toilets outside the home. Others ignore the urge because of emotional stress or because they are too busy. Children may postpone having a bowel movement because of stressful toilet training or because they do not want to interrupt their play.  Specific Diseases Diseases that cause constipation include neurological disorders, metabolic and endocrine disorders, and systemic conditions that affect organ systems. These disorders can slow the movement of stool through the colon, rectum, or anus. Conditions that can cause constipation are found below. • Neurological disorders   multiple sclerosis  Parkinson's disease  chronic idiopathic intestinal pseudo-obstruction  stroke  spinal cord injuries • Metabolic and endocrine conditions   diabetes  uraemia  hypercalcemia  poor glycemic control  hypothyroidism • Systemic disorders   amyloidosis  lupus  scleroderma  Problems with the Colon and Rectum Intestinal obstruction, scar tissue—also called adhesions—diverticulosis, tumours, colorectal stricture, Hirschsprung’s disease, or cancer can compress, squeeze, or narrow the intestine and rectum and cause constipation.  Problems with Intestinal Function The two types of constipation are idiopathic constipation and functional constipation. Irritable bowel syndrome (IBS) with predominant symptoms of constipation is categorized separately. Idiopathic—of unknown origin—constipation does not respond to standard treatment. Functional constipation means that the bowel is healthy but not working properly. Functional constipation is often the result of poor dietary habits and lifestyle. It occurs in both children and adults and is most common in women. Colonic inertia, delayed transit, and pelvic floor dysfunction are three types of functional constipation. Colonic inertia and delayed transit are caused by a decrease in muscle activity in the colon. These syndromes may affect the entire colon or may be confined to the lower, or sigmoid, colon. Pelvic floor dysfunction is caused by a weakness of the muscles in the pelvis surrounding the anus and rectum. However, because this group of muscles is voluntarily controlled to some extent, biofeedback training is somewhat successful in retraining the muscles to function normally and improving the ability to have a bowel movement. Functional constipation that stems from problems in the structure of the anus and rectum is known as ano-rectal dysfunction, or anismus. These abnormalities result in an inability to relax the rectal and anal muscles that allow stool to exit. People with IBS having predominantly constipation also have pain and bloating as part of their symptoms.  How is the cause of constipation identified? The tests the doctor performs depend on the duration and severity of the constipation, the person’s age, and whether blood in stools, recent changes in bowel habits or weight loss have occurred. Most people with constipation do not need extensive testing and can be treated with changes in diet and exercise. For example, in young people with mild symptoms, a medical history and physical exam may be all that is needed for diagnosis and treatment.  Medical History The doctor may ask a patient to describe his or her constipation, including duration of symptoms, frequency of bowel movements, and consistency of stools, presence of blood in the stool, and toilet habits— how often and where one has bowel movements. A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause of constipation. The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months: • straining during bowel movements • lumpy or hard stool • sensation of incomplete evacuation • sensation of ano-rectal blockage/obstruction • fewer than three bowel movements per week  Physical Examination A physical exam may include a rectal exam with a gloved, lubricated finger to evaluate the tone of the muscle that closes off the anus—also called anal sphincter—and to detect tenderness, obstruction, or blood. In some cases, blood and thyroid tests may be necessary to look for thyroid disease and serum calcium or to rule out inflammatory, metabolic, and other disorders. Extensive testing usually is reserved for people with severe symptoms, for those with sudden changes in the number and consistency of bowel movements or blood in the stool, and older adults. Additional tests that may be used to evaluate constipation include • a colorectal transit study • ano-rectal function tests • a defecography Because of an increased risk of colorectal cancer in older adults, the doctor may use tests to rule out a diagnosis of cancer, including a • barium enema x ray • sigmoidoscopy or colonoscopy  Colorectal transit study. This test shows how well food moves through the colon. The patient swallows capsules containing small markers that are visible on an x ray. The movement of the markers through the colon is monitored by abdominal x rays taken several times 3 to 7 days after the capsule is swallowed. The patient eats a high-fibre diet during the course of this test.  Anorectal function tests. These tests diagnose constipation caused by abnormal functioning of the anus or rectum—also called ano-rectal function. • Anorectal manometry evaluates anal sphincter muscle function. For this test, a catheter or air-filled balloon is inserted into the anus and slowly pulled back through the sphincter muscle to measure muscle tone and contractions. • Balloon expulsion tests consist of filling a balloon with varying amounts of water after it has been rectally inserted. Then the patient is asked to expel the balloon. The inability to expel a balloon filled with less than 150 ml of water may indicate a decrease in bowel function.  Defecography is an x ray of the ano-rectal area that evaluates completeness of stool elimination, identifies ano-rectal abnormalities, and evaluates rectal muscle contractions and relaxation. During the exam, the doctor fills the rectum with a soft paste that is the same consistency as stool. The patient sits on a toilet positioned inside an x-ray machine, then relaxes and squeezes the anus to expel the paste. The doctor studies the x rays for ano-rectal problems that occurred as the paste was expelled.  Barium enema x ray. This exam involves viewing the rectum, colon, and lower part of the small intestine to locate problems. This part of the digestive tract is known as the bowel. This test may show intestinal obstruction and Hirschsprung’s disease, which is a lack of nerves within the colon. The night before the test, bowel cleansing, also called bowel prep, is necessary to clear the lower digestive tract. The patient drinks a special liquid to flush out the bowel. A clean bowel is important, because even a small amount of stool in the colon can hide details and result in an incomplete exam. Because the colon does not show up well on x rays, the doctor fills it with barium, a chalky liquid that makes the area visible. Once the mixture coats the inside of the colon and rectum, x rays are taken that show their shape and condition. The patient may feel some abdominal cramping when the barium fills the colon but usually feels little discomfort after the procedure. Stools may be white in colour for a few days after the exam.  Sigmoidoscopy or colonoscopy. An examination of the rectum and lower, or sigmoid, colon is called a sigmoidoscopy. An examination of the rectum and entire colon is called a colonoscopy. The person usually has a liquid dinner the night before a colonoscopy or sigmoidoscopy and takes an enema early the next morning. An enema an hour before the test may also be necessary. To perform a sigmoidoscopy, the doctor uses a long, flexible tube with a light on the end, called a sigmoidoscope, to view the rectum and lower colon. The patient is lightly sedated before the exam. First, the doctor examines the rectum with a gloved, lubricated finger. Then, the sigmoidoscope is inserted through the anus into the rectum and lower colon. The procedure may cause abdominal pressure and a mild sensation of wanting to move the bowels. The doctor may fill the colon with air to get a better view. The air can cause mild cramping. To perform a colonoscopy, the doctor uses a flexible tube with a light on the end, called a colonoscope, to view the entire colon. This tube is longer than a sigmoidoscope. During the exam, the patient lies on his or her side, and the doctor inserts the tube through the anus and rectum into the colon. If an abnormality is seen, the doctor can use the colonoscope to remove a small piece of tissue for examination (biopsy). The patient may feel gassy and bloated after the procedure.  How is constipation treated? Although treatment depends on the cause, severity, and duration of the constipation, in most cases dietary and lifestyle changes will help relieve symptoms and help prevent them from recurring.  Diet A diet with enough fibre (20 to 35 grams each day) helps the body form soft, bulky stool. A doctor or dietician can help plan an appropriate diet. High-fibre foods include beans, whole grains and bran cereals, fresh fruits, and vegetables such as asparagus, Brussels sprouts, cabbage, and carrots. For people prone to constipation, limiting foods that have little or no fibre, such as ice cream, cheese, meat, and processed foods, is also important.  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. However, for those who have made diet and lifestyle changes and are still constipated, a doctor may recommend laxatives or enemas for a limited time. These treatments can help retrain a chronically sluggish bowel. For children, short-term treatment with laxatives, along with retraining to establish regular bowel habits, helps prevent constipation. A doctor should determine when a patient needs a laxative and which form is best. Laxatives taken by mouth are available in liquid, tablet, gum powder, and granule forms. They work in various ways: • Bulk-forming laxatives generally are considered the safest, but they can interfere with absorption of some medicines. These laxatives, also known as fibre supplements, are taken with water. They absorb water in the intestine and make the stool softer. Brand names include Metamucil, Fiberall, Citrucel, Konsyl, and Serutan. These agents must be taken with water or they can cause obstruction. Many people also report no relief after taking bulking agents and suffer from a worsening in bloating and abdominal pain. • Stimulants cause rhythmic muscle contractions in the intestines. Brand names include Correctol, Dulcolax, Purge, and Senokot. Studies suggest that phenolphthalein, an ingredient in some stimulant laxatives, might increase a person’s risk for cancer. The Food and Drug Administration has proposed a ban on all over-the-counter products containing phenolphthalein. Most laxative makers have replaced, or plan to replace, phenolphthalein with a safer ingredient. • Osmotics cause fluids to flow in a special way through the colon, resulting in bowel distension. This class of drugs is useful for people with idiopathic constipation. Brand names include Cephulac, Sorbitol, and Miralax. People with diabetes should be monitored for electrolyte imbalances. • Stool softeners moisten the stool and prevent dehydration. These laxatives are often recommended after childbirth or surgery. Brand names include Colace and Surfak. These products are suggested for people who should avoid straining in order to pass a bowel movement. The prolonged use of this class of drugs may result in an electrolyte imbalance. • Lubricants grease the stool, enabling it to move through the intestine more easily. Mineral oil is the most common example. Brand names include Fleet and Zymenol. Lubricants typically stimulate a bowel movement within 8 hours. • Saline laxatives act like a sponge to draw water into the colon for easier passage of stool. Brand names include Milk of Magnesia and Haley’s M-O. Saline laxatives are used to treat acute constipation if there is no indication of bowel obstruction. Electrolyte imbalances have been reported with extended use, especially in small children and people with renal deficiency. • Chloride channel activators increase intestinal fluid and motility to help stool pass, thereby reducing the symptoms of constipation. One such agent is Amitiza, which has been shown to be safely used for up to 6 to 12 months. Thereafter a doctor should assess the need for continued use. People who are dependent on laxatives need to slowly stop using them. A doctor can assist in this process. For most people, stopping laxatives restores the colon’s natural ability to contract.  Other Treatments Treatment for constipation may be directed at a specific cause. For example, the doctor may recommend discontinuing medication or performing surgery to correct an ano-rectal problem such as rectal prolapse, a condition in which the lower portion of the colon turns inside out. People with chronic constipation caused by ano-rectal dysfunction can use biofeedback to retrain the muscles that control bowel movements. Biofeedback involves using a sensor to monitor muscle activity, which is displayed on a computer screen, allowing for an accurate assessment of body functions. A health care professional uses this information to help the patient learn how to retrain these muscles. Surgical removal of the colon may be an option for people with severe symptoms caused by colonic inertia. However, the benefits of this surgery must be weighed against possible complications, which include abdominal pain and diarrhoea. Homeopathy Treatment for Constipation- Homeopathy helps for constipation while other system fails  Can constipation be serious? Sometimes constipation can lead to complications. These complications include haemorrhoids, 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. Treatment for haemorrhoids 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 faecal 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.  Points to Remember • Constipation affects almost everyone at one time or another. • Many people think they are constipated when, in fact, their bowel movements are regular. • 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. • A medical history and physical exam may be the only diagnostic tests needed before the doctor suggests treatment. • In most cases, following these simple tips will help relieve symptoms and prevent recurrence of constipation:  Eat a well-balanced, high-fibre diet that includes beans, bran, whole grains, fresh fruits, and vegetables.  Drink plenty of liquids.  Exercise regularly.  Set aside time after breakfast or dinner for undisturbed visits to the toilet.  Do not ignore the urge to have a bowel movement.  Understand that normal bowel habits vary.  Whenever a significant or prolonged change in bowel habits occurs, check with a doctor.  • Most people with mild constipation do not need laxatives. However, a doctor may recommend laxatives for a limited time for people with chronic constipation. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------  Constipation in Children Constipation means that bowel movements are hard and dry, difficult or painful to pass, and less frequent than usual. It is a common problem for children, but it is usually temporary and no cause for parents to be concerned.  When a child does not eat enough fibre, drink enough liquids, or get enough exercise, constipation is more likely to occur. It also happens when children ignore the urge to have a bowel movement, which they often do out of embarrassment to use a public bathroom, fear or lack of confidence in the absence of a parent, or unwillingness to take a break from play. Sometimes constipation is caused by medicines or a disease.  Symptoms of constipation include • no bowel movement for several days or daily bowel movements that are hard and dry • cramping abdominal pain • nausea • vomiting • weight loss • liquid or solid, clay-like stool in the child's underwear—a sign that stool is backed up in the rectum  Constipation can make a bowel movement painful, so the child may try to prevent having one. Clenching buttocks, rocking up and down on toes, and turning red in the face are signs of trying to hold in a bowel movement. Treatment depends on the child's age and the severity of the problem. Often eating more fibre (fruits, vegetables, and whole-grain cereal), drinking more liquids, and getting more exercise will solve the problem. Sometimes a child may need an enema to remove the stool or a laxative to soften it or prevent a future episode. However, laxatives can be dangerous to children and should be given only with a doctor's approval. Although constipation is usually harmless, it can be a sign or cause of a more serious problem. A child should see a doctor if  • episodes of constipation last longer than 3 weeks • the child is unable to participate in normal activities • small, painful tears appear in the skin around the anus • a small amount of the intestinal lining is pushed out of the anus (haemorrhoids) • normal pushing is not enough to expel stool • liquid or soft stool leaks out of the anus Homeopathy Treatment for Constipation- Homeopathy helps for constipation while other system fails For More details  Please contact    Whom to contact for Constipation Treatment  Dr.Senthil Kumar Treats many cases Acute and Chronic Consitpation, In his medical professional experience with successful results. Many patients get relief after taking treatment from Dr.Senthil Kumar.  Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get appointment please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,    For more details & Consultation Feel free to contact us. Vivekanantha Clinic Consultation Champers at Chennai:- 9786901830  Panruti:- 9443054168  Pondicherry:- 9865212055 (Camp) Mail : consult.ur.dr@gmail.com, homoeokumar@gmail.com   For appointment please Call us or Mail Us  For appointment: SMS your Name -Age – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Chronic Constipation – 21st Oct, Sunday - Chennai ), You will receive Appointment details through SMS






Constipation is defined as having a bowel movement fewer than three times per week. With constipation stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.
Some people think they are constipated if they do not have a bowel movement every day. However, normal stool elimination may be three times a day or three times a week, depending on the person.
Constipation is a symptom, not a disease. Almost everyone experiences constipation at some point in their life, and a poor diet typically is the cause. Most constipation is temporary and not serious. Understanding its causes, prevention, and treatment will help most people find relief.
Lower digestive system.

Who gets constipated?
Constipation is one of the most common gastrointestinal complaints in the United States. More than 4 million Americans have frequent constipation, accounting for 2.5 million physician visits a year. Those reporting constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem following childbirth or surgery.
Self-treatment of constipation with over-the-counter (OTC) laxatives is by far the most common aid. Around $725 million is spent on laxative products each year in America.

What causes constipation?
To understand constipation, it helps to know how the colon, or large intestine, works. As food moves through the colon, the colon absorbs water from the food while it forms waste products, or stool. Muscle contractions in the colon then push the stool toward the rectum. By the time stool reaches the rectum it is solid, because most of the water has been absorbed.
Constipation occurs when the colon absorbs too much water or if the colon’s muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry. Common causes of constipation are
  • not enough fibre in the diet
  • lack of physical activity (especially in the elderly)
  • medications
  • milk
  • irritable bowel syndrome
  • changes in life or routine such as pregnancy, aging, and travel
  • abuse of laxatives
  • ignoring the urge to have a bowel movement
  • dehydration
  • specific diseases or conditions, such as stroke (most common)
  • problems with the colon and rectum
  • problems with intestinal function (chronic idiopathic constipation)

Not Enough Fibre in the Diet
People who eat a high-fibre diet are less likely to become constipated. The most common causes of constipation are a diet low in fibre or a diet high in fats, such as cheese, eggs, and meats.
Fibre—both soluble and insoluble—is the part of fruits, vegetables, and grains that the body cannot digest. Soluble fibre dissolves easily in water and takes on a soft, gel-like texture in the intestines. Insoluble fibre passes through the intestines almost unchanged. The bulk and soft texture of fibre help prevent hard, dry stools that is difficult to pass.
A low-fibre diet also plays a key role in constipation among older adults, who may lose interest in eating and choose foods that are quick to make or buy, such as fast foods, or prepared foods, both of which are usually low in fibre. Also, difficulties with chewing or swallowing may cause older people to eat soft foods that are processed and low in fibre.

Not Enough Liquids
Research shows that although increased fluid intake does not necessarily help relieve constipation, many people report some relief from their constipation if they drink fluids such as water and juice and avoid dehydration. Liquids add fluid to the colon and bulk to stools, making bowel movements softer and easier to pass. People who have problems with constipation should try to drink liquids every day. However, liquids that contain caffeine, such as coffee and cola drinks will worsen one’s symptoms by causing dehydration. Alcohol is another beverage that causes dehydration. It is important to drink fluids that hydrate the body, especially when consuming caffeine containing drinks or alcoholic beverages.

Lack of Physical Activity
A lack of physical activity can lead to constipation, although doctors do not know precisely why. For example, constipation often occurs after an accident or during an illness when one must stay in bed and cannot exercise. Lack of physical activity is thought to be one of the reasons constipation is common in older people.

Medications
Some medications can cause constipation, including
  • pain medications (especially narcotics)
  • antacids that contain aluminium and calcium
  • blood pressure medications (calcium channel blockers)
  • antiparkinson drugs
  • antispasmodics
  • antidepressants
  • iron supplements
  • diuretics
  • anticonvulsants

Changes in Life or Routine
During pregnancy, women may be constipated because of hormonal changes or because the uterus compresses the intestine. Aging may also affect bowel regularity, because a slower metabolism results in less intestinal activity and muscle tone. In addition, people often become constipated when travelling, because their normal diet and daily routine are disrupted.

Abuse of Laxatives
The common belief that people must have a daily bowel movement has led to self-medicating with OTC laxative products. Although people may feel relief when they use laxatives, typically they must increase the dose over time because the body grows reliant on laxatives in order to have a bowel movement. As a result, laxatives may become habit-forming.

Ignoring the Urge to Have a Bowel Movement
People who ignore the urge to have a bowel movement may eventually stop feeling the need to have one, which can lead to constipation. Some people delay having a bowel movement because they do not want to use toilets outside the home. Others ignore the urge because of emotional stress or because they are too busy. Children may postpone having a bowel movement because of stressful toilet training or because they do not want to interrupt their play.

Specific Diseases
Diseases that cause constipation include neurological disorders, metabolic and endocrine disorders, and systemic conditions that affect organ systems. These disorders can slow the movement of stool through the colon, rectum, or anus.
Conditions that can cause constipation are found below.
  • Neurological disorders
    • multiple sclerosis
    • Parkinson's disease
    • chronic idiopathic intestinal pseudo-obstruction
    • stroke
    • spinal cord injuries
  • Metabolic and endocrine conditions
    • diabetes
    • uraemia
    • hypercalcemia
    • poor glycemic control
    • hypothyroidism
  • Systemic disorders
    • amyloidosis
    • lupus
    • scleroderma

Problems with the Colon and Rectum
Intestinal obstruction, scar tissue—also called adhesions—diverticulosis, tumours, colorectal stricture, Hirschsprung’s disease, or cancer can compress, squeeze, or narrow the intestine and rectum and cause constipation.

Problems with Intestinal Function
The two types of constipation are idiopathic constipation and functional constipation. Irritable bowel syndrome (IBS) with predominant symptoms of constipation is categorized separately.
Idiopathic—of unknown origin—constipation does not respond to standard treatment.
Functional constipation means that the bowel is healthy but not working properly. Functional constipation is often the result of poor dietary habits and lifestyle. It occurs in both children and adults and is most common in women. Colonic inertia, delayed transit, and pelvic floor dysfunction are three types of functional constipation. Colonic inertia and delayed transit are caused by a decrease in muscle activity in the colon. These syndromes may affect the entire colon or may be confined to the lower, or sigmoid, colon.
Pelvic floor dysfunction is caused by a weakness of the muscles in the pelvis surrounding the anus and rectum. However, because this group of muscles is voluntarily controlled to some extent, biofeedback training is somewhat successful in retraining the muscles to function normally and improving the ability to have a bowel movement.
Functional constipation that stems from problems in the structure of the anus and rectum is known as ano-rectal dysfunction, or anismus. These abnormalities result in an inability to relax the rectal and anal muscles that allow stool to exit.
People with IBS having predominantly constipation also have pain and bloating as part of their symptoms.

How is the cause of constipation identified?
The tests the doctor performs depend on the duration and severity of the constipation, the person’s age, and whether blood in stools, recent changes in bowel habits or weight loss have occurred. Most people with constipation do not need extensive testing and can be treated with changes in diet and exercise. For example, in young people with mild symptoms, a medical history and physical exam may be all that is needed for diagnosis and treatment.

Medical History
The doctor may ask a patient to describe his or her constipation, including duration of symptoms, frequency of bowel movements, and consistency of stools, presence of blood in the stool, and toilet habits— how often and where one has bowel movements. A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause of constipation.
The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months:
  • straining during bowel movements
  • lumpy or hard stool
  • sensation of incomplete evacuation
  • sensation of ano-rectal blockage/obstruction
  • fewer than three bowel movements per week

Physical Examination
A physical exam may include a rectal exam with a gloved, lubricated finger to evaluate the tone of the muscle that closes off the anus—also called anal sphincter—and to detect tenderness, obstruction, or blood. In some cases, blood and thyroid tests may be necessary to look for thyroid disease and serum calcium or to rule out inflammatory, metabolic, and other disorders.
Extensive testing usually is reserved for people with severe symptoms, for those with sudden changes in the number and consistency of bowel movements or blood in the stool, and older adults. Additional tests that may be used to evaluate constipation include
  • a colorectal transit study
  • ano-rectal function tests
  • a defecography
Because of an increased risk of colorectal cancer in older adults, the doctor may use tests to rule out a diagnosis of cancer, including a
  • barium enema x ray
  • sigmoidoscopy or colonoscopy

Colorectal transit study. This test shows how well food moves through the colon. The patient swallows capsules containing small markers that are visible on an x ray. The movement of the markers through the colon is monitored by abdominal x rays taken several times 3 to 7 days after the capsule is swallowed. The patient eats a high-fibre diet during the course of this test.

Anorectal function tests. These tests diagnose constipation caused by abnormal functioning of the anus or rectum—also called ano-rectal function.
  • Anorectal manometry evaluates anal sphincter muscle function. For this test, a catheter or air-filled balloon is inserted into the anus and slowly pulled back through the sphincter muscle to measure muscle tone and contractions.
  • Balloon expulsion tests consist of filling a balloon with varying amounts of water after it has been rectally inserted. Then the patient is asked to expel the balloon. The inability to expel a balloon filled with less than 150 ml of water may indicate a decrease in bowel function.

Defecography is an x ray of the ano-rectal area that evaluates completeness of stool elimination, identifies ano-rectal abnormalities, and evaluates rectal muscle contractions and relaxation. During the exam, the doctor fills the rectum with a soft paste that is the same consistency as stool. The patient sits on a toilet positioned inside an x-ray machine, then relaxes and squeezes the anus to expel the paste. The doctor studies the x rays for ano-rectal problems that occurred as the paste was expelled.

Barium enema x ray. This exam involves viewing the rectum, colon, and lower part of the small intestine to locate problems. This part of the digestive tract is known as the bowel. This test may show intestinal obstruction and Hirschsprung’s disease, which is a lack of nerves within the colon.
The night before the test, bowel cleansing, also called bowel prep, is necessary to clear the lower digestive tract. The patient drinks a special liquid to flush out the bowel. A clean bowel is important, because even a small amount of stool in the colon can hide details and result in an incomplete exam.
Because the colon does not show up well on x rays, the doctor fills it with barium, a chalky liquid that makes the area visible. Once the mixture coats the inside of the colon and rectum, x rays are taken that show their shape and condition. The patient may feel some abdominal cramping when the barium fills the colon but usually feels little discomfort after the procedure. Stools may be white in colour for a few days after the exam.

Sigmoidoscopy or colonoscopy. An examination of the rectum and lower, or sigmoid, colon is called a sigmoidoscopy. An examination of the rectum and entire colon is called a colonoscopy.
The person usually has a liquid dinner the night before a colonoscopy or sigmoidoscopy and takes an enema early the next morning. An enema an hour before the test may also be necessary.
To perform a sigmoidoscopy, the doctor uses a long, flexible tube with a light on the end, called a sigmoidoscope, to view the rectum and lower colon. The patient is lightly sedated before the exam. First, the doctor examines the rectum with a gloved, lubricated finger. Then, the sigmoidoscope is inserted through the anus into the rectum and lower colon. The procedure may cause abdominal pressure and a mild sensation of wanting to move the bowels. The doctor may fill the colon with air to get a better view. The air can cause mild cramping.
To perform a colonoscopy, the doctor uses a flexible tube with a light on the end, called a colonoscope, to view the entire colon. This tube is longer than a sigmoidoscope. During the exam, the patient lies on his or her side, and the doctor inserts the tube through the anus and rectum into the colon. If an abnormality is seen, the doctor can use the colonoscope to remove a small piece of tissue for examination (biopsy). The patient may feel gassy and bloated after the procedure.

How is constipation treated?
Although treatment depends on the cause, severity, and duration of the constipation, in most cases dietary and lifestyle changes will help relieve symptoms and help prevent them from recurring.

Diet
A diet with enough fibre (20 to 35 grams each day) helps the body form soft, bulky stool. A doctor or dietician can help plan an appropriate diet. High-fibre foods include beans, whole grains and bran cereals, fresh fruits, and vegetables such as asparagus, Brussels sprouts, cabbage, and carrots. For people prone to constipation, limiting foods that have little or no fibre, such as ice cream, cheese, meat, and processed foods, is also important.

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. However, for those who have made diet and lifestyle changes and are still constipated, a doctor may recommend laxatives or enemas for a limited time. These treatments can help retrain a chronically sluggish bowel. For children, short-term treatment with laxatives, along with retraining to establish regular bowel habits, helps prevent constipation.
A doctor should determine when a patient needs a laxative and which form is best. Laxatives taken by mouth are available in liquid, tablet, gum powder, and granule forms. They work in various ways:
  • Bulk-forming laxatives generally are considered the safest, but they can interfere with absorption of some medicines. These laxatives, also known as fibre supplements, are taken with water. They absorb water in the intestine and make the stool softer. Brand names include Metamucil, Fiberall, Citrucel, Konsyl, and Serutan. These agents must be taken with water or they can cause obstruction. Many people also report no relief after taking bulking agents and suffer from a worsening in bloating and abdominal pain.
  • Stimulants cause rhythmic muscle contractions in the intestines. Brand names include Correctol, Dulcolax, Purge, and Senokot. Studies suggest that phenolphthalein, an ingredient in some stimulant laxatives, might increase a person’s risk for cancer. The Food and Drug Administration has proposed a ban on all over-the-counter products containing phenolphthalein. Most laxative makers have replaced, or plan to replace, phenolphthalein with a safer ingredient.
  • Osmotics cause fluids to flow in a special way through the colon, resulting in bowel distension. This class of drugs is useful for people with idiopathic constipation. Brand names include Cephulac, Sorbitol, and Miralax. People with diabetes should be monitored for electrolyte imbalances.
  • Stool softeners moisten the stool and prevent dehydration. These laxatives are often recommended after childbirth or surgery. Brand names include Colace and Surfak. These products are suggested for people who should avoid straining in order to pass a bowel movement. The prolonged use of this class of drugs may result in an electrolyte imbalance.
  • Lubricants grease the stool, enabling it to move through the intestine more easily. Mineral oil is the most common example. Brand names include Fleet and Zymenol. Lubricants typically stimulate a bowel movement within 8 hours.
  • Saline laxatives act like a sponge to draw water into the colon for easier passage of stool. Brand names include Milk of Magnesia and Haley’s M-O. Saline laxatives are used to treat acute constipation if there is no indication of bowel obstruction. Electrolyte imbalances have been reported with extended use, especially in small children and people with renal deficiency.
  • Chloride channel activators increase intestinal fluid and motility to help stool pass, thereby reducing the symptoms of constipation. One such agent is Amitiza, which has been shown to be safely used for up to 6 to 12 months. Thereafter a doctor should assess the need for continued use.
People who are dependent on laxatives need to slowly stop using them. A doctor can assist in this process. For most people, stopping laxatives restores the colon’s natural ability to contract.

Other Treatments
Treatment for constipation may be directed at a specific cause. For example, the doctor may recommend discontinuing medication or performing surgery to correct an ano-rectal problem such as rectal prolapse, a condition in which the lower portion of the colon turns inside out.
People with chronic constipation caused by ano-rectal dysfunction can use biofeedback to retrain the muscles that control bowel movements. Biofeedback involves using a sensor to monitor muscle activity, which is displayed on a computer screen, allowing for an accurate assessment of body functions. A health care professional uses this information to help the patient learn how to retrain these muscles.
Surgical removal of the colon may be an option for people with severe symptoms caused by colonic inertia. However, the benefits of this surgery must be weighed against possible complications, which include abdominal pain and diarrhoea.
Homeopathy Treatment for Constipation- Homeopathy helps for constipation while other system fails

Can constipation be serious?
Sometimes constipation can lead to complications. These complications include haemorrhoids, 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. Treatment for haemorrhoids 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 faecal 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.

Points to Remember
  • Constipation affects almost everyone at one time or another.
  • Many people think they are constipated when, in fact, their bowel movements are regular.
  • 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.
  • A medical history and physical exam may be the only diagnostic tests needed before the doctor suggests treatment.
  • In most cases, following these simple tips will help relieve symptoms and prevent recurrence of constipation:
    • Eat a well-balanced, high-fibre diet that includes beans, bran, whole grains, fresh fruits, and vegetables.
    • Drink plenty of liquids.
    • Exercise regularly.
    • Set aside time after breakfast or dinner for undisturbed visits to the toilet.
    • Do not ignore the urge to have a bowel movement.
    • Understand that normal bowel habits vary.
    • Whenever a significant or prolonged change in bowel habits occurs, check with a doctor.

  • Most people with mild constipation do not need laxatives. However, a doctor may recommend laxatives for a limited time for people with chronic constipation.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

 

Constipation in Children

Constipation means that bowel movements are hard and dry, difficult or painful to pass, and less frequent than usual. It is a common problem for children, but it is usually temporary and no cause for parents to be concerned.
When a child does not eat enough fibre, drink enough liquids, or get enough exercise, constipation is more likely to occur. It also happens when children ignore the urge to have a bowel movement, which they often do out of embarrassment to use a public bathroom, fear or lack of confidence in the absence of a parent, or unwillingness to take a break from play. Sometimes constipation is caused by medicines or a disease.

Symptoms of constipation include
  • no bowel movement for several days or daily bowel movements that are hard and dry
  • cramping abdominal pain
  • nausea
  • vomiting
  • weight loss
  • liquid or solid, clay-like stool in the child's underwear—a sign that stool is backed up in the rectum
Constipation can make a bowel movement painful, so the child may try to prevent having one. Clenching buttocks, rocking up and down on toes, and turning red in the face are signs of trying to hold in a bowel movement.
Treatment depends on the child's age and the severity of the problem. Often eating more fibre (fruits, vegetables, and whole-grain cereal), drinking more liquids, and getting more exercise will solve the problem. Sometimes a child may need an enema to remove the stool or a laxative to soften it or prevent a future episode. However, laxatives can be dangerous to children and should be given only with a doctor's approval.
Although constipation is usually harmless, it can be a sign or cause of a more serious problem. A child should see a doctor if
  • episodes of constipation last longer than 3 weeks
  • the child is unable to participate in normal activities
  • small, painful tears appear in the skin around the anus
  • a small amount of the intestinal lining is pushed out of the anus (haemorrhoids)
  • normal pushing is not enough to expel stool
  • liquid or soft stool leaks out of the anus
Homeopathy Treatment for Constipation- Homeopathy helps for constipation while other system fails
For More details  Please contact



Whom to contact for Constipation Treatment
Dr.Senthil Kumar Treats many cases Acute and Chronic Consitpation, In his medical professional experience with successful results. Many patients get relief after taking treatment from Dr.Senthil Kumar.  Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get appointment please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,


For more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)

For appointment please Call us or Mail Us

For appointment: SMS your Name -Age – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Chronic Constipation – 21st Oct, Sunday - Chennai ), You will receive Appointment details through SMS











==--==

Contact for Appointment

Name

Email *

Message *

Clinic & Camp Clinics

Vivekanantha Homoeo Clinic & Psychological Counselling Center

Dr.Senthil Kumar’s Consultation Schedule

Chennai

Head Office

Wednesday to Saturday:- 10.00am to 1.00pm &

5.00pm to 8.30pm

Sunday: - 10.30am to 1.00pm

(Consultation by Appointment only)

For Appointment

Please call: 09443054168,

Paramount Park

(Dr Plaza) - B Block,

B-12, Second Floor,

Velachery Main Road,

Direct Opposite to Saravana Stores,

Mega mart upstairs,

Near Vijaya nagar Bus Stand,

Velachery, Chennai 42,

Panruti

Branch Office

Monday(First & Third Monday of Every Month)

10.00am to 12.45pm &

05.30pm to 8.30pm

(Consultation by Appointment only)

For Appointment

Please call: 09443054168,

126, Chennai Salai,

(Near Raliway Gate, Direct Opposite to Lakshmi Villas Bank ATM), Panruti-607106,

Cuddalore District,

Tamil Nadu, India For

Pondicherry

Branch Office

Every Saturday:

11.00am to 02.00pm

(Consultation by Appointment only)

Appointment

Please call: 09443054168,

NB:-

Ø We are taking only minimum number of patients per day.

Ø We are allotting 40 to 5o minutes for new patients & 15 to 20 minutes for follow-ups.

Ø So be there at time to avoid unwanted waiting

Ø we concentrate more to patient’s privacy, so we are allotting 40 to 50 minutes/client – “so be there at time”

Ø We treat Many Diseases, so no one can know for what problem you are taking the treatment – So feel free to talk with Doctor and visit the Clinic.

For Appointment

Please call: 09443054168, 09786901830

Please call the Doctor and explain your problems in short, then SMS your Name – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini - 99xxxxxxx0 – Psoriasis – 21st Oct Sunday - Chennai )

You will receive Appointment details through SMS

For Foreign patients

For more detail and mode of payment

Send mail to consult.ur.dr@gmail.com

Or

Call +91 9443054168, +91 9786901830

http://homeoall.com/

Professional secrecy will be maintained

(Your complaints and other Details should be kept very confidential)

Join with me in Facebook

Disclaimer:

Disclaimer: These articles is for information only and should not be used for the diagnosis or treatment of medical conditions. we used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.