The commonly used drugs for constipation are 1 and volume laxatives (bulking drugs).
Common ones are plantain, polycarbophil, wheat bran and plantain granules.
2. Osmotic laxatives
Commonly used are polyethylene glycol, lactulose and salt laxatives (magnesium sulfate);
3. Irritating laxatives
Common ones are rhubarb, senna, aloe capsules, kaisai dew, etc.
4, prokinetic drugs
Common drugs such as procapride;
Step 5 Probiotics
Such as tablet/capsules of bifidobacterium triple viable bacteria.
Mild constipation: a lot of laxatives
It is suggested that people with mild constipation use volumetric laxatives, such as psyllium, polycarbophil, wheat bran and psyllium laxative granules. Volumetric laxatives are rich in cellulose or cellulose derivatives, which will swell when absorbed by water, forming mucus masses, and making feces swell and soften. On the one hand, swollen feces will promote intestinal peristalsis, on the other hand, softened feces are also more conducive to discharge.
It is best to take laxatives on an empty stomach and pay attention to drinking plenty of water during taking them. Because the role of volume laxatives is to absorb the water in the intestine, so that the volume of feces becomes larger and the texture becomes softer. If you don't drink enough water, the water absorbed by the stool is insufficient, and the stool will still be hard and difficult to discharge, so you must pay attention to hydration.
If you take too much volume laxatives, it will cause bloating or slight nausea. It can be relieved by adjusting the dosage, and it can also be combined with probiotics to alleviate the discomfort caused by volumetric laxatives.
Moderate constipation: osmotic laxatives
Constipation has been going on for several years, but it's no use adjusting your life. If you eat a lot of vegetables and fruits, you can use osmotic laxatives, such as polyethylene glycol, lactulose and salt laxatives (magnesium sulfate). After the osmotic laxative enters the large intestine, the water in the intestine is not easily absorbed by the intestinal wall, thus retaining the water in the intestine, which plays a role in lubricating the intestine, softening feces, stimulating intestinal peristalsis and promoting defecation.
This laxative is best eaten on an empty stomach, and attention should be paid to hydrating in order to give full play to its efficacy. Generally, it takes 2-3 days for osmotic laxatives to take effect. Some patients eat a large amount and even defecate after 2 hours, so the onset time varies from person to person and from drug to drug.
When a large number of osmotic laxatives are taken, diarrhea will occur, which can cause electrolyte disorder. Use with caution for the elderly and people with renal insufficiency. After taking lactulose, if there is no obvious abdominal distension, you can continue to take the medicine, and the symptoms of abdominal distension will gradually ease; If you take too much, you will obviously feel abdominal distension, and you can reduce the dose, which will generally be relieved after 3~5 days.
For this kind of osmotic laxative, young people can stop using it after a period of time without taking it for life. However, for elderly patients with severe constipation (colonic constipation), if the body can't stand surgery, or other treatments are ineffective, it is necessary to take drugs intermittently for life.
Severe constipation: combined application of multiple drugs
Constipation for many years, physical weakness, defecation once every ten days, defecation is still very difficult, and eating lactulose is not very useful, which may be caused by decreased colon tension and relaxation of intestinal smooth muscle. Simply put, it is insufficient colonic motility. No strength? Pushing food residues to move in the colon, thus causing constipation.
In addition to osmotic laxatives, such patients can also use intestinal peristalsis drugs to help intestinal peristalsis. For example, commonly used drugs to promote intestinal peristalsis can be taken before and after meals. It usually takes 1~3 days to take effect. The most common side effects of this medicine are nausea, vomiting and even headache, but they are generally mild and do not need to be stopped. If diarrhea is serious, you can reduce it. For example, you can cut one tablet in half.
I would like to remind you that if the effect is still not good after taking the medicine for three weeks, you should consult a doctor to re-evaluate whether you should continue taking the medicine or change to other drugs.
Constipation conditioning method 1, abdominal breathing method
Adhere to abdominal breathing. Abdominal breathing in yoga can deepen breathing, effectively massage internal organs, enhance abdominal muscle strength, speed up its operation, enhance visceral vitality, discharge visceral toxins, and help effectively improve constipation.
Step 2 develop good habits
To prevent constipation, we should abandon bad living habits. For example, some people will suppress defecation, or read books and play mobile phones during defecation, resulting in long defecation time and excessive defecation. These are all bad habits. How long is the appropriate defecation time? Whether squatting or sitting, it is best not to exceed 5 minutes. It's incredible that people who defecate for a long time stay in the toilet for twenty or thirty minutes. What are they doing? Is this environment suitable for playing with mobile phones and smoking a cigarette? For people with constipation, it is best not to do anything when going to the toilet. If you don't want to be constipated, just concentrate on going to the toilet.
3. Drink plenty of water every day
One of the reasons for constipation is the lack of drinking water, and the water in the food residue in the intestine is constantly absorbed, which leads to the slow peristalsis of the large intestine. Replenishing water in the morning does have the effect of eliminating constipation, because the stomach is at rest at night. Drinking water before eating in the morning will make the stomach run faster than usual, so that water can be immediately transported to the large intestine, which increases the water in the stool and can also be better discharged. It is recommended to drink two cups of warm water on an empty stomach in the morning, with one cup at around 240℃.
Step 4 massage the lower abdomen
Empty urine after getting up and drink 300 ~ 500ml of cold water. Stand with your feet shoulder-width, relax, put your right palm on the right lower abdomen and your left palm on the back of your right hand, and massage from the lower abdomen to the right quarter rib, to the left quarter rib, and then to the left lower abdomen. Massage clockwise for 30 ~ 50 times repeatedly. Don't use excessive force, just massage gently. It may not have any effect at first, but as long as you stick to this method, 10 will definitely have an effect. Do it once a day, and after 30 days, you can completely achieve the effect of normal defecation. Special attention: only massage clockwise, not counterclockwise.
5. Eat yogurt every day
Cold drinks are more irritating to people with gastrointestinal sensitivity, so some people will have diarrhea after drinking them. Probiotics in yogurt are the main reason to help digestion. Probiotics will ferment cellulose in the intestine, and the organic acids produced will promote intestinal peristalsis. A cup a day can make the body absorb enough probiotics.
6. Exercise more at ordinary times
Proper physical labor or exercise can stimulate colon peristalsis, accelerate the propulsion of intestinal contents and facilitate defecation. Therefore, when you are at home, you might as well mop the floor, do housework, or stretch your hand, bend over and do exercise. Not only makes the home clean and tidy, but also helps to relieve constipation. With diet conditioning, I believe it will be smooth soon.
Five dietary misunderstandings to relieve constipation 1, eat more bananas.
Bananas can help to relax bowels, and are also a respected food, which is often used to improve constipation. You know, only ripe bananas have a laxative effect. If you eat immature bananas, it will not help to improve constipation, but will aggravate constipation.
2. Eat fruits and vegetables.
Everyone knows that vegetables and fruits are rich in dietary fiber and sufficient water, which can effectively help relieve constipation. But if you eat too much, it will cause flatulence and abdominal pain. For people with poor gastrointestinal function, eating more fruits is not only bad for defecation, but also irritating to the stomach.
3, the diet is light and does not eat oil.
Many people think that constipation is caused by eating too much fish and meat, so they turn to a special vegetarian diet to improve constipation. In fact, people with constipation need to eat more oil, especially sesame oil, which can effectively help improve constipation, because oil has a lubricating effect.
4. Drink a lot of tea
Many people think that drinking tea is helpful? Clear fire? , will certainly play a role in improving constipation. Actually, constipation is not suitable for drinking more tea. Because tea has astringent effect, drinking too much will aggravate constipation. It is recommended to drink more water.
5. Don't eat meat
Some people think that not eating meat can help relieve constipation. In fact, not eating meat will aggravate constipation. This is because the movement of the stomach also needs motivation, and a normal diet is the basic motivation to ensure its normal operation, otherwise it is difficult to excrete the waste in the body.