What about constipation? It's been a long time since I felt thousands of miles away. Very painful. . . .
1. General treatment: including diet, exercise and changing bad habits. For ordinary people without organic diseases, diet therapy is the first choice, that is, adding fiber foods such as bran, fruits and vegetables to their diet; Exercise is very helpful for ordinary people to defecate. Patients who stay in bed for a long time often have constipation and cause constipation. For some constipation patients, it is also very important to correct the tension in life, slow down the pace of work, and correct bad habits such as long-term humiliation. 2. medication: despite the above methods, many constipation patients still need laxatives to assist defecation. General constipation occasionally using laxatives will not cause adverse consequences, but long-term use of laxatives may produce dependence. Laxatives are generally divided into stimulating laxatives (such as rhubarb, senna leaf, phenolphthalein and castor oil), salt laxatives (such as magnesium sulfate), osmotic laxatives (such as mannitol), expansive laxatives (such as intestine moistening agents made of bran, konjac powder and agar) and lubricating laxatives (such as paraffin oil). It is very important to choose laxatives according to the severity of constipation. Inflatable laxatives are suitable for chronic constipation, and irritating laxatives should be selected only when necessary, and should not be taken for a long time; Salt laxatives, stimulating laxatives and lubricating laxatives can be used for acute constipation, but the time should not exceed 1 week; For long-term chronic constipation, especially those who cause fecal impaction, enema can be used. Enemas are divided into salt water and soapy water, and salt water is less irritating than soapy water. Cisapride is a new prokinetic drug for the treatment of colon constipation. Its mechanism is mainly to promote the release of acetylcholine from myenteric plexus, thus strengthening the movement of intestine and promoting the operation of small intestine and large intestine. After oral administration, it is absorbed quickly and thoroughly, reaching the peak of blood concentration within 1 ~ 2 hours, and the half-life is 10 hour. It can be used as an ideal drug for the treatment of colonic constipation. But for patients with severe constipation, it may take 2 ~ 3 months to achieve the ideal therapeutic effect. 3. Treatment of fecal impaction: enema, oral laxatives, enema and anal injection are usually ineffective. You can squeeze the perianal region by hand, and women can press the posterior wall of vagina with their fingers to help defecate. The commonly used method in clinic is to insert the index finger (wearing gloves) into the anus, divide the dry feces into small pieces, dig them out or stimulate them with kaisailu. If it fails, the fecal mass should be dug up under local anesthesia. 4. Hydrotherapy: This is an effective new therapy for intractable constipation. Sterilized and purified physiological saline is continuously injected into the anus through the instrument, and after repeated washing, the feces accumulated in the large intestine are discharged, so as to remove toxins, bacteria and parasites in the intestine and restore the normal absorption and excretion functions of the intestine. Different from oral laxatives and ordinary intestinal lavage, this therapy is painless and thorough, suitable for all kinds of constipation, and has the effect of detoxification and beauty. Generally every 1 ~ March1time, 45 minutes each time. 5. Biofeedback therapy: Biofeedback therapy is a therapy that enables patients to intuitively perceive the functional state of pelvic floor muscles during defecation, understand how to relax pelvic floor muscles during defecation, and increase intra-abdominal pressure to achieve defecation. Before treatment, it is necessary to explain the anatomy and physiology of pelvic floor to patients, and explain the methods and steps of this treatment to make them cooperate with the treatment. To master how to adjust defecation movements according to pressure changes and learn how to relax pelvic floor muscles requires repeated training and the establishment of conditioned reflex. 6. Surgical treatment: If constipation is still ineffective after conservative treatment for a period of time, some inspection methods can be used to see if there are organic lesions. That is, whether there is any surgical disease that needs surgical treatment. Surgical conditions of slow transit constipation: ① colonic weakness; ② No outlet obstruction; ③ Except for irritable bowel syndrome. Partial or subtotal colectomy can be performed. Outlet obstructive constipation: This disease can be diagnosed by defecography. Including: ① rectocele: it is solved by repairing the posterior vaginal wall or anterior rectal wall; ② Internal prolapse of rectum: Ligation of rectal mucosa is often used to shorten the length, or injection of sclerosing agent, surgical ligation and other comprehensive treatments; ③ Pelvic spasm syndrome (also known as pelvic floor achalasia syndrome): The surgical method of removing part of puborectalis muscle can be used, but the curative effect is uncertain.