What is constipation?
Constipation is a common symptom where a person has
difficulty passing faeces or unusually dry stool. In
simple language it is irregular and infrequent or
difficult evacuation of the bowels. Constipation is
determined in the colon (large intestine), which is
responsible for packaging and eliminating stool.
As food moves through the colon, it absorbs water while
forming stool. Muscle contractions (squeezing motions) in
the colon push the stool toward the rectum (the lower 8 to
10 inches of the large intestine). By the time stool
reaches the rectum, it is solid, because most of the water
has been absorbed.
Age wise effect: Constipation is more common in
children and older age, but can affect anyone. The reason
for this is that children prefer junk foods and a diet low
in fibre and elder people due to absence of teeth prefer
soft foods which are again low in fibre due to which
constipation occurs.
Economic status: The people who have high
economic status are more likely to catch this problem
because generally the don¡¦t have time to take their proper
meals and take more junk food which in turn disturbs the
digestive system and causes constipation.
Types:
- Common constipation - occasional constipation
- Chronic constipation
- Travel-related constipation
- Age-related constipation
- Pregnancy-related constipation
- Chronic idiopathic constipation
- Functional constipation
Causes:
- Diet:
The most common cause of constipation is a diet low in
fibre found in vegetables, fruits, and whole grains and
high in fats found in cheese, eggs, and meats. People who
eat plenty of high-fibre foods are less likely to become
constipated.
- Not enough liquids:
Liquids like water and juice add fluid to the colon and
bulk to stools, making bowel movements softer and easier
to pass. Other liquids, like coffee and soft drinks that
contain caffeine seem to have a dehydrating effect.
-
Lack of Exercise:
Lack of exercise can also lead to constipation. For
example, constipation often occurs after an accident or
during an illness when one must stay in bed and cannot
exercise.
-
Medications:
Pain medications (especially narcotics), antacids,
antispasmodics, antidepressants, iron supplements,
diuretics, and anticonvulsants for epilepsy can slow
passage of bowel movements.
-
Irritable Bowel Syndrome (IBS):
Some people with IBS, also known as spastic colon, have
spasms in the colon that affect bowel movements.
Constipation and diarrhoea often alternate, and abdominal
cramping, gassiness, and bloating are other common
complaints. Although IBS can produce lifelong symptoms, it
is not a life-threatening condition. It often worsens with
stress.
-
Changes in Life or Routine:
During pregnancy, women may be constipated because of
hormonal changes or because the heavy uterus compresses
the intestine. In addition, people often become
constipated when travelling because their normal diet and
daily routines are disrupted.
-
Abuse of Laxatives:
Laxatives usually are not necessary and can be habit-
forming. The colon begins to rely on laxatives to bring on
bowel movements. Over time, laxatives can damage nerve
cells in the colon and interfere with the colon's natural
ability to contract. For the same reason, regular use of
enemas can also lead to a loss of normal bowel function.
-
Ignoring the Urge to Have a Bowel Movement:
People who ignore the urge to have a bowel movement may
eventually stop feeling the urge, 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.
Symptoms:
- Difficult bowel movement
- Dry bowel movement
- Painful bowel movement
- Abdominal pain
- Nausea
- Vomiting
- Weight loss
- Feeling uncomfortable
- Feeling sluggish
- Diarrhoea - a blockage only allows liquid to pass
- Abdominal swelling
- Loss of appetite
Effects:
-
Haemorrhoids
- Anal fissures
- Rectal prolapse
- Faecal incontinence
- Feeling sluggish
- Feeling uncomfortable
- Bloody stools
TREATMENT OF CONSTIPATION
A] Home Remedies:
- Ginger tea is a great home remedy for
constipation. It helps in starting bowel movements.
- Exercise often a simple stroll in the park can
relieve constipation.
- Guava when eaten with seeds provides roughage to
diet can give relief from constipation.
- Add more fruits to the diet like pears, grapes,
Orange juice & Papaya.
- Another natural remedy for constipation is to add
a little extra sugar or some honey a glass of milk. Drink
twice a day.
- Apply 3 ¡V 4 drops of lukewarm castor oil over the
navel at night. In the morning, the patient will pass the
stools.
- Soak 6-8 raisins in hot water. When cool, crush
well and strain. When given routinely even to little
infants, it helps to regulate bowel movement.
- Eat 2 apples with peel on an empty stomach.
- Dissolve 1 tablespoons of honey in 1 cup of
lukewarm water and drink on an empty stomach in the
morning.
- Drink carrot juice. It is a very tasty remedy,
especially for kids.
- Eat chopped fresh onion.
- Eat 3 ¡V 4 teaspoons of Isabgol husk with warm
water or warm milk at bed time
B] Ayurvedic Remedies:
- Take 3 -4 teaspoons of Abhyarishta with equal
quantity of water twice a day after meals.
- Take 1 - 2 teaspoons of Panchasakar churna with
lukewarm water.
- Take 1 - 2 teaspoons of Avipattikar Churna
(powder) with water or milk twice a day.
- Take 1 tablet of Gandhak Vati with hot water after
meals.
- Take 1 - 2 tablets of Virechani with warm water or
milk at bed time.
- Take 1 - 2 tablets of Lashunadi Vati with warm
water after meals.
C] Yoga asanas:
- Pawan mukta asana
- Vajra asana
- Yog mudra
- Dhanur asana
NOTE - Don't take any medication or do any asana
without the advice of the doctor.
Dr. Upneet Kaur
is a BAMS Doctor and have done her degree under Baba
Farid University Of Health Sciences, Faridkot, Punjab. She can be contacted at - dr_upneet@yahoo.co.in
Related Article : Constipation- Ayurvedic treatment