Constipation – causes
Changes in daily life – During pregnancy, women can suffer from due to modification in hormonal levels or due to compression exerted by the uterus on the colon.
Age may also affect the activity of the colon, because a lazy metabolism ends in a diminution in intestinal activity. Also, constipation can occur during travel due to changes in alimentation and daily routine.
Excess of medication – constipation myths have caused the misuse of laxatives. This habit is more common among people who are concerned about having a intestine excretor activity daily. Most often, laxatives are not needed, especially because use an effect can become habits. Over period, laxatives can influence nerve cells and the colon’s organic capability to alter the contraction of the colon. For the similar cause, regular use of clysters may also induce an impairment in the regular intestine action.
Neglecting the need to go to the toilet – ignoring the needs of the moment may lead, in time, to constipation.
Typical conditions and illnesses
Diseases that can cause constipation are neurological dysfunction, metabolous or endocrinal disturbances including systemic and digestive organs. These disorders can slow the movement of stools through the colon, rectum and anus.
Among the diseases that can cause constipation are: sclerosis, chronic idiopathic intestinal pseudo-obstruction, Parkinson’s disease, , stroke, diabetes mellitus, spinal injuries, tioride gland disease – hyper-and hypothyroidism, hypercalcemia, uremia, Down syndrome.
Systemic diseases affecting the digestive function that can cause constipation are: systemic lupus erythematosus, scleroderma, amyloidosis.
Diseases of the colon and rectum, including intestinal obstruction, tumors, diverticula, colorectal stricture or hirschprung disease can compress, narrow twisting or intestine and produce constipation.
Some people suffer from chronic constipation, unresponsive to standard treatments. This rare situation, known as chronic idiopathic constipation (origin unknown), may be associated with functional bowel disorders, such as those caused by alterations in hormonal control of nerve and muscle activity. Functional constipation tends to be quite common lately but is more usual in women. Decreased mobility of the colon or slow transit are types of chronic constipation caused by reduction of the activity of colon’s muscles.
Colorectal transit investigation – This test, special designed for patients suffering from chronic constipation, displays the time that food needs to get to the digestive area. The patient engulfs a radio-opaque substance, of which transit can be watched on a monitor for 3-7 days since the capsule is assimilated. The patient is requested to follow a special diet recommended by the doctor during this test.
Barium enema – Allows viewing of the colon, or bowel obstructions can highlight changes in its lining.
Sigmoidoscopy and colonoscopy – is to examine the rectum and inferior area of the colon (sigmoid). For these explorations doctors use a long bendy pipe with a bulb and a small camera named colonoscope .The patient takes a mild sedative before the examination.
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