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Chronic constipation



Etiology. Causes of development: malnutrition, suppression of urge to defecate, medicinal substances, local organic causes.

Clinic. The stool frequency becomes less frequent 3 times a week, the stool consistency becomes more dense ("sheep feces"), there are difficulties associated with bowel emptying. Chronic constipation is divided into:

1) functional, which are subdivided into alimentary, dyskinetic, psychoneurogenic, endocrine,

inflammatory;

2) organic.

Functional chronic constipation includes cases of rare emptying of the intestine, when it is not possible to identify any organic cause of this condition.

Diagnostics. Diagnosis of chronic constipation is as follows.

1. High proctonomonoscopy.

2. Proctosigmoidoscopy in combination with irrigoscopy.

3. Fractional radiological introduction of barium in the small intestine.

Treatment. Diet therapy for chronic constipation.

1. Black and white bread with bran, legumes; cereals: oatmeal, buckwheat and barley.

2. Meat with a large amount of connective tissue.

3. Raw vegetables and fruits, dried fruits.

4.
Pickles, sweet kissels and compotes.

5. Sour-milk products. Water, fruit juices, mineral water (Essentuki No. 4 and 17).

Diet therapy of constipation in infancy.

1. Fruit juices, vegetable purees.

2. Cabbage and beet juice, puree from prunes.

3. Mixture "Frisov" (with regurgitation, constipation, intestinal colic).

4. A mixture of "Semperbifidus" (lactolac-tulose) and others.

Dietotherapy of constipation in other age groups.

1. Wheat bran.

2. Sea kale (kelp).

3. Thermo-contrast liquids for drinking.

4. Biologically active additives (with dietary fiber).

Principles of treatment.

1. Laxative anthraglycosides (senna leaves, rhubarb, tisasem, senadexin); synthetic (phenolphthalein, bisacodyl); lactulose (normase, portal), hilak-forte.

2. Motor regulators (raglan, cerulek, motilium, coordinate).

3. At pains group reserpina, antispasmodics. Anti-inflammatory in microclysters.

4. Phytotherapy.

5. Physiotherapy.

6. Physical therapy.

7. Psychotherapy.

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Chronic constipation

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