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Chronic constipation

Etiology. Causes of development: poor diet, suppression of urge to stool, medicinal substances, local organic causes.

Clinic. Stool frequency becomes less 3 times a week, stool consistency becomes more dense (“sheep feces”), difficulties associated with emptying the intestine appear. Chronic constipation is divided into:

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


2) organic.

Functional chronic constipation includes cases of rare bowel movements when it is not possible to identify any organic causes of this condition.

Diagnostics. Diagnosis of chronic constipation is as follows.

1. High proctolonoscopy.

2. Proctosigmoidoscopy in combination with irrigoscopy.

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

Treatment. Diet therapy of chronic constipation.

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

2. Meat with a large amount of connective tissue.

3. Raw vegetables and fruits, dried fruits.

Salting, sweet kissel and compotes.

5. Fermented milk products. Water, fruit juices, mineral waters (Essentuki Nos. 4 and 17).

Diet therapy constipation in infancy.

1. Fruit juices, vegetable purees.

2. Cabbage and beet juices, mashed prunes.

3. A mixture of "Frisovom" (with regurgitation, constipation, intestinal colic).

4. Mix "Semperbifidus" (lactolac-tulosis), etc.

Diet therapy for constipation in other age groups.

1. Wheat bran.

2. Sea kale (kelp).

3. Thermocontrast liquids for drinking.

4. Dietary supplements (with dietary fiber).

Principles of treatment.

1. Laxative antraglycosides (leaves of senna, rhubarb; tisasem, senadeksin); synthetic (phenolphthalein, bisacodil); lactulose (normase, portal), hilak-forte.

2. Motor controllers (raglan, cerculate, motilium, coordination).

3. For pain, a group of reserpine, antispasmodics. Anti-inflammatory in microclysters.

4. Herbal medicine.

5. Physiotherapy.

6. Therapeutic exercise.

7. Psychotherapy.

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Chronic constipation

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