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Chronic constipation



Etiology. Causes of development: improper diet, suppression of urge to defecate, drugs, local organic causes.

Clinic. The frequency of stool becomes less than 3 times a week, the consistency of feces becomes denser ("sheep feces"), there are difficulties associated with bowel movement. Chronic constipation is divided into:

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

inflammatory;

2) organic.

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

Diagnostics. Diagnosis of chronic constipation is as follows.

1. High proctolonoscopy.

2. Proctosigmoidoscopy in combination with irrigoscopy.

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

Treatment. Dietotherapy of chronic constipation.

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

2. Meat with a lot of connective tissue.

3. Raw vegetables and fruits, dried fruits.

4.
Pickles, sweet jelly and stewed fruit.

5. Dairy products. Water, fruit juices, mineral waters (Essentuki No. 4 and 17).

Diet therapy of constipation in infancy.

1. Fruit juices, vegetable purees.

2. Cabbage and beetroot juices, prune puree.

3. Mix "Frisovoy" (with regurgitation, constipation, intestinal colic).

4. The mixture "Semperbifidus" (lactolac-tulose), etc.

Diet therapy of constipation in other age groups.

1. Wheat bran.

2. Sea kale (kelp).

3. Thermal contrast liquids for drinking.

4. Dietary supplements (with dietary fiber).

The principles of treatment.

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

2. Motility regulators (raglan, cerucal, motilium, coordinate).

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

4. Herbal medicine.

5. Physiotherapy.

6. Physiotherapy exercises.

7. Psychotherapy.

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Chronic constipation

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