Knows constipation (constipation) and clinical terminology (clinical - clinical), and according to several criteria, if times defecate less than three times a week during the period of 12 weeks, at least, in one year, or, when appropriate, defecation, in at least 25% of the time, that made a remarkable effort, or if defecation are missing or incomplete, and if it was hard stool or if there was a feeling of blocking calls to use the fingering for defecation.
Constipation does not constitute, in itself, a disease, but it is an indicator of a particular clinical condition. The doctor depends on the patient's complaint, exclusively, for the diagnosis of constipation. Estimates in the Western world that 99% of the population rate of between 3 times a day, 3 times a week, at least defecated.
He focused the bulk of the attention on the doctor and the frequency and amount of defecation. More annoying symptoms of the patient is the need to make a special effort in defecation (52%), and hard stools (44%), and the feeling that minus defecation and incomplete (34%) of the low frequency of defecation (32%).
Constipation is more prevalent among women than among men phenomenon, increasingly common with age. People who ate a fixed and permanent laxatives, due to constipation or of faith need to purify the body, do not consider patients.
The causes and risk factors for constipation
In practice, usually, constipation causes due to organic disease (sontipation organic), or to an imbalance in the digestive system performance (functional constipation).
Organic causes of constipation:
Disease in childhood: Herhpring / Hirschsprung's disease, a disease (Hirschsprung's disease / Hirschsprung's disease), which is caused by damage to the catch in the nerves of the digestive system, diseases of cystic fibrosis (CF), a genetic disease that affects the glands secretions and constipated.
Metabolism / metabolic diseases (metabolism): Diabetes (diabetes mellitus), mansions (thyroid), thyroid (hypothyroidism) or failure (gland) pituitary gland (pituitary insufficiency), and high levels of calcium or potassium in the body, and the lack of surplus / sodium in the body, kidney disease, tumors secrete hormones.
Central nervous system diseases and peripheral: Parkinson's disease (Parkinson's disease) and stroke (stroke), dementia (dementia), and tumors in the brain, and the injury / damage to the brain or spine.
Large intestine disease: tumors, inflammation of the rectum (proctitis), and intestinal torsion (volvulus), disease diverticulosis (diverticulosis) and anal fissure (anal fissure).
Many of the pharmaceutical drugs are important causes of constipation, namely: medicines to treat high blood pressure (hypertension), which is an antidepressant / pain, and diuretics (diuretic) and others.
Causes constipation and functional:
Inertia colon (colonic inertia): a decrease in motor performance of the large intestine is to decrease the frequency of bowel. In most cases there is a nerve injury in the sink or in the colon of the nervous system itself. In rare cases, there would be no injury to the colon muscle itself.
Disorder in the colon emptying (director disability): The difficulties include this group in defecation and feeling full Baltgot, in cases such as:
A. Anezmos (Anismus), a condition in which the muscles of the anus to contract the pelvic floor during defecation process, rather than relax.
B. drop the pelvic floor muscles (Pelvicfloor).
C. rectocele (rectocele / Proctocele): pocket appears during the process of defecation, as a result of injury / damage to the barrier that separates the vagina (vaginal) and rectum (rectal).
D. various pelvic organs to fall to the rectum during defecation (minute and bowel or bladder uterus).
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