Specific Health Concern >> Constipation
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In this video, Dr. Huntoon discusses digestive issues that effect your overall health and rob you of life. Constipation is no different.
If you are not moving your bowels equal to the number of times you eat in a day, then you would benefit from learning the truth about digestive health and what is normal.
Constipation is a precursor to other serious health concerns. Call us today!
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Normal bowel movements are different for each person. You may or may not have a bowel movement every day. Although some healthy people always have soft or near-runny stools, others have firm stools, but have no trouble passing them.
When you rarely have a bowel movement, or it takes a lot of effort to pass stool, you have constipation. Passing large, wide, or hard stools may tear the anus, especially in children. This can cause bleeding and may lead to an anal fissure.
Constipation is most often caused by:
- Low bowel flora, a lack of probiotics after antibiotic intake
- Low-fiber diet
- Lack of physical activity
- Not drinking enough water
- Delay in going to the bathroom when you have the urge to move your bowels
- Stress and travel can also contribute to constipation or other changes in bowel habits.
Other causes of constipation may include:
- Colon cancer
- Diseases of the bowel, such as irritable bowel syndrome
- Mental health disorders
- Nervous system disorders
- Underactive thyroid
- Use of certain medications
Constipation in children often occurs if they hold back bowel movements when they aren't ready for toilet training or are afraid of it.
What to expect at your Medical provider's office
Your doctor will perform a physical examination, which may include a rectal exam, and will ask questions such as:
- How long have you had constipation?
- How many days do you go between two bowel movements?
- Is constipation worse when you are stressed?
- What is the color, shape, and consistency of your stools?
- Is there any bleeding with bowel movements?
- Do you have any abdominal pain?
- What surgeries or injuries have you had?
- What medications do you take?
- Do you drink coffee or alcohol? Do you smoke?
- What other symptoms do you have?
In addition to these questions, the following tests may be used to help diagnose the cause of constipation:
- Anorectal manometry (pressure measurements of the anus and rectum)
- Barium enema
- Complete blood count (CBC)
- Proctosigmoidoscopy (an examination of the lower bowel)
- Stool studies
- Upper GI series
- X-rays of the abdomen
Alternative Care: Consider this first
An alternative to the medical route is to work with a Holistic Chiropractor who has experience in dealing with constipation. Discussing what is involved, understanding expectations and the time commitment is important. Getting the understanding through proper evaluation of your Transit Time and what is your microbiome doing (is it balanced or out of balance due to antibiotic exposure) would be important information to know. Then developing a well-planned and logical solution to restoring balance is warranted.
Many have benefited from working with Acupuncture, Homeopathy and Naturopathy.
Medicines Two Choices for You
Call your doctor immediately if you have sudden constipation with abdominal cramps and you cannot pass gas or stool. Do NOT take any laxatives.
Also call your doctor if you have:
- Been using laxatives for several weeks or self care is not working
- Blood in your stool
- Constipation alternating with diarrhea
- Rectal pain
- Sharp or severe abdominal pain, especially if you also have bloating
- Thin, pencil-like stools
- Unexplained weight loss
Call your child's pediatrician right away if:
- An infant (except those who are only breastfed) goes 3 days without a stool and is vomiting or irritable
Also call your child's pediatrician if:
- An infant younger than 2 months is constipated
- Non-breastfeeding infants go 3 days without having a bowel movement (call immediately if there is vomiting or irritability)
- A child is holding back bowel movements to resist toilet training
Avoiding constipation is easier than treating it, but often involves the same lifestyle measures. Adults who experience constipation are usually deficient in probiotics, the friendly bacteria that assist with digestion. By taking a probiotic with every meal you can aid digestion. Children and adults should get enough fiber in their diet. Vegetables, fresh fruits, dried fruits, and whole wheat, bran, or oatmeal cereals are excellent sources of fiber. To reap the full benefits of fiber, drink plenty of fluids to help pass the stool. At least 64oz of water a day is recommended. Finally seek the care of a Holistic Chiropractor who has experience with constipation and follow their advice. This will keep you from dealing with constipation in the future.
Regular exercise may also help establish regular bowel movements. If you are confined to a wheelchair or bed, change position often. Also do abdominal exercises and leg raises. A physical therapist can recommend exercises that you can do. Start an exercise routine and stick with it.
Stool softeners (such as those containing docusate sodium) may help. Bulk laxatives such as psyllium may help add fluid and bulk to the stool. Suppositories or gentle laxatives, such as milk of magnesia liquid, may help you have regular bowel movements.
Enemas or stimulant laxatives should only be used in severe cases. These methods should be used only if fiber, fluids, and stool softeners do not provide enough relief.
Do NOT give laxatives or enemas to children without first asking your doctor.
For infants with constipation:
Over 2 months old -- try 2 - 4 ounces of fruit juice (grape, pear, apple, cherry, or prune) twice a day.
Over 4 months old -- if the baby has begun solid foods, try baby foods with high-fiber content (peas, beans, apricots, prunes, peaches, pears, plums, spinach) twice a day.
Click the link for a description of this week's show and a link to the podcast from:
Advanced Alternative Medicine Center
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Dr. Richard A. Huntoon