What Causes Chronic Constipation?

What Causes Chronic Constipation?Causes of Chronic Constipation

Oftentimes, knowing the cause of a problem is the first step in knowing how to prevent the problem. This can be true of chronic constipation as well. Although there are many causes that cannot be prevented, there are some that can be understood and taken to heart to prevent chronic constipation from occurring.

In theory, constipation is caused by food simply moving too slowly through the digestive tract and colon. However, there are underlying reasons that this occurs and having an understanding of these reasons can help prevent chronic constipation from occurring and possibly help treat it if it does occur.

Diet

Dietary problems can be the root of chronic constipation. Diets that are low in fiber are practically a guarantee that constipation will occur. The digestive system needs roughage or fiber in order to push food through and out of the body. This is usually part of a well-balanced diet that includes fruits, vegetables and grains. However, many people fail to take in an adequate amount of fiber and wind up with chronic constipation.

Lack of Water

Water is necessary to keep the stool soft and easy to pass through the colon and out of the body. People who don’t drink enough water have a tendency to have constipation more often than those who drink the suggested eight (8 oz.) glasses of water daily.

Stress

Stress can cause the body to behave in odd ways. It can cause the over production of hormones or an underproduction of hormones. Hormones are part of the digestive system and any disruption can cause constipation.

Medication

Many medications are responsible for constipation. Painkillers are particularly prone to causing chronic constipation and at times must be stopped in order to get the bowels back on track. Other medicines that are known to cause constipation include certain antidepressants, anticonvulsants, iron, and some calcium channel blocking drugs. Sometimes the doctor can simply switch the medication to another one that does the same thing; otherwise, the doctor may have to add a fiber supplement or other medication to help with bowel movements.

Laxatives

This may seem like a contradiction; however, people who abuse laxatives can actually find that they are chronically constipated as a result. Abusing stimulant laxatives, as is often done by people with weight disorders, can cause the body to be unable to have a bowel movement without the aid of the stimulant. The stimulants are thought to cause damage to the colon muscles.

Hormonal Disorders

Stress is not the only thing that causes hormonal disorders. There are health conditions that cause hormonal problems and thus cause chronic constipation. If the thyroid produces too little or too much of the hormone parathyroid, constipation can occur.

An increase in estrogen or progesterone can also cause constipation. This often occurs during a woman’s menstrual cycle. The good news is that this cause usually rectifies itself and the bowels go back to normal without any intervention.

Lack of Sleep and Exercise

Poor sleep habits and a lack of exercise can lead to chronic constipation. Exercise stimulates the digestive tract and leads to healthy bowel movements. A lack of sleep often leads to a lack of exercise and constipation is the end result.

Parasites

Parasites can enter the body in many different ways, such as walking barefoot through grass or handling and many other ways. Parasites can be responsible for a host of health issues including constipation. This reason for constipation is not easy to diagnose and typically requires a doctor to treat.

Disease

There are many different diseases that are responsible for chronic constipation and can only be treated by a doctor. These diseases typically affect the muscles that control the colon and help push food through the colon. Some of these diseases include diabetes, Chagas disease, scleroderma, and Hirschprung’s disease.  Cancer can also be a leading cause of constipation if it is in the colon and causing a blockage.

While it might seem odd to think that brain and spinal cord injuries can cause constipation, it is true. Spinal cord injuries, multiple sclerosis and Parkinson’s disease are all examples of central nervous system diseases that can cause chronic constipation.

Birth Defects

There are several birth defects that can cause chronic constipation. The two most common are colonic inertia and pelvic floor dysfunction. These are conditions that typically are birth defects or occur later in life but are simply a failure on the part of the colon muscles or the lower pelvic muscles that are a part of the rectum, to function normally. The cause of these defects is not known.

Regardless of the cause of chronic constipation, the goal of anyone who suffers with it is to find relief and get their bowels back on a normal schedule. Knowing the cause behind the constipation is the first step in knowing how to treat it and be well.

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Chronic Constipation Treatments

Chronic Constipation TreatmentsUnderstanding Chronic Constipation

Chronic constipation may need the intervention of a medical doctor and yet many people are embarrassed to go to their doctor for what they feel should be a private and easily treated matter. The truth is, many cases of chronic constipation are caused by medical conditions and if left untreated can lead to severe health conditions and even death. Doctors have a variety of chronic constipation treatments to choose from and even procedures that can be used if necessary.

What is Chronic Constipation?

Constipation is the inability to have a bowel movement for a period of time. However, the time period that defines chronic constipation varies from person to person. Everyone has a different bowel schedule and so it is important that people know what their normal bowel routine is and thus be able to identify when it is off schedule and constipation is the cause.

Some people may have a bowel movement once or twice daily while others may have one every other day. In addition to knowing what normal frequency is, everyone should be aware of their normal stools and know when they are developing harder stools that are more difficult to pass. This is a common sign of constipation as well. If constipation reaches the chronic stage it may be necessary to see a doctor to determine what should be done to restore the bowels to their normal function.

Medical Advice

In the beginning the doctor may recommend changes in the diet to help facilitate bowel movements. The doctor will most likely provide information on diet and lifestyle changes that should help get bowel movements back to normal. Some of the most often recommended changes include the following.

  • Diet: A diet high in fiber is conducive to normal bowel movements. It is recommended that at least 20 to 35 grams of fiber be included in the daily diet to help the formation of soft stools that are easy for the body to pass. Fiber can be found in fruits, vegetables, beans, legumes and grains. It can also be added through the addition of wheat germ or phylum husk. Processed foods, meats and cheeses should be limited.
  • Fluids: Plenty of fluids should be included in the daily diet. At least 8 glasses of water should be included in the daily diet. Water and other liquids assist the body in keeping stools soft which in turn makes them easier to expel from the body.
  • Exercise: Exercise has been proven to stimulate the intestinal tract and help with defecation.
  • Training and Time: Many people have found that setting aside time to have a bowel movement and going the same time every day helps train their bowels to move. It is also important to go to the bathroom anytime the urge strikes, holding it back can lead to constipation.

Laxatives

Doctors try to avoid laxatives as much as possible as they can be habit forming. However, there are some laxatives that they will prescribe for use when diet and exercise are not working. There are many types of laxatives and supplements that doctors can choose from and typically they choose the least harsh when prescribing them. The various types of laxatives available include:

  • Fiber: These are laxatives that are derived from fiber and include such names as Metamucil, FiberCon and more.
  • Lubricants: These are stool softeners and can be suppositories or mineral oil that is ingested.
  • Stool softener pills: These pills help prevent the colon from dehydrating which causes constipation.
  • Saline laxatives: This type of laxative uses saline to pull water into the colon in order to help the stool pass. Milk of magnesia is a saline laxative.
  • Stimulants: This type of laxative causes contractions in the colon which then cause the body to pass the stools. This is the main type of laxative to avoid as the body can become addicted to the laxative.

Doctors try to use diet and exercise to help their patients get their bowel movements back to normal. If necessary, they can have them try laxatives; however, in the event that laxatives do not work, there are more aggressive medical techniques that can be used.

Medical Procedures

If diet, exercise and laxatives do not solve the chronic constipation, there are more aggressive medical techniques that can be used, such as manual manipulation or surgical procedures. Manual manipulation is typically done to remove a blockage or impaction that is preventing stools from passing through and out of the body. Surgical procedures include removing part of the colon that is causing the problem so that normal bowel movements can resume. These are typically considered a last resort when nothing else has worked.

Medical treatment for chronic constipation is often needed to provide relief from chronic constipation and knowing this makes it possible to get that relief and stop the suffering sooner than later.

 

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Chronic Constipation Home Treatment Options

Chronic Constipation Home Treatment OptionsChronic Constipation

Chronic constipation is a miserable feeling; it causes bloating, pain from straining to pass hard stools and an overall feeling of unease. There are many treatment options that can be successfully employed from home; however, some chronic constipation requires the intervention of a doctor to get complete relief. The following information should help provide the relief needed and help determine when a doctor should be contacted.

Laxatives

The first thing that should be understood is how laxatives affect the colon. Laxatives are an excellent aid for the occasional bout with constipation; however, long term use can cause the colon to become dependent on them and thus cause constipation to worsen when they are not used.

This does not mean that laxatives cannot be successfully used. There are times when the body has episodes of constipation that are short term and can be treated successfully using over the counter laxatives. However, there are alternatives to harsh chemical laxatives that can be used to keep bowel movements regular. An overview of these options follows.

Home Remedies for Constipation

Home remedies for constipation are typically diet based. These remedies add foods to the diet that help to keep the bowels moving regularly. Some of the foods that are suggested include:

  • Grain products: A minimum of six ounces of grain products should be included in the diet on a daily basis. This includes products such as whole grain bread, cereal, barley flour and grits.
  • Starchy fruits and vegetables: Starchy fruits and vegetables contain fiber that naturally fights constipation. Some of the best vegetables for fighting constipation include broccoli, cauliflower, apples, prunes, berries, tomatoes, oranges, corn, peas and more. In fact, practically all vegetables and fruits will aid in preventing constipation and when constipated, adding prunes to the diet can help remedy the situation.
  • Dried beans: Legumes and dried beans such as pinto beans, navy beans and lima beans are full of fiber and protein. The fiber makes them an ideal constipation combatant while the protein makes the nutritious.

These daily dietary additions will not only help prevent and treat constipation, they are also healthy additions that will keep the body functioning properly.

Other Home Treatments

There are many other home treatments that have proven successful in treating constipation and in some cases preventing it from occurring. Some of these include the following:

  • Coffee: It has been found that a cup of hot coffee can stimulate the digestive tract and promote bowel a movement. Many people have trained their bowels to move after having their morning coffee.
  • Mineral and olive oil: Adding olive oil to salads or having a spoon of mineral oil daily can provide lubrication to the gastrointestinal tract that will help make bowel movements more regular.
  • Exercise: Exercise has been proven to help stimulate bowel movements and keep the body regular.

Treatment for Chronic Constipation

When constipation goes beyond one or two days and the normal home remedies and preventatives are not working, there are some other home treatment options that can be tried before seeking medical treatment.

Juices are a natural home remedy that can often break through even the toughest bout of constipation. Prune juice, tomato juice and even sauerkraut juice have been used to effectively cure constipation. Aloe Vera juice is another frequently used home remedy for chronic constipation. Once the chronic bout is cured, the juice can be continued daily as a preventative.

Psyllium husk and wheat germ are fibers that are found in many over the counter constipation medications. This is usually either mixed into a juice or water and drank or sprinkled over food. The fiber helps to push food through the digestive system and relieve constipation.

Honey is another home remedy that has shown great success in treating constipation. It can be used in foods or as a sweetener in hot tea or simply taken by the spoonful when constipation attacks.

Medical Intervention

If home remedies do not work to break up chronic constipation, medical intervention may be necessary. This intervention can help determine what the cause of the constipation is and provide any medication indicated by the cause.

Impactions are often the cause of chronic constipation. This condition can be relieved by either manual manipulation or through the use of a colon cleanser such as an enema.

If pain medication is used on a daily basis, it could be the cause of the chronic constipation and may need to be adjusted in order to stop the constipation episodes from occurring.

There are other medical conditions that can cause chronic constipation and the doctor will be able to identify these and ultimately treat the condition in order to treat the constipation.

Treatment for constipation and chronic constipation varies depending on the cause; however, there are many home treatments, as has been shown herein. The best treatment option is prevention and following a healthy diet is the first step in preventing chronic constipation.

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