Studies have shown that at present, about 70 million women in China are plagued by chronic constipation and have become the main victims of the disease.Chronic constipation has a similar quality of life as diabetes, hypertension, heart disease or depression, It has brought many economic and psychological burdens to the patients and has become one of the major public health problems in our country.
Chronic constipation causes more complicated, according to the incidence of site classification, can be divided into two types:
First, colonic constipation. Constipation caused by mechanical obstruction inside and outside the colon is called mechanical constipation. Constipation due to weakening or loss of colonic motility is called as inability constipation. Constipation caused by intestinal smooth muscle spasm The spastic constipation.
Second, rectal constipation. As the sensitivity of rectal mucosal receptors lead to fecal accumulation in the rectum. Found in rectal cancer, perianal disease, etc .. Habitual constipation more common in middle-aged and women and women.
Chronic constipation causes:
First, the spleen and kidney Deficiency: a long illness, kidney yang damage, yin ying yingxie not coagulation; or known spleen yang, but also by cold attack, and cause spleen and kidney yang, WenZhao no right then cold Gazeting stagnation, intestinal weakness, stool difficult, known as cold.
Second, hot knot: Chinese medicine that over-eating spicy thick, over-temperature Warming products can cause yang Sheng burning Yin; Fever, nausea nausea, wasting the body fluid; or damp bet big intestine, the intestines dry , Hurt Jin and constipation, also known as constipation hot constipation.
Third, the body fluid shortage: chronic illness, postpartum, the elderly frail, qi and blood deficiency; stomach spleen and stomach, drinking less, less than the source, the disease is too sweating, diarrhea, etc. The deficiency of the colon transfer weakness, Loss of colorectal nourishing dystrophy, so that dry gut intestinal tract, it will be difficult, so called virtual secret.
Symptom type performance:
1, less meaning, less times: such constipation can be found in the slow through the type and outlet obstruction constipation, the former is due to the slow, so that times and means are less, but the interval can still occur some time, fecal often dry Hard, forced defecation helps to excretion, while the latter is often the sensory threshold increased, not easy to cause, therefore, fewer times, and the stool is not necessarily dry and hard .To these patients can try leavening or penetrating agent to increase fecal content Water, increase softness and volume, stimulate the colon peristalsis, but also increase the stimulation of the rectal mucosa. At the same time should be regularly defecation.
2, defecation difficult, laborious: prominently manifested as abnormal discharge of feces difficult, but also seen in two cases, more common obstruction of the outlet obstruction .When the patient force row, the anal sphincter showed contradictory contractions, resulting in defecation difficulties. The type of defecation is not necessarily less, but time-consuming and laborious.If accompanied by abdominal weakness, then the more difficulty defecation.Second situation is due to slow, stool is absorbed too much water, stool dry, especially for a long time Not defecation, the exception of hard and dry excretion of feces difficult, impaction of feces may occur.This constipation can also try leavening agent or penetrant to make the feces soft, easy to discharge, and sometimes need to combine enema treatment, such as fecal softening still Difficult to discharge, then prompted for outlet obstructive constipation.This type of patients need to guide the way of defecation, if necessary, biofeedback treatment.
3, poor bowel: often anal anorectal obstruction, defecation poor.Although frequent have means, a lot of times, even if laborious does not help, difficult to have smooth bowel movement.Can be associated with anorectal irritation, such as falling, Discomfort, etc. Such patients often have lower sensory threshold, rectal hyperalgesia, or with intra-rectal anatomy, such as rectal intussuspation and hemorrhoids in individual cases of rectal sensory threshold increased, but also similar symptoms may be associated with the merger anorectal partial Anatomical changes related to this part of the treatment of patients need to improve the sensory threshold, reduce the number of defecations, the treatment of anorectal local lesions, such as hemorrhoids local constipation treatment.
