Our Gastroenterology Blog

Posts for tag: Constipation

By Advanced Gastroenterology Group
June 24, 2020
Category: GI Care
Tags: Constipation  
ConstipationConstipation is the source of plenty of jokes. However, if you deal with it--even occasionally--constipation isn't funny; you just want it resolved. Your gastroenterologist helps many patients with constipation, uncovering reasons for it, and getting people the relief they need. Here's some practical help.
 
What is constipation?
In general, constipation is the inability to pass stool regularly. Often, changes in daily routine, travel, and a diet low in fiber leads to fullness and pain in the abdomen, sluggishness, super-hard stools, and even bleeding and hemorrhoids produced by straining. Experts at the Cleveland Clinic say that 2.5 million Americans annually see their primary care physicians because they are constipated.
 
What causes constipation?
Many factors play into this gastrointestinal complaint. Poor hydration and an age-related slow metabolic rate are common causes, as are:
  • Certain medications
  • Lack of exercise
  • Pregnancy
  • Excessive amounts of dairy products, including cheese and milk
  • Stress
  • Not going to the toilet frequently enough
  • Irritable bowel syndrome
  • Abusing laxatives
Pinpointing the reasons
Your constipation may signal an underlying disease condition, and it can lead to physical issues such as rectal prolapse and hemorrhoids if left untreated. Your gastroenterologist will want to review all your symptoms; so be specific about your bowel movements, when your constipation started, and what, if anything, relieves it. He or she may run tests, such as X-rays or colonoscopy, to look for structural abnormalities or disease processes.
 
How can you deal with constipation?
John Hopkins Medicine says that most constipation responds to:
  • Changing your diet to include fiber
  • Drinking plenty of water throughout the day to soften stool
  • Staying as active as possible
  • Switching routine medications (with your doctor's approval)
  • Limited use of laxatives (enemas, glycerin suppositories, stimulant laxatives)
  • Daily fiber supplements (psyllium or bran cereals) or stool softeners
Some gastroenterologists recommend biofeedback techniques for their constipated patients. With biofeedback, the individual learns how to strengthen and to use his or her pelvic floor muscles more efficiently.
 
Manage your constipation
A healthy gut means a healthier, happier you. To learn more about constipation and other common GI problems, contact your gastroenterologist.
By Advanced Gastroenterology Group
September 16, 2019
Category: Gastroenterology
Tags: Constipation   Pain  

Being constipated means your bowel movements happen less often than normal. Everyone goes through it at some point. Fortunately, there are many treatments that can provide relief. Treatment for constipation usually begins with diet and lifestyle changes meant to increase the speed at which stool moves through your digestive tract. If those changes don't help, your gastroenterologist may recommend other treatment options.

1. Poor diet- A common cause of constipation is a diet high in refined sugar (desserts and other sweets), and animal fats (dairy products, eggs, meats, but low in fiber (fruits, vegetables, whole grains), especially insoluble fiber, which helps move stool through the colon and promote bowel movements. Studies show that high dietary fiber intake results in larger stools and more frequent bowel movements.

2. IBS- Irritable Bowel Syndrome (IBS) is one of the most common causes of constipation. IBS is an intestinal disorder that affects the large intestine. Signs and symptoms include abdominal pain, cramping, gas, bloating, constipation or diarrhea, or both. IBS treatments include diet and lifestyle changes and medications.

3. Bowel habits- You can start a cycle of constipation by suppressing the urge to defecate. After a period of time, you may stop feeling the urge. This can lead to progressive constipation. Research shows that ignoring the urge to defecate may slow down the transit through the digestive tract.

4. Pregnancy- Pregnancy is also a common cause of constipation. Constipation affects 50 percent of women at some point during their pregnancy. Constipation in pregnant women is thought to occur due to an increase in the hormone progesterone, which relaxes the digestive tract. This means that food passes through the digestive tract more slowly.

5. Medications- Many medications can cause constipation. These include antacids that contain calcium or aluminum, pain medications, tranquilizers, antispasmodic drugs, antidepressant drugs, anticonvulsants, and calcium channel blockers for high blood pressure and heart conditions.

6. Laxative Abuse- Laxatives are substances that loosen stools and increase bowel movements. They are used to treat constipation. The long-term use of laxative drugs can cause constipation. People who take frequent doses of laxative drugs become dependent upon them and may require higher doses until, finally, the intestinal muscles become weak and fail to work properly.

The severity of constipation varies from person to person. Most individuals only experience constipation for a few days. For some people, constipation goes on for longer and makes life miserable. If you're suffering from constipation, you should make an appointment with a gastroenterologist.