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Severe causes of chronic constipationTheoretically,
constipation can be caused by the slow passage of digesting food through any part
of the intestine. But most of the time the slowing occurs in the colon. A frequently
over-looked cause of constipation is medications.
The
most common offending medications are given below. In addition to the medications listed above; there are many others that can cause constipation. Simple measures for example increasing dietary fiber for treating the constipation caused by medications often are effective, and discontinuing the medication is not necessary. If simple measures fail to work, it may be possible to substitute a less constipating medication. For example, a non-steroidal anti-inflammatory drug may be substituted for narcotic pain medications. One of the newer and less constipating anti-depressant medications (e.g., fluoxetine or Prozac) may be substituted for amitriptylene and imipramine. Regular Habit Bowel movements are under voluntary control. The normal urge people feel when they need to have a bowel movement can be suppressed. Although occasionally it is appropriate to suppress an urge to defecate when a bathroom is not available. Doing this too frequently can lead to a disappearance of urges and result in constipation. The Diet: Fiber is important in maintaining a soft, bulky stool. Diets that are low in fiber can cause constipation. The best natural sources of fiber are fruits, vegetables, and whole grains. Laxatives: One suspected cause of severe constipation is the over-use of stimulant laxatives like senna, castor oil, and certain herbs. An association has been shown between the chronic use of stimulant laxatives and damage to the nerves and muscles of the colon.it are believed that the damage is responsible for the constipation. It is not clear, whether the laxatives have caused the damage or the damage existed prior to the use of laxatives. Nevertheless, because of the possibility that stimulant laxatives can damage the colon, most experts recommend that stimulant laxatives be used as a last resort after non-stimulant treatments have failed. Hormonal
causes A few diseases of the brain and spinal cord may cause constipation, including Parkinson's disease, multiple sclerosis, and spinal cord injuries. Colonic inertia is a condition in which the nerves and muscles of the colon do not work normally. As a result, the contents of the colon are not propelled through the colon normally. The cause of colonic inertia is unclear. In some cases, the muscles or nerves of the colon are diseased. Colonic inertia can also be the result of the chronic use of stimulant laxatives. Pelvic floor dysfunction also known as outlet obstruction or outlet delay refers to a condition in which the muscles of the lower pelvis that surround the rectum do not work normally. These muscles are critical for defecation. It is not known why these muscles fail to work properly in some people, but they can make the passage of stools difficult even when everything else is normal.
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