Bowel obstruction is a condition characterized by a buildup of stool in the abdomen. It commonly occurs in individuals with bowel problems, constipation, or poor bowel movements. Causes of bowel obstruction include chronic constipation, irritable bowel syndrome, certain medications, and abdominal diseases such as tumors and cancer. Treatment options vary, ranging from taking laxatives, making behavioral changes, increasing fiber intake, to surgical intervention. Individuals over the age of 50 who experience constipation may also be at a higher risk of developing bowel cancer. While laxatives are commonly used to treat constipation, they may not be effective for treating bowel obstruction and can potentially be harmful to health. It is advised to consult with a doctor for proper diagnosis and treatment. Bowel obstruction can lead to serious complications and is associated with an increased risk of bowel cancer and other diseases related to the excretory system. It is important to address the underlying cause of constipation for effective treatment. Behavioral modifications, such as increasing fiber intake and maintaining a regular bowel habit, can be beneficial for some individuals. If these modifications are insufficient, laxatives may be prescribed. In more severe cases, medication or bowel shortening surgery may be necessary. Suppositories and enemas may be used temporarily, but it is important to follow medical advice and not rely on these methods excessively.
Key Point :
bowel obstruction It is a condition where the stool is full in the abdomen. It is often found in patients with bowel problems, constipation, poor bowel movements or constipation.
Caused by chronic constipation, irritable bowel syndrome, taking certain medications and other diseases such as tumors and cancer in the abdomen. Including the habit of holding back until it becomes a habit
constipation treatment They vary from taking laxatives, modifying behavior, increasing fiber intake. to surgery to shorten the bowels, as well as people aged 50 and over if they are constipated They may also be at risk of cancer
an actiondefecateConsistently beneficial to the body. it can help reduce the risk ofbowel obstruction Constipation, bowel obstruction bowel cancer and other diseases related to excretion especially obstruction in the stool it will lead toconstipationSeriously, while many people think that using laxatives will help treat an obstruction. But in fact, it can be more harmful to health.
Dr. Supamas Chuen-aksorn, MD, Department of Gastroenterology and Liver Disease Department of Internal Medicine Faculty of Medicine Ramathibodi Hospital full stool teaching In the program to shorten the queue of Doctor Rama through Rama Channel, Rama Channel, that fecal obstruction is not an official name It is a condition where the stool is full in the abdomen. It is mainly found in those who have plain X-rays of the abdomen and faeces in the large intestine. It is often found in patients with bowel problems, constipation, poor bowel movements or constipation. Most of them are divided into two parts:
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1. There is no cause Take it to check anything It is normal There are 2 diseases: chronic constipation and irritable bowel syndrome.
2. There is an obvious cause, such as taking certain medicines that cause constipation, such as women taking drugs that contain iron or elderly people with osteoporosis and thinning bones and need calcium. Or some medicines can cause constipation and cancer can cause intestinal obstruction. It could be an intestinal tumor. Abdominal cancer causes constipation, poor bowel movements, diabetes, low thyroid type slows bowel movements
If there is a clear cause Then go and deal with the cause, like treating diabetes well, treating thyroid, constipation will get better. Treatment according to the symptoms of the disease But the group that is difficult to treat is the group that has no cause. and finding more cause a poor quality of life, although not serious but not comfortable Most of the disease group has no cause. it will be more female than male and found in younger people Most often start at a young age. When repeated over and over, it causes stress hormones to be secreted. unable to escape these conditions
symptom
However, patients often have symptoms. feel that he or she defecates abnormally, takes less or less, or needs tools to help, may have to use a garden, use fingers, and a clothes line Taken daily but hard have a stomach ache or some people have to strain and bleed
Dr explained. Supamas that further When looking at patients with chronic constipation, they will find that they may have an intestinal defect. slow movement This group encourages The feeling of the bowels may be less than others, about 3-4 days, there may be pain once, experienced 2-3 weeks without defecation at all, or 1 month, defecate once. involving bowel movements which may be slow may involve the small bowel and other abnormalities of the gastrointestinal tract even eating normal food
or there may be abnormal faecal behaviors such as pain, but in a situation that is not suitable for going to the toilet, having to hold back The body will learn to retain it, so it can take up to 3 days before the pain comes back. Some people don’t like going to the bathroom outside. Or when traveling, traffic jams make your body get used to it.
How many days did not take so is considered abnormal
Dr. explains. Supamas, in fact, that we do not need to take pictures every day. Everyone’s normal is different. But when do we think we are wrong? and interfere with the quality of life A doctor must be consulted, however, people can take between 3 and 21 times a week. The minimum allowed is 3 times a week, but the small number of times alone does not mean that you have problems with your bowel. Some people take it every day but it takes a lot of effort to go to the bathroom. Or go out every day, but not much This is also called having problems with defecation too.
“If it is not taken for a long time Most of the time, people with last stools are expelled and have no complications. But one complication that will occur In the case of a type that has no cause, that is, as you get older It can lead to intestinal obstruction or pressure causing intestinal perforation ulcers, but not much unless a tumor causes it Complications will Easier. Whether it’s bleeding, intestinal obstruction”
Will the body reabsorb waste or not? when you don’t shoot for a long time
However, the understanding that holding the stool for a long time causes the body to absorb some waste back in Supamas, MD Explain that most will not be like that. faeces when it reaches the large intestine The function of the large intestine is to reabsorb water. It has the ability to reabsorb a lot of water but can’t absorb various wastes can go back other than water But the long run What’s going to be a problem is making the stool harder, harder to passing, and more constipation.
But there may be little information about that people who have been constipated for a long time can increase the chance of infection But this information is not clear, it is just an observation. Including many people who say that prolonged constipation causes acne, scientific proof is not clear. this is just an observation
How to treat frequent constipation?
Dr explained it must be noted that constipation Is it related to behaviour? Behavioral modifications can help in some patients, such as eating less fibre. Some people eat a little more vegetables and can have a normal bowel movement. But many people who eat a lot of vegetables are still not out. You can increase the amount of fiber naturally or in sachets and you need to drink a lot of water and have the right bowel habits. may need to be retrained Respond promptly to the pain of defecation. Increasing exercise such as aerobics and yoga helps improve bowel movements. Some people just adjust their behavior.
But if behavioral modifications are still insufficient, the next step is to use laxatives. that might help who have many groups Each person may be suitable for certain groups of drugs. and care in some groups of patients But if laxatives still don’t work. It may be a drug that works better than a laxative. But if it is not good, you need to check more. If the bowels are sluggish and do not respond to medication You may have to shorten the large bowel. as a last resort Additional assessment is required. Whether or not the patient is suitable for whole bowel removal. to shorten the bowels
“A person with a sluggish bowel because the bowel looks long Until it moves to the bottom, it makes it difficult to take pictures. But make sure there are no other reasons. and not a person with abnormal stress not a person who is restrained If someone who likes to hold back Even if the intestines are removed, but they cannot be flexed, they cannot be taken. So, in the part most cases, if they do not respond to medication Whether it is a basic laxative or a drug that is a special mechanism. Often you have to check the function of the colon to see where it is abnormal. They should be resolved by learning new excrement training how to excrete but if there is no problem here Only intestinal problems that do not respond to medication should consider amputation.”
Suppositories, douching, can I do it often?
At the same time, it is recommended to use suppositories or enemas for temporary use. because it only works in the distal colon But the behavior that requires the use of devices to help, such as lifting a finger, flushing, detoxification means that the patient has problems with controlling straining, it must be examined and to repeat again and again. Likelihood of ulcers in the large intestine and bleeding
for products that say fiber Take it and take a large amount. Most of them are not the only fiber. Because natural fiber or powder usually does not have a laxative effect. Most of them increase stool mass and need to drink a lot of water. to shoot more Sometimes people who eat only fiber do not have bowel movements, so they often mix with refreshing laxatives. The ingredients must be looked at carefully.
older people must be careful always check the warning signs.
However, in the beginning, most people tend to find help first. But the case that he should not go to buy medicine is very old. and never examined the colon As the general population aged 50 and over are at risk of developing colon cancer, it is advisable to check if there is a problem with colon cancer, such as a stool test or a colonoscopy.
Next are the warning signs like bloody diarrhea. (Blood does not mean all cancer. If it is fresh blood, it may be hemorrhoids or a torn rectal sphincter from forceful straining). Or people with a family history of colon cancer must be careful.
protect
Excretion practice for a while. drink enough water Eat foods that contain fibre, refrain from flour, oil and fat, exercise, avoid holding stools.
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