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What is Constipation and how to deal with it? And what is the healthy lifestyle to avoid constipation.

What is Constipation and how to deal with it? And what is the healthy lifestyle to avoid constipation.

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  • 1. Faculty of Pharmacy - Alexandria University (Egypt)
  • 2. Question №. 11. I am 30 years old and my stool Frequency decreased from three times per day to once every two days: Am I constipated? What are the major symptoms of constipation? Faculty of Pharmacy - Alexandria University (Egypt)
  • 3. What is Constipation? Decrease in the frequency in of fecal elimination. Passage of hard, dry, sometimes painful stool.Normal Range From 3 times daily to 3 times per week. * So the patient is not constipated Faculty of Pharmacy - Alexandria University (Egypt)
  • 4. Etiology Patient Counseling Life Style causes of constipation:1. Diet: a) Inadequate fluid intake Should drink at least 8 glasses of non-caffeinated fluids daily. Faculty of Pharmacy - Alexandria University (Egypt)
  • 5. Etiology Patient Counselingb) Inadequate dietary fibers Diets include a good quantity of fibers are less likely to suffer from constipation. Fiber retains water, softening stool & ease evacuation. Foods low in fiber  high fat food. Foods rich in fiber  fruits, veg. and whole grain. Normal daily fiber intake 10 ̴ 25 g.■ Faculty of Pharmacy - Alexandria University (Egypt)
  • 6. Etiology Patient Counselingc) Inadequate exercises Walking help prevent constipation by promoting bowel motility.d) Loss of defecatory reflex If you ignore the urge to have a bowel movement. The urge can gradually go away. The longer can you delay it, the drier and harder stool will become. Faculty of Pharmacy - Alexandria University (Egypt)
  • 7. Headache Sense of rectal Symptoms of Abdominal bloatingfullness constipation Low back pain Faculty of Pharmacy - Alexandria University (Egypt)
  • 8. Question №. 21. My grandmother usually feels discomfort from chronic constipation: What are reasons for this problem? What are your advice? Faculty of Pharmacy - Alexandria University (Egypt)
  • 9. Epidemiology Risk factors of constipation Age Gender• Constipation is common in • Females are three times more elderly people ( > 65 y.) likely to suffer from constipation• Laxative abuse than males•  gut motility• Medication use• Poor nutrition Faculty of Pharmacy - Alexandria University (Egypt)
  • 10. Your advice1. Laxative abuse:  Lead to cathartic colon (loss of tone of intestinal muscles) cause poor bowel function.2. Increase intake fluids & fibers.3. Increase exercise (  bowel tone). Faculty of Pharmacy - Alexandria University (Egypt)
  • 11. Question №. 33. My wife is pregnant she is worried about constipation, I would like to know: What is the factors that predispose pregnant to constipation? Faculty of Pharmacy - Alexandria University (Egypt)
  • 12. Factors which constipate pregnant Progesterone • Bowel hypo-motility levelUterus compress • Slowing down the passage the intestine of food Less exercise • Reduce bowel activityVitamins intake • Can be constipated (Fe2+ , Ca2+ ) Faculty of Pharmacy - Alexandria University (Egypt)
  • 13. Question №. 44. Is there a relationship between anal disorders as abscesses and constipation? Faculty of Pharmacy - Alexandria University (Egypt)
  • 14. Abscess It is a collection of pus (dead neutrophils) that has accumulated in a cavity formed by the tissue. Usually caused by bacteria or parasites infection. Faculty of Pharmacy - Alexandria University (Egypt)
  • 15. Perianal abscesses • Passage of hard stool Found in patients with inflammatory 1 • Cause an internal wound bowel disease (Crohns disease) or the rectal • The wound infected because of presence of feces in diabetes. 2 area. • Abscess is developed 3 • It presents as a lump of tissue near the anus 4 • By the time, it becomes larger and more painful 5 Faculty of Pharmacy - Alexandria University (Egypt)
  • 16. Question №. 55. I heard that there is a medical condition called “Colonic inertia”: What is it? How diet can affect colonic motility? Faculty of Pharmacy - Alexandria University (Egypt)
  • 17. Colonic Inertia Prolonged colon transit time• The average time of passage through the GIT is 4 days.  Colonic dysfunction  Prolong colon transit of the fecal polus  More water absorption  Increase in its hardness Faculty of Pharmacy - Alexandria University (Egypt)
  • 18. Diet & Colonic motility Motility may be stimulated by boosting carbohydrates intake while limiting protein. Faculty of Pharmacy - Alexandria University (Egypt)
  • 19. Question №. 66. Is it true that some health problems may lead to constipation? Explain your answer. Faculty of Pharmacy - Alexandria University (Egypt)
  • 20. Pain During defecation  avoidance  constipation.Causes 1. Passage of hard stool. 2. Anal fissures and abscess. 3. Hemorrhoids. Faculty of Pharmacy - Alexandria University (Egypt)
  • 21. Health problems may lead to constipation1. Carcinoma2. Irritable bowel syndrome (IBS) common cause in younger people3. Diabetes 60% of diabetics patient4. Renal failure due to electrolyte & fluid disturbance Faculty of Pharmacy - Alexandria University (Egypt)
  • 22. Health problems may lead to constipation5. Parkinsonism up normal gut motility & rigid muscles6. Colonic inertia7. Pregnancy Faculty of Pharmacy - Alexandria University (Egypt)
  • 23. Iron vs. Constipation Iron slow down the digestive system & slowing of normal bowel movement. This may be because iron is a metal in its basic form. Metals carry a charge that can affecting muscles and nerves in the bowel Faculty of Pharmacy - Alexandria University (Egypt)
  • 24. Drugs cause constipation1. Narcotic analgesics2. Diuretics3. Anticonvulsants4. Sympathomimetics or anticholinergic5. Antihistaminic6. Antacids (containing Ca2+,Al3+) Faculty of Pharmacy - Alexandria University (Egypt)
  • 25. ® Purgaton tablet Contain senna glycosides (anthraquinone) With extended use cause lazy bowel syndrome (atonic colon) So bowel unable to move without chemical stimulation.■ Faculty of Pharmacy - Alexandria University (Egypt)
  • 26. By H. AshourFaculty of Pharmacy - Alexandria University (Egypt)