Constipation

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

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Constipation

  1. 1. Faculty of Pharmacy - Alexandria University (Egypt)
  2. 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. 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. 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. 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. 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. 7. Headache Sense of rectal Symptoms of Abdominal bloatingfullness constipation Low back pain Faculty of Pharmacy - Alexandria University (Egypt)
  8. 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. 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. 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. 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. 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. 13. Question №. 44. Is there a relationship between anal disorders as abscesses and constipation? Faculty of Pharmacy - Alexandria University (Egypt)
  14. 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. 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. 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. 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. 18. Diet & Colonic motility Motility may be stimulated by boosting carbohydrates intake while limiting protein. Faculty of Pharmacy - Alexandria University (Egypt)
  19. 19. Question №. 66. Is it true that some health problems may lead to constipation? Explain your answer. Faculty of Pharmacy - Alexandria University (Egypt)
  20. 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. 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. 22. Health problems may lead to constipation5. Parkinsonism up normal gut motility & rigid muscles6. Colonic inertia7. Pregnancy Faculty of Pharmacy - Alexandria University (Egypt)
  23. 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. 24. Drugs cause constipation1. Narcotic analgesics2. Diuretics3. Anticonvulsants4. Sympathomimetics or anticholinergic5. Antihistaminic6. Antacids (containing Ca2+,Al3+) Faculty of Pharmacy - Alexandria University (Egypt)
  25. 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. 26. By H. AshourFaculty of Pharmacy - Alexandria University (Egypt)

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