Managing Chronic Constipation and Its Impact on Overall Health

Q: Managing Chronic Constipation and Its Impact on Overall Health

Hello, in response to your questions： <br>1. <br>The pain you are experiencing may not necessarily be related to bowel movements. <br>However, if you already have a chronic pain issue, constipation can increase abdominal pressure and potentially exacerbate your symptoms. <br>The

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I have been suffering from chronic constipation for over 20 years, often straining to have a bowel movement (as I only feel the urge to go after more than seven days).
In the early years, I prioritized work and neglected the importance of my health, compounded by excessive stress and mental anguish, which led me to become withdrawn and unable to face others.
As a result, my tolerance for discomfort became stronger than average, causing me to overlook my health.
My bowel issues have caused damage from the anus to the buttocks, lower back, and female reproductive organs in the early stages.
In the mid-stage, I experienced discomfort in my intestines, chest, and limbs.
In the later stages, I have suffered pain in my neck, face, eyes, and head.
I have endured significant physical torment, but I am also very fearful, especially of the pain above my neck, which sometimes leads to an unbearable level of discomfort.
Although I have attempted various measures, I have never fully resolved the issues, often giving up midway.
1.
Currently, I am extremely cautious about my bowel movements, fearing that any misstep might aggravate the pain above my neck.
Strangely, unlike before, I am not straining during bowel movements, yet I still experience symptoms of injury, particularly in my head, face, eyes, jaw, ears, and neck, which can lead to pain and inflammation.
Over time, I worry about the possibility of having a stroke, losing my eyesight, or developing facial asymmetry, among other concerns.
No one seems to understand the extent of my suffering, and I feel trapped in my own suppressed state.
How should I manage these terrifying and debilitating pains?
2.
I also experience pain or inflammation in my intestines.
In this condition, is it still advisable to consume probiotic foods?

Fang, 40~49 year old female. Ask Date: 2007/12/21

Dr. Ke Fangxu reply Surgery

Hello, in response to your questions:
1.
The pain you are experiencing may not necessarily be related to bowel movements.
However, if you already have a chronic pain issue, constipation can increase abdominal pressure and potentially exacerbate your symptoms.
The fundamental approach is to find a solution for the chronic pain; however, using stool softeners to alleviate constipation can also be beneficial, so it might be worth trying.
2.
Generally, probiotic products are considered safe.
However, it is advisable to temporarily discontinue their use during acute gastroenteritis.
There have been cases in young children where the use of probiotics during acute gastroenteritis led to intestinal perforation.
While this does not mean that adults would experience the same outcome, it is still recommended to pause their use for safety.

Reply Date: 2007/12/21

More Info

Chronic constipation is a common issue that can significantly impact overall health and quality of life. It appears that you have been dealing with this condition for over 20 years, which has led to a range of physical and psychological symptoms. Your experience of pain and discomfort, particularly in the neck, head, and facial areas, is concerning and warrants a comprehensive approach to management.

Understanding Chronic Constipation
Chronic constipation is defined as having fewer than three bowel movements per week, often accompanied by straining, hard stools, and a sensation of incomplete evacuation. This condition can stem from various factors, including dietary habits, lack of physical activity, stress, and underlying medical conditions. In your case, it seems that stress and mental health issues have played a significant role in exacerbating your symptoms.

Impact on Health
The long-term effects of chronic constipation can be severe. They may include:
1. Physical Discomfort: Straining during bowel movements can lead to hemorrhoids, anal fissures, and pelvic floor dysfunction. The pain you describe in your neck, head, and face could be related to muscle tension and stress, which can be exacerbated by the physical strain of constipation.

2. Psychological Effects: Chronic constipation can lead to anxiety and depression, particularly if it affects your daily life and social interactions. The fear of pain during bowel movements can create a cycle of avoidance and increased anxiety.

3. Gastrointestinal Health: Prolonged constipation can lead to complications such as fecal impaction, bowel obstruction, and even diverticulitis. The inflammation you mentioned in your intestines could be a sign of these complications.

Management Strategies
1. Dietary Changes: Increasing fiber intake is crucial. Aim for a diet rich in fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up the stool and promote regular bowel movements. However, if you are experiencing inflammation, it may be wise to introduce fiber gradually and monitor your body's response.

2. Hydration: Ensure you are drinking plenty of water throughout the day. Adequate hydration is essential for softening stool and preventing constipation.

3. Physical Activity: Regular exercise can stimulate bowel function. Even gentle activities like walking or stretching can be beneficial.

4. Stress Management: Since stress seems to be a significant factor in your condition, consider incorporating relaxation techniques such as mindfulness, yoga, or deep-breathing exercises into your routine. These practices can help reduce muscle tension and improve your overall well-being.

5. Probiotics: You asked about consuming probiotics, such as yogurt or supplements. Probiotics can be beneficial for gut health and may help regulate bowel movements. However, if you are experiencing significant inflammation, it may be best to consult with a healthcare provider before introducing new foods or supplements.

6. Medical Consultation: Given the severity and duration of your symptoms, it is essential to work closely with a healthcare provider. They can help rule out any underlying conditions and may recommend treatments such as laxatives, stool softeners, or other medications to help manage your constipation.

7. Psychological Support: Since you mentioned feelings of fear and anxiety related to your condition, consider seeking support from a mental health professional. Therapy can provide coping strategies and help address the psychological aspects of chronic pain and constipation.

Conclusion
Chronic constipation can have a profound impact on both physical and mental health. It is crucial to take a holistic approach to management, addressing dietary, lifestyle, and psychological factors. Working closely with healthcare professionals can help you develop a tailored plan that addresses your unique needs and concerns. Remember, you are not alone in this struggle, and there are effective strategies and support available to help you regain control over your health and well-being.

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