Struggling with Severe Constipation: Seeking Solutions and Dietary Tips

Hello, doctor. I am experiencing severe constipation?

Three years ago, I experienced autonomic nervous system dysfunction, which led to rapid heartbeat and severe constipation.
I relied on laxatives and enemas until the laxatives became ineffective! Even the doctors are unsure of what to do! What should I do to achieve a complete cure? What foods and daily habits should I pay attention to? I haven't had a bowel movement in a long time, and my abdomen feels bloated; sometimes even drinking water causes bloating.
Thank you :)

Han, 20~29 year old female. Ask Date: 2012/02/07

Dr. Li Huixiong reply Internal Medicine

Chronic constipation is indeed a very frustrating issue.
Based on your age, it is less likely to be caused by a disease and is more likely related to individual constitution.
I recommend that you eat fruit on an empty stomach before breakfast every day, such as bananas or apples (note: only eat one type of fruit at a time, one serving is sufficient).
After a week, check for any improvements; this method has shown quite good results, so give it a try!

Reply Date: 2012/02/07

More Info

Severe constipation can be a distressing condition, especially when it becomes chronic and resistant to over-the-counter treatments like laxatives. Given your history of autonomic nervous system dysfunction and the symptoms you are experiencing, it’s crucial to approach this issue holistically, considering both dietary changes and lifestyle modifications.

Understanding Constipation
Constipation is generally defined as having fewer than three bowel movements per week, and it can be accompanied by symptoms such as straining during bowel movements, hard stools, and a feeling of incomplete evacuation. In your case, the chronic nature of your constipation, along with the bloating and discomfort, suggests that there may be underlying factors at play, including dietary habits, hydration levels, and possibly the effects of your autonomic nervous system dysfunction.

Dietary Recommendations
1. Increase Fiber Intake: A diet rich in fiber can significantly improve bowel regularity. Aim for a daily intake of 25-30 grams of fiber. Include a variety of fiber sources:
- Fruits: Apples, pears, berries, and prunes are excellent choices. Prunes, in particular, are known for their natural laxative effect.

- Vegetables: Leafy greens, carrots, broccoli, and Brussels sprouts are high in fiber.

- Whole Grains: Opt for whole-grain bread, brown rice, quinoa, and oats. These foods not only provide fiber but also help in maintaining a healthy gut.

2. Stay Hydrated: Adequate hydration is essential for preventing constipation. Water helps to soften stools and promotes regular bowel movements. Aim for at least 8-10 cups of water daily, and consider increasing this amount if you are consuming more fiber, as fiber absorbs water.

3. Probiotics: Incorporating probiotics into your diet can help improve gut health and promote regularity. Foods like yogurt, kefir, sauerkraut, and kimchi are good sources of probiotics. You might also consider a probiotic supplement after consulting with a healthcare provider.

4. Limit Processed Foods: Processed foods often contain low fiber and high sugar, which can exacerbate constipation. Try to minimize your intake of fast food, snacks, and sugary beverages.

5. Regular Meal Patterns: Eating at regular intervals can help regulate your digestive system. Skipping meals or having irregular eating patterns can contribute to constipation.

Lifestyle Modifications
1. Physical Activity: Regular exercise can stimulate intestinal function and help alleviate constipation. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, swimming, or yoga can be beneficial.

2. Establish a Routine: Try to set aside time each day for bowel movements, especially after meals when the gastrocolic reflex is strongest. This can help train your body to have regular bowel movements.

3. Stress Management: Since you mentioned a history of autonomic nervous system dysfunction, managing stress is crucial. Techniques such as mindfulness, meditation, and deep breathing exercises can help reduce stress and improve overall gut function.

4. Consult a Specialist: Given the severity and duration of your symptoms, it may be beneficial to consult a gastroenterologist. They can conduct further evaluations to rule out any underlying conditions, such as irritable bowel syndrome (IBS) or other gastrointestinal disorders.

Conclusion
Chronic constipation can be challenging, but with the right dietary and lifestyle changes, you can improve your symptoms. Focus on increasing your fiber intake, staying hydrated, and incorporating regular physical activity into your routine. If your symptoms persist despite these changes, seeking professional medical advice is essential to explore further treatment options. Remember, patience and consistency are key in managing constipation effectively.

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