Effective Solutions for Chronic Constipation: What You Need to Know

Q: Effective Solutions for Chronic Constipation: What You Need to Know

Hello： At the end of the year, a complete bowel cleansing can be performed using methods such as colonoscopy or barium enema. <br>These bowel preparation medications are generally not covered by health insurance and must be paid for out of pocket. <br>For habitual constipation, i

I have been experiencing constipation?

I have been experiencing constipation for a long time, but I haven't paid much attention to it.
Now, when I see a doctor, the medications have gradually become ineffective.
I often have a poor appetite and sometimes feel dizzy and nauseous.
I want to clear out my intestines all at once.
What methods can I use? How can I be treated at the hospital?

Xiao Ting, 20~29 year old female. Ask Date: 2014/02/17

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: At the end of the year, a complete bowel cleansing can be performed using methods such as colonoscopy or barium enema.
These bowel preparation medications are generally not covered by health insurance and must be paid for out of pocket.
For habitual constipation, it is primarily addressed through dietary and bowel habits, and gastrointestinal medications are only used when necessary.
Wishing you peace and health.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2014/02/17

More Info

Chronic constipation is a common gastrointestinal issue that can significantly impact your quality of life. It is characterized by infrequent bowel movements, difficulty passing stools, or a sensation of incomplete evacuation. When left unaddressed, chronic constipation can lead to various complications, including abdominal pain, bloating, and even more severe gastrointestinal problems. Given your situation, it’s essential to explore effective solutions and understand the underlying causes of your symptoms.

Understanding Chronic Constipation
Before diving into solutions, it’s crucial to understand what might be causing your chronic constipation. Factors can include a low-fiber diet, inadequate fluid intake, lack of physical activity, certain medications, and underlying health conditions such as hypothyroidism or irritable bowel syndrome (IBS). Stress and anxiety can also play a significant role in gastrointestinal health, leading to changes in bowel habits.

Dietary Changes
One of the most effective ways to manage chronic constipation is through dietary modifications. Increasing your intake of dietary fiber can help promote regular bowel movements. Aim for a daily intake of 25-30 grams of fiber from sources such as:
- Fruits (e.g., apples, pears, berries)
- Vegetables (e.g., broccoli, carrots, leafy greens)
- Whole grains (e.g., oats, brown rice, whole wheat bread)
- Legumes (e.g., beans, lentils, chickpeas)
Additionally, ensure you are drinking plenty of fluids, particularly water. Staying hydrated is essential for softening stools and promoting regular bowel movements.

Physical Activity
Regular physical activity can also help alleviate constipation. Engaging in moderate exercise, such as walking, swimming, or cycling, can stimulate bowel function and improve overall digestive health. Aim for at least 30 minutes of moderate exercise most days of the week.

Over-the-Counter Solutions
If dietary changes and exercise do not provide relief, over-the-counter laxatives may be an option. However, it’s important to use these medications judiciously and not rely on them long-term. Common types of laxatives include:
- Bulk-forming laxatives (e.g., psyllium, methylcellulose) that absorb water and increase stool bulk.

- Osmotic laxatives (e.g., polyethylene glycol, lactulose) that draw water into the intestines to soften stools.

- Stimulant laxatives (e.g., bisacodyl, senna) that stimulate the intestinal muscles to promote bowel movements.

Consult with your healthcare provider before starting any new medication, especially if you have been using laxatives for an extended period, as this can lead to dependency.

Medical Evaluation
Given your symptoms of dizziness and nausea, it’s crucial to seek a thorough evaluation from a healthcare professional. They may recommend diagnostic tests, such as blood tests, imaging studies, or a colonoscopy, to rule out any underlying conditions contributing to your constipation.
In some cases, your doctor may suggest prescription medications specifically designed to treat chronic constipation, such as lubiprostone or linaclotide, which can help increase fluid secretion in the intestines and promote bowel movements.

Behavioral Techniques
Incorporating certain behavioral techniques can also be beneficial. Establishing a regular bathroom routine, allowing yourself enough time to use the restroom without feeling rushed, and responding promptly to the urge to have a bowel movement can help train your body for regularity.

Conclusion
Chronic constipation can be a frustrating and uncomfortable condition, but with the right approach, it can be effectively managed. Start by making dietary changes, increasing physical activity, and considering over-the-counter solutions. However, given your current symptoms and the ineffectiveness of previous treatments, it’s essential to consult with a healthcare professional for a comprehensive evaluation and tailored treatment plan. Remember, addressing the root cause of your constipation is key to finding lasting relief.

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