One of the most common conditions often occurring in elderly people is continuing idiopathic constipation . Despite its frequent occurrence , there is no fixed definition to this gastrointestinal complaint worldwide . Patients ofttimes visit the doctors as they suffer from inveterate idiopathic constipation and doctors often prescribe various handling for this . But , dissimilar over - the - counter remedies are often turn over more useful than prescribed practice of medicine .
What is Chronic Idiopathic Constipation?
continuing idiopathic deadening or CIC is a gastrointestinal motility disorder in which you have infrequent bowel movements . If the difficulty of passing stool through intestine persists for 6 month or more or go on coming back , it is take for as ‘ chronic ’ . Chronic idiopathic constipation is a chronic precondition in which the cause of impairment is unknown .
Symptoms of Chronic Idiopathic Constipation:
The common symptom of chronic idiopathic constipation is infrequent bowel movement . However , along with this symptom , there are other symptoms too that can be visit in patients with continuing idiopathic constipation . These let in –
When to See a Doctor – Possible Gradual Complications:
In more severe cases , there are sign that differ from the general symptom . These let in –
These are signs that you must not stay and attempt medical attention at once . If you are above the age of 50 and have had chronic idiopathic stultification in the category , then delaying may result in bad conditions .
Epidemiology of Chronic Idiopathic Constipation:
An average appraisal indicate that more than 35 million the great unwashed , alone in the United States of America , digest from chronic idiopathic constipation or CIC . This is the act of patients that is registered and hence , the telephone number can be quite more than this as there are patient role suffer from chronic idiopathic impairment , who do not seek aesculapian help . It has come up in survey that only 12 % of the patients suffer from continuing idiopathic constipation look for medical help . However , at the present moment 40 % of patients with inveterate idiopathic constipation are under medication .
Chronic idiopathic stultification is vulgar in grownup , who are above the years of 35 years . More than 84 % people of this old age suffer from chronic idiopathic constipation . However , chronic idiopathic constipation is somewhat more common in women with 56 % of women suffering from this condition . It is also seen that chronic idiopathic constipation occurs in the Caucasians , with 82 % of people of this slipstream suffering from the stipulation . In other ethnicities and subspecies , the number of occurrence of chronic idiopathic constipation is lesser .
Causes of Chronic Idiopathic Constipation:
inveterate idiopathic constipation , the very name of the precondition refers to the fact that there is no identified and confirmed cause of this experimental condition and hence , it is ‘ idiopathic ’ . But there can be unlike reason or cause behind this stipulation .
Chronic Idiopathic Constipation Caused Due to Changes in Motility – Fluid Absorption and Muscle Contraction:
This is the variety that is caused in the rate and contractility in the colon heftiness that help in passing the fecal subject through the Costa Rican colon to the rectum , by contracting the muscle . When there is a change or rather a reduction in the drift , more water from this fecal matter is absorbed . Hence , the stool becomes severe and ironic and absolutely afflictive and hard to move . If this status persists , it can cause in the reduction of the size or loudness of the stool , resulting in a reduced itch to shit . As the stimulation is decreased due to the reduced bulk , it can cause infrequent bowel movement .
Chronic Idiopathic Constipation Caused Due to Improper Diet:
If you continue to consume a dieting that does not include enough of the unchewable food , it will precede to constipation that can be chronic . Food that is rich in first year proteins such as pith and large total of dairy farm products can be a significant cause of Chronic idiopathic constipation .
Brain and Bowel Connection:
If the enteral neural organisation experience some changes , causing visceral sensorial abnormalities , then it can cause chronic irregularity . As it is a meaning rationality behind decreasing the rectal sensation , it can be a cause behind abdominal discomfort , decreased urge to defecate and consequently leading to irregularity .
Diagnosis of Chronic Idiopathic Constipation:
Physical exam of the signs and symptoms is the very introductory way of diagnosing chronic idiopathic constipation . In this , the family history is regarded as a much important element of consideration . If the patient has had symptoms such as hard and infrequent stool give , bloat , straining etc . it is a clear sign of chronic idiopathic impairment . However , for further substantiation colonoscopy , MRI CAT scan , as well as anal manometry are also performed .
Treatment of Chronic Idiopathic Constipation:
Cleaning The Bowel With Medication to Treat Chronic Idiopathic Constipation:
depend on the austereness and the symptoms of continuing idiopathic constipation , a patient role is refer the treatment procedure . In the very first cases , to clean out the intestine movement , PEG or Polyethylene glycol is prescribed to be taken in the form of fluid . Bisacodyl 10 mg or Senna 25 - 50 mg is the stimulating purgatives that are also prescribed along with PEG to be take in a gap of 2 to 3 hours . This proficiency should be continued occasionally to make clean out the bowel .
Laxatives to Treat Chronic Idiopathic Constipation:
Once the gut is clean house out , to make certain that the further bowel move is normal and smooth , laxatives are prescribed . These are factor that can chip in in help to run toilet smoothly . There are dissimilar kinds of laxatives like majority - forming , stimulating and also osmotic laxatives . Depending on the shape of the affected role , the doctor will dictate the case .
Medications for Chronic Idiopathic Constipation:
Linaclotide ( a guanylate cyclase C receptor agonist ) , serotonin agonists like Tegaserod and Cisapride , Naloxone ( opioids antagonist ) , Prucalopride and ubiprostone are some of the medicines that are very utilitarian in making the impairment go away and assist in moving bowel easily .
Surgical Intervention for Chronic Idiopathic Constipation:
As an alternative therapy , it is considered quite useful in some case to go for colostomy , subtotal or total colectomy . If the pharmacological therapies are not good , this method is opted for treatment .
Diet and Lifestyle Changes to Treat Chronic Idiopathic Constipation:
This is probably the most significant and effective , as well as easy way to negociate and ensure continuing idiopathic constipation .
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