Doctors, otvete, please! At me frequent constipations. For 5 days. Tell or say, how ch...

[Katya]

Doctors, otvete, please! At me frequent constipations. For 5 days. Tell or say, how often it is possible to put clysters and to drink laxatives??? And that I shall kill all flora.

[Loburets A.A.]

The long, independent use of purgatives without knowledge of their mechanism of action, indications and contraindications, in most cases gives opposite result:

- Constipations get more proof and serious form;

- The motility of an intestine, its or his motor performance considerably or much decreases;

- The dose of laxative all over again constantly grows, then its or his action to become noneffective;

- There are the problems connected with disturbance of process by a metabolism in an organism.

Cleansing enemas as are used, as an agent of treatment of constipations. Purification or ablution of a colon by a water clyster (1, 5 2 litres of boiled water of a room temperature, without any impurity) for the night, once a week (it is better on Saturday) is rather useful. It is a question of one clyster, instead of about the whole system of high and siphon cleansing enemas.
Treatment of chronic constipations should be many-sided.
1. The diet (3) link is appointed or nominated soostvestvujushchaja:
http: // www. examen. ru/db/ExamineBase/catdoc_id/5DD446507C89969EC3256A02003AD09A/rootid/9327995FB7A6D40FC3256A02002CE0D5/defacto. html
If there are no special contraindications (illness or disease of heart, edemas) the patient, suffering constipations, should drink in day approximately 1, 5 2 l a liquid. Reception of enough of a liquid is very useful, as owing to the slowed down evacuation of fecal masses from an intestine there is their desiccation, that, in turn, complicates their promotion on a colon.


2. Rising of physical activity.
Patients with constipations are shown mineral waters: Essentuki 4, Batalinskaja, Slavjanovskaja, Dzhermuk, etc.

At depression of impellent activity of an intestine to what a plenty of a feces testifies, recommend more mineralizovannuju water - Essentuki 17. At constipations with raised or increased sokratitelnoj activity of an intestine, at abdominal pains reception of warm mineral water is more preferable.

Rising of physical activity conducts to intensifying a motility of an intestine and intensifying of muscles of a stomach or belly and tazovogo bottoms or funduses, that favorably affects process oporozhnenija and accordingly treatment of a chronic constipation.
3. Carrying out of a colonoscopy for revealing the organic reasons of a constipation (polyps, devertikuly, solderings and pr)
4. Exception or acknowledgement or confirmation of diseases zheludochno-an intestinal tract and anorectal area: a syndrome of the angry intestine, a dysbacteriosis, colitises, a ulcer, a proctal or an anal crack, an acute hemorrhoids, a paraproctitis, etc. (methods of inspection - a colonoscopy, the analysis of a feces, rectal manual or digital research, anoscopy, a proctosigmoidoscope, etc.).

Exception or acknowledgement or confirmation of the reasons of neurologic, psychogenic character (consultation of the neuropathologist, the psychotherapist).

Exception or acknowledgement or confirmation of the reasons of endocrine character (consultation of the endocrinologist, laboratory researches)

5 purpose or appointment of purgatives.
It is necessary to approach or suit to a choice and reception of laxative with limiting care. At a chronic constipation long reception of purgatives of irritating action and strengthening a motility of an intestine is not recommended. Long reception of these agents, as a rule, leads to dependence - to a syndrome of " a lazy intestine ". If for normal oporozhnenija the increasing dose of laxative is required to you, and without its or his application there is a steady constipation - sound alarm. It is necessary to change a preparation, but to consult in this occasion with the doctor is better. At the normal use of laxative, as an agent for treatment of a chronic constipation, its or his dose should decrease gradually, down to full refusal of its or his use.

In rather easy or light;mild cases it is more expedient to resort to more "natural" laxatives, is better admixtures of a fig, prunes and dried apricots with honey and the Alexandria leaf or sheet (preparation Regulaks) operate or work. Separately there is a problem of a phytotherapy of constipations. Long-term experience unequivocally testifies in favour of application of various purgative collectings of grasses (hemorrhoidal tea, etc.), but, under one condition: all can be bought grasses only in drugstores. Fitoterapevticheskie laxatives as can lead to dependence., so their long application is not desirable.

[Katya]

Thanks big!

[Nikitin O.L.]

At the son-in-law after serious operation (a series of operations), connected with excision of several parts of an intestine, (beating in army, hospital, komissovanie) strong solderings. It not so disturbed three years, but recently has got in hospital - an obstruction. This time have written out without operation, having restored permeability.
Consultation is required, is possible or probable - paid: prophylaxis, a diet, fiz. The exercises, a recommended way of life.
Very much I ask to help or assist. At neobhodimiosti I shall send last epikriz (from military hospital practically there are no documents).
Yours faithfully, Oleg Nikitin, Tolyatti