What should I do if my elderly constipation?Master these laxative methods, let you "a thousand miles"

With the changes in people's dietary structure, the influence of social psychological factors, the progress of the population aging, the multi -drug use of the elderly's chronic diseases, etc., the constipation rate of the elderly has continued to rise, which is a common syndrome in clinical clinical.

Elderly constipation can cause many clinical complications and (or) hazards, such as aggravating cardiovascular disease, leading to "dung stone" intestinal obstruction, intestinal wall ulcer, intestinal perforation, induced or aggravated hemorrhoids, and even increase the risk of colon cancer. and many more.

It can be seen that the elderly friends are so common in daily life and are so harmful to health. So how should we evaluate and deal with it?

Definition of constipation

Constipation is abnormal phenomenon such as decreased defecation, accompanied by difficulty in defecation, dry stool knots.

Healthy people should defecate once or twice a day, or to defecate once every to two days. Constipation patients are generally less than three times a week, and the bowel movement process is very difficult, and the stool is less.

Cause of constipation

1. Instrumental constipation

Organic constipation can be caused by the following diseases: colorectal and anal duct diseases such as colon, rectal tumors, hemorrhoids, anal fissures, perianal abscess, fistula, congenital giant colon, long colon, etc.

Endocrine and metabolic diseases such as diabetes, hypothyroidism, uremia, etc.;

Nervous system diseases and muscle diseases such as cerebrovascular disease, dementia, Parkinson disease, spinal cord injury, dermatitis, hard skin disease, etc.

2. Medical constipation

The common drugs that cause constipation of the elderly are: calcium antagonists, diuretics, antidepressants, antiepileptic drugs, antispasmid drugs, opioid analgesic drugs, aluminum or calcium anti -acid drugs, calcium, iron, diarrhea, antidiarrheal drugs These can cause constipation.

3. Functional constipation

Elderly people have irregular life, lack of exercise, do not pay attention to convenience, tolerance, do not concentrate during defecation, drink less water, lacks vegetables and fruits and crude fiber, eat less, eat irritating foods. Dangerous factors of constipation.

Clinical evaluation of constipation of the elderly

1. Evaluation of the cause

It should be ruled out that the organic constipation and medicinal constipation should be diagnosed as functional constipation.

Especially for those who have reported alarm, such as blood, anemia, weight loss, fever, black stool, abdominal pain, etc., there is a history of colorectal polyps and the family history of colorectal tumors, and they should go to the hospital to further check to eliminate the quality of the digestive tract.

2. Evaluation of the severity of constipation

Mild symptoms are mild, do not affect daily life, do not need to change lifestyle, and can recover in short -term medication.

Severe symptoms are severe and sustainable, which seriously affects daily life. Drug treatment is required. Do not stop drugs or drug treatment.

Moderate between mild and severe.

3. Functional constipation pathological evaluation

Before the drug treatment is invalid or prepares surgery, the colon transmission test, anal rectal pressure, fecal radiation, and the balloon forced testing should be performed. Constipation, hybrid constipation and normal transmission constipation.

4. Evaluation of mental and psychological factors

To evaluate the mental and psychological state of the elderly, and timely discover whether the patient has insomnia, anxiety and depression.

The treatment of constipation of the elderly

1. Change the enthusiasm

It is recommended that the elderly eat more vegetables, fruits and crude fiber foods, and daily dietary fiber 25-35g; the elderly who chewed the poor can change the cooking method to increase the intake of dietary fiber.

If the patient's heart and kidney function is normal, you can drink 1.5-2L daily water. Drinking more at a time is better than the less duration. Those with no diabetes can use honey water appropriately.

Moderate exercise, life law, attach importance to the intention, concentrate during defecation, and strive to develop the laws of timing bowel movements.

2. Drug treatment

Volumes of Plasma: Wheat bran, European car, etc., slower results, and patients can be used for a long time.

Osmotic laxative: polyethylene glycol electrolyte, lactose, etc., for patients with light and moderate constipation, can be used for a long time.

Stimulating diarrhea: At present, the most applications, mainly diarrhea, rhubarb, aloe vera, Cassia seeds, etc., have strong effects, but long -term use can cause colon melancholy disease, which can also cause intestinal smooth muscle atrophy and irreversible bowel nerve damage , Can form drug dependence, so it is necessary to use short -term and intermittently.

Lubricating laxatives: Mainly some enema and suppositories, such as liquid paraffin, glycerin enema agent, dried dew, and polycodes sodium. It is suitable for temporary use of patients with dry stools, feces, and difficult to discharge patients.

Active pill: It acts on the intestinal nervous system, promotes gastrointestinal smooth muscle peristalsis, increases gastrointestinal dynamics, and is particularly applicable to those with constipation and indigestion.

Anti -anxiety depression drugs: patients with mental and psychological disorders such as anxiety, depression.

(Please choose the above drugs under the guidance of the doctor)

Prevention of constipation of the elderly

Constipation is becoming more and more common in daily life, so we must correctly understand the disease of constipation or clinical manifestations.

For the elderly, the law of timing defecation needs to be developed, encouraging the elderly to defecate in the morning. Whether there is a convenient intention or not, they should be regularly stool; pay attention to the intention of the convenience; drink more water, eat more vegetables, fruits and crude fibrous foods; exercise moderately , Do not use laxatives.

Patients with severe constipation can also be applied to irritating laxatives in a short period of time; they should be checked and monitored regularly, and early detection of organic constipation should be found.

(Edit Rainbow. Picture source network, invading deletion)

Hunan Medical Chat Special Author: Yiyang Central Hospital Zhou General

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