Dr.D.Senthil Kumar.,

Dr.D.Senthil Kumar.,
Consulting Physician & Psycologist

Please visit Vivekanantha Homoeo clinic & Psychological counselling Center Official web site


http://homeoall.com/

CONSTIPATION




CONSTIPATION

Generally medical books says CONSTIPATION IS THE

FATHER OF DISEASE


It is true chronic constipation may leads to digestive problems, gas problems, and mental worries,


Constipation is defined as having a bowel movement fewer than three times per week.


With constipation stools are usually hard, dry, small in size, and difficult to eliminate.


Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.


Constipation is a symptom, not a disease. Almost everyone experiences constipation at some point in their life, and a poor diet typically is the cause.


Most constipation is temporary and not serious.


Understanding its causes, prevention, and treatment will help most people find relief.


What causes constipation?

To understand constipation, it helps to know how the colon, or large intestine, works. As food moves through the colon, the colon absorbs water from the food while it forms waste products, or stool. Muscle contractions in the colon then push the stool toward the rectum. By the time stool reaches the rectum it is solid, because most of the water has been absorbed.


Constipation occurs when the colon absorbs too much water or if the colon’s muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry. Common causes of constipation are

  • Not enough fibre in the diet
  • lack of physical activity (especially in the elderly)
  • Medications( pain medications especially narcotics, antacids that contain aluminum and calcium, blood pressure medications, antispasmodics, antidepressants
  • Iron supplements, diuretics, anticonvulsants)
  • Milk(over drinking)
  • Irritable bowel syndrome
  • Changes in life or routine such as pregnancy, aging, and travel
  • Abuse of laxatives
  • Ignoring the urge to have a bowel movement
  • Dehydration
  • Specific diseases or conditions, such as stroke (most common)
  • Problems with the colon and rectum
  • Problems with intestinal function (chronic idiopathic constipation)


Medical History

The doctor may ask a patient to describe his or her constipation, including duration of symptoms, frequency of bowel movements, and consistency of stools, presence of blood in the stool, and toilet habits— how often and where one has bowel movements. A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause of constipation.


The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months:

· Straining during bowel movements

· Lumpy or hard stool

· Sensation of incomplete evacuation

· Sensation of anorectal blockage/obstruction

· Fewer than three bowel movements per week


Can constipation be serious?

Sometimes constipation can lead to complications. These complications include haemorrhoids, caused by straining to have a bowel movement, or anal fissures—tears in the skin around the anus—caused when hard stool stretches the sphincter muscle. As a result, rectal bleeding may occur, appearing as bright red streaks on the surface of the stool. Treatment for haemorrhoids may include warm tub baths, ice packs, and application of a special cream to the affected area. Treatment for anal fissures may include stretching the sphincter muscle or surgically removing the tissue or skin in the affected area.


Sometimes straining causes a small amount of intestinal lining to push out from the anal opening. This condition, known as rectal prolapse, may lead to secretion of mucus from the anus. Usually eliminating the cause of the prolapse, such as straining or coughing, is the only treatment necessary. Severe or chronic prolapse requires surgery to strengthen and tighten the anal sphincter muscle or to repair the prolapsed lining.


Constipation may also cause hard stool to pack the intestine and rectum so tightly that the normal pushing action of the colon is not enough to expel the stool. This condition, called fecal impaction, occurs most often in children and older adults. An impaction can be softened with mineral oil taken by mouth and by an enema. After softening the impaction, the doctor may break up and remove part of the hardened stool by inserting one or two fingers into the anus.


Points to Remember

  • Constipation affects almost everyone at one time or another.
  • Many people think they are constipated when, in fact, their bowel movements are regular.
  • The most common causes of constipation are poor diet and lack of exercise.
  • Other causes of constipation include medications, irritable bowel syndrome, abuse of laxatives, and specific diseases.
  • A medical history and physical exam may be the only diagnostic tests needed before the doctor suggests treatment.
  • Whenever a significant or prolonged change in bowel habits occurs, check with a doctor.


Treatment

Mind the phrase CONSTIPATION IS THE FATHER OF DISEASE, in allopathic method of treatment they will prescribe laxatives for constipation, continues intake of laxatives produce more constipation and it will dry out the digestive tract. In Homoeopathic method of treatment we will find out the cause of constipation and we gave the medicine according to the cause, it is more effective with out side effect


For treatment


Please click


http://treatmentt.blogspot.com/2009/11/constipation-treatment.html





Thursday, July 14, 2011

Toilet Training Tips





Toilet training should be a fun and exciting experience for both you and your child. Remember, your child should feel in control of the process, not you. Take a slow, casual, matter-of-fact approach, and make it fun! Always encourage and praise your child.

When should I start toilet training my child?
In order for your child to develop control over her bowel and bladder, both her physical and mental development will have to be advanced enough. Her muscles must be strong enough to hold urine and faeces. Her muscles must do this when the brain transmits the appropriate signal. For this to happen, your child must be able to make the connection between inner sensations and the conscious need to pass urine or stools. You will know that your child is aware that she has a full rectum or bladder when she stops what she is doing and points at her diaper or tries to attract your attention by crying or shouting.

Do not begin training until your child shows signs that she is ready. Every child is different. Most are ready for training between two and two and a half years old (some as young as 18 months or as old as 3 years). Start at a time when you can spend a lot of time together - when your child is eager to please you and there are no major distractions or traumatic events in her life (new sibling, moving to a new home, etc.).

Your child is ready to learn potty skills when he or she...
  • Has bowel movements at about the same time every day
  • Can stay dry for a few hours, or wakes up dry from sleep
  • Can pull her pants up and down
  • Lets you know when she has soiled his/her diaper (likes to stay dry)
  • Can tell you she has to go to the bathroom
  • Wants to do things "by myself"
  • Enjoys washing her hands (like to be clean)

How do I teach my child to use the potty?

  • Once she has become accustomed to using the potty, the next step is to encourage her to use the lavatory. She may feel a little insecure because it is so much larger. In order to make her feel more secure and supported, use a specially designed seat that fits inside the toilet rim.
  • Once she has become accustomed to using the potty, the next step is to encourage her to use the lavatory. She may feel a little insecure because it is so much larger. In order to make her feel more secure and supported, use a specially designed seat that fits inside the toilet rim.
  • Introduce the potty in a casual way. Put it in a room where your child plays most often. The kitchen is a good place, so you can supervise. It will also encourage your child to use it more often if it is in plain view. Let your child play with it so she will get accustomed to it. Then show your child how it works. Once your child is used to the potty-chair, you can start to encourage use of it.
  • At the beginning of training, increase fluids to encourage practice. Encouraging practice will help your child learn the basic potty skills. In addition, you will want to make sure your child eats lots of fresh fruit and vegetables. You want to keep your child's stools soft to prevent withholding. When you see any signs that your child is about to go (passing gas, wriggling, holding crotch or telling you), quickly tell your child it's time to use the potty.
  • All co-operation with attempts at using the potty should be praised with words like, "What a big girl! mona is using the potty just like mommy"! Also, remember to praise your child for every successful potty use. This will help build self-esteem.


If you encounter problems...
If your child is reluctant or refuses to use the potty, try to encourage her by offering to read a 
story while sitting on the potty. If this still does not work, back off and do not push her.


You can try to leave your child's diaper off at the time she usually has a bowel movement (BM). Timing is an important factor in toilet training. If you sense that she has to do a BM (gas, for instance), take the diaper off right at the moment you see your child getting ready to do her BM. If you do catch your child before the BM occurs, then quickly take her to the potty and tell her that this is where the kakka goes. Hopefully if you catch your child at the precise moment, she will look for relief and let you guide her to the potty. If your child protests a bit, gently encourage and explain to your child that "she is a big girl now and mommy and daddy expect you to use the potty".

Remember, encourage and guide, but do not force your child to sit. If your child refuses to sit on the potty, then he/she is not ready. If your child pees and poops constantly in his/her underwear, then he/she is not ready. No big deal, try again in a month or so. This is normal!

Let your child take the lead. Your child needs to be in control of the process.

Withholding of Stools
It only takes ONE painful BM to cause your child to be frightened of using the potty, so at all costs, make sure his/her diet has sufficient fresh fruits, vegetables and juice. If your child has a painful BM only once while trying the potty, it could delay potty training for months. He/she will associate painful BMs with the potty and will refuse to use it. If you suspect that your child is withholding his/her stools, it is best to stop training and increase the fluids. Always call your pediatrician if you think your child is withholding. It can be serious if an impaction occurs. Tell your child at that moment, that he/she is not ready yet and that you will try again later.


Continue to play potty videos and read toilet learning books often to encourage regular use of the potty so your child will grasp the concept. Keep the potty-chair out and he/she will eventually shows signs of interest again. Remember, the keys to toilet training are patience, praise, encouragement (and a sticker on his/her chart to build self esteem and make the learning process fun).

Toilet training can get messy so be prepared and expect that there will be many mistakes. Your child is learning a very difficult skill. Clean up any accidents without anger or showing disgust. Do not make negative comments. Explain to your child that pee and poop go in the toilet. You should also empty any accidents in underwear or training pants into the toilet and explain to your child that he/he/she is a big girl now and this is where the poop goes. Try switching from diapers to training pants when your child does at least fifty percent of his/her urine or bowel movements in the potty. At night, you can use diapers until your child wakes up dry for a couple of days in a row. Remember, they are learning a very difficult skill. No one has ever said, "Toilet training is easy". Make the process fun and you will have happy memories to look back on.




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