Diagnosis and Treatment of Constipation
Diagnosis and Treatment of Constipation
Most people with constipation do not need extensive testing and can be treated with changes in diet and exercise. Extensive testing usually is reserved for people with severe symptoms, for those with sudden changes in number and consistency of bowel movements or blood in the stool and for older adults.
Colorectal transit study : This test shows how well food moves through the colon. The patient swallows capsules containing small markers that are visible on an X-ray. The movement of the markers through the colon is monitored with abdominal X-rays taken several times 3-7 days after the capsule is swallowed.
Defecography : This is an X-ray of the anorectal area that evaluates completeness of stool elimination, identifies anorectal abnormalities and evaluates rectal muscle contractions and relaxation.
Barium enema X-ray : This involves viewing the rectum, colon, and lower part of the intestine to locate any problems. This test shows intestinal obstruction.
Sigmoidoscopy or colonoscopy : An examination of the rectum and lower (sigmoid) colon is called a sigmoidoscopy. An examination of the rectum and entire colon is called colonoscopy.
Treatment
In most cases of constipation, dietary and lifestyle changes are sufficient to relieve and prevent the symptoms of constipation. The goal of treatment is to re-establish normal bowel habits without the use of laxatives or enemas.
Diet : A diet with enough fibre ( 20-35 gm. each day) is essential for soft and bulky stool. High-fibre foods include beans, whole grains, fresh fruits and vegetables. Limiting foods that have little or no fibre, such as ice-cream, cheese, meat and processed foods, is also important.
Lifestyle changes : Changes that can help to treat and prevent constipation are :
Stomach Bloating or Abdominal Distension.
Abdominal pain
Endoscopic procedures
Constipation
Diagnosis and Treatment of Constipation
Medications and Complications
Indigestion
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