Constipation Help Relief In Minutes
If constipation is a problem, use an herbal product rather than a drug until you have removed the cause. Cascara sagrada (half dosage) or prunes work for many people. Adding roughage to the diet is a good solution but often doesn't work. If you try bran, you should add vitamin C and boil it, first, because it is very moldy. But even eating tree branches for supper won't move a bowel that has the wrong bacteria in it. Bacteria are part of the cause and part of the result Constipation increases the bacteria level which causes further constipation You may solve the constipation problem immediately by zapping. Even though this kills some good with some bad bacteria, no harm is done. The stool is recolonized in one to two days.
Seventy percent of your body is water, and all your many organs and cells require water to function properly. Most people, especially older people, don't get enough water. Older people often have the additional disadvantage of losing their ability to sense when they're thirsty. The consequences may include weakness and fatigue, not to mention constipation.
An abnormally low plasma potassium concentration is referred to as hypokalemia. Hypokalemia is most commonly a result of excessive loss of potassium, e.g., from prolonged vomiting, the use of some diuretics, some forms of kidney disease, or disturbances of metabolism. The symptoms of hypokalemia are related to alterations in membrane potential and cellular metabolism. They include fatigue, muscle weakness and cramps, and intestinal paralysis, which may lead to bloating, constipation, and abdominal pain. Severe hypokalemia may result in muscular paralysis or abnormal heart rhythms (cardiac arrhythmias) that can be fatal.
Many of these lower glycemic index foods contain a lot of fiber. Fiber is a carbohydrate that can't be broken down by digestive enzymes, so it doesn't raise blood glucose and adds no calories. Fiber has been shown to reduce the risk of coronary heart disease and diabetes while it improves bowel function, preventing constipation. For the person who has diabetes already, fiber reduces blood glucose levels. The riper the fruit, the higher the GI. Insoluble It doesn't dissolve in water but stays in the intestine as roughage, which helps to prevent constipation for example, fiber found in whole-grain breads and cereals, and the skin of fruits and vegetables.
The GI symptoms that are frequently encountered in patients with diabetes mellitus are outlined in Figure 2. Diabetic enteropathy refers to all the GI complications of diabetes and may result in dysphagia, heartburn, nausea and vomiting, abdominal pain, constipation, diarrhea and fecal incontinence (3). Feldman and Schiller reported that 76 of referrals to a diabetic clinic had at least one GI symptom (3). Clouse also reported that GI symptoms were present in a high proportion (20 ) of diabetic patients on the registry of a General Clinical Research Center (4). A third study from a tertiary care center reported an increased incidence of GI symptoms in patients with diabetes as compared with control subjects (5). However, in the Rochester Diabetic Neuropathy Study (6), only 1 of patients had symptoms of
This fear is present among all individuals, even those who are not overweight, but who want to be thinner (126,127). Even children, by the time they reach the first grade of school, prefer other disabilities to obesity (128). The desire to be thin constitutes a problem that must be considered as a form of social obesity. This phenomenon often translates as a fear of obesity and may lead to both health-promoting and health-compromising eating behaviors (126,127). The appropriate health-promoting activities include exercising eating healthy foods, limiting the amount of food eaten and avoiding sweets. The health-compromising activities might be the same but of a more extreme degree and may also involve the use of diet pills, laxatives, or water pills self-induced vomiting skipping meals dieting and fasting (129).
Constipation is typically treated with osmotic and stimulant laxatives. One should avoid lactulose because of potential impact on glycemic control, and magnesium compounds in patients with impaired renal function because of risk of magnesium retention. Polyethylene glycol osmotic laxatives are useful (up to 17 g in 8 ounces of water per day) though care needs to be taken to avoid dehydration or sodium overload in patients requiring regular dosing. Pelvic floor disorders should be excluded before embarking on long-term polyethylene glycol therapy.
A 46-year-old male patient with type 1 diabetes diagnosed at the age of 27 years was referred to the outpatient diabetes foot clinic because of a chronic ulcer under his right fifth metatarsal head. He had acceptable diabetes control (HBA1c 7.7 ), pro-liferative diabetic retinopathy treated with laser in both eyes, but no nephropathy. He complained of muscle cramps during the night and chronic constipation interrupted by episodes of nocturnal diarrhea. The patient had a history of painless diabetic foot ulceration for 3 years under his right foot after a burn injury. He had attended the surgery department of a country hospital,
Intestinal abnormalities of various kinds. The most common abnormality is constipation. In 25 percent of patients with autonomic neuropathy, nerves to the stomach are involved, so the stomach doesn't empty on time in a condition called gastroparesis. The precise timing of injected insulin and food intake (see Chapter 10 for the basics of using insulin) is thrown off hypoglycemia occurs as the insulin finds no food, and hyper-glycemia occurs later as the food finds no insulin (see Chapter 4 for more about these conditions). Several drugs are helpful in treating intestinal
Acarbose is contraindicated in pregnant and nursing women and when there are chronic intestinal diseases with definite disturbance in digestion and absorption. Great caution should be exercised when the patient has large hernias as well as ulcers or stenoses of the intestine. Individuals with constipation due to DM should better avoid the intake of acarbose, because the neuropathy of the autonomous nervous system that causes constipation can intensify flatulence and abdominal aches.
Urinary incontinence affects up to 60 of stroke patients admitted to hospital, with 25 still having problems on hospital discharge, and around 15 remaining incontinent at 1 year. The most common cause is detrusor hyper-reflexia as a direct consequence of stroke. Impaired sphincter control, preexisting bladder outflow obstruction, constipation, immobility, confusion, impaired consciousness, and urinary tract infection may also play a role (63).
The most common presenting symptom of gastrointestinal autonomic neuropathy is constipation (102). Other gastrointestinal tract problems that may present include gastric atony, gallbladder atony, and diabetic diarrhea or incontinence (102). DAN may also present as esophageal motility disorders such as dysphagia, retrosternal pain, and heartburn. Diabetic diarrhea is characterized by severe nocturnal exacerbations and may be secondary to intestinal motility abnormalities, sphincter malfunction, bacterial
Diarrhoea or constipation, and impotence should alert you to the possibility autonomic neuropathy (see Chapter 7). Symptoms of claudication should be inquired about. Physical examination requires measurement of lying and standing blood pressure and assessment of peripheral blood vessels. Visual acuity (VA) can be checked using a 3 m Snellen chart. Patients whose VA is worse than 6 6 in either eye should be examined using the pinhole test which will partially correct a refractive error. Alternatively, they may use their distance glasses if worn. In patients with poor VA which remains unaltered or worsens in the pinhole test, the retina should be closely inspected for lesions, particularly those of maculopathy.
Eating disorders are a group of psychosomatic conditions characterized by disturbed eating behavior and a constellation of psychological traits and symptoms. Disturbed eating behavior refers to dieting and fasting, binge eating episodes and compensatory behavior for weight control. The latter includes excessive exercise for weight loss, and purging behavior, such as self-induced vomiting and the abuse of laxatives, diuretics and diet pills. Individuals with diabetes have an additional purging behavior available to them, namely, the dangerous practice of deliberate insulin dosage manipulation or omission to promote weight loss. This behavior has more recently been named diabulimia. By decreasing, delaying or eliminating prescribed insulin doses, an individual can induce hyperglycemia and rapidly lose calories in the urine, termed glycosuria. Less dramatic neglect of insulin therapy, such as irregular blood sugar monitoring and inadequate adjustment of insulin dosage to compensate for...
Young girls with eating disorders (and young boys about a tenth as often) either starve themselves and exercise excessively or eat a great deal and then induce vomiting and or take laxatives and water pills. Someone who starves herself has anorexia nervosa, while someone who binges and purges has bulimia nervosa. By themselves, these conditions can result in severe illness and even death when carried to extremes. When combined with diabetes, the danger increases greatly. Bulimia involves eating large quantities of easily digested food and then purging it by vomiting and taking laxatives or water pills. These patients are usually not as severely thin as patients with anorexia. However, their backgrounds are often similar to those of anorexia patients They may represent up to 40 percent of college-age female students. Because their weight is closer to normal, they usually menstruate normally.
The symptoms of autonomic dysfunction should be elicited carefully during the history and review of systems, particularly since many ofthese symptoms are potentially treatable. Major clinical manifestations of diabetic autonomic neuropathy include resting tachycardia, exercise intolerance, orthostatic hypotension, constipation, gastroparesis, erectile dysfunction, sudomo-tor dysfunction, impaired neurovascular function, brittle diabetes, and hypoglycemic autonomic failure. GI disturbances (e.g. gastroparesis, constipation diarrhea, fecal incontinence) are common, and any section of the GI tract may be affected. Gastroparesis should be suspected in individuals with erratic glucose control. Investigative test results often correlate poorly with symptoms.
Defects of ICC have been associated with several human gut motility diseases including slow transit constipation, hypertrophic pyloric stenosis, Hirschsprung's disease and pseudoobstruction. Ordog et al. (44) demonstrated that spontaneously diabetic mice develop delayed gastric emptying, impaired electrical slow waves, and reduced motor neurotransmission. They also observed greatly reduced ICCs in the distal stomach. Moreover, the association of the ICC and enteric nerve cells was disrupted. Loss of ICC has been reported in a patient with type 1 diabetes (45) who underwent full-thickness jejunal biopsy. However, it remains to be ascertained whether defects of ICC are consistently present in patients with GI dysmotility due to diabetes. Altered ICC networks have also been implicated in chronic intestinal pseudoobstruction (46) and idiopathic slow transit constipation (47), underscoring the importance of ICC in health and disease. Diabetes may alter GI function by causing structural,...
Principally, it occurs in persons with autonomic neuropathy. Factors responsible for its occurrence are stasis of the intestinal content and bacterial overgrowth due to decreased motility, bile acid malabsorption, defective exocrine pancreatic function due to parasympathetic nervous system damage and disturbed water and electrolyte absorption due to sympathetic dysfunction. The typical diabetic diarrhoea is a secretory diarrhoea, occurs more frequently at night, is not associated with food intake, is bulky, lasts for days or even weeks and then subsides without specific therapy, only to recur in a different time. It commonly alternates with periods of constipation. Differential diagnosis should include drug-induced diarrhoea, especially due to metformin and acarbose, lactase deficiency, parasitic infections, various malabsorption syndromes and coeliac disease, which is more common in Type 1 DM.
Gastroparesis Your stomach and intestines slow down or become less efficient at emptying, leading to feeling full after a few bites of food, erratic glucose levels, nausea and vomiting, constipation, or diarrhea. Nerves to the bladder can become damaged, causing diminished sensation of bladder fullness and an inability to completely empty the bladder. Because urine can then stay in the bladder for long periods, you are at high risk for developing urinary tract infections. Treatment. Different types of autonomic neuropathy call for different treatments. Feeling full or bloated may be helped by eating small frequent meals instead of three large ones. Medications, such as metoclopramide, can help food to move through your stomach. There are other medications and dietary adjustments that you can use to treat constipation or diarrhea.
Excessive intake of vitamin D in fortified food, over-the-counter supplements or excessive ingestion of anti-rickets pharmaceuticals can result in vitamin D poisoning. An acute toxic dose has not been established but the chronic toxic dose is more than 5O OOO IU day in adults for 1-4 months and, in children, 4OO IU day is potentially toxic. Acute toxicity effects may include muscle weakness, apathy, headache, anorexia, nausea, vomiting, and bone pain. Chronic toxicity effects include the above symptoms and constipation, anorexia, polydipsia, polyuria, backache, hyperlipidemia, and hypercalcemia. Hypercalcemia may cause permanent damage to the kidney (see http www.emedicine.com emerg topic638.htm). Arterial hypertension and aortic valvular stenosis can also result from hypervitaminosis D.
Diabetics than in controls were constipation, use of laxatives, and history of gall bladder surgery. The main findings were confirmed by a questionnaire-based study in Olmsted County, Minnesota (15). This showed that only constipation and use of laxatives were more prevalent in type 1 (not type 2 diabetics) diabetics than in controls matched for age and gender (Table 1) (15). The high prevalence of functional gastrointestinal disorders such as irritable bowel syndrome, constipation, and functional dyspepsia in Western civilizations confounds any estimates of the prevalence of diabetic enteropathy based on symptoms alone. Prevalence figures do not assess the impact or severity of the upper GI symptoms suggestive of dyspepsia or gastroparesis. Thus, although Maleki et al. identified nausea, vomiting or dyspepsia in 11 of type 1 diabetics and 6 of controls, these prevalence figures were not significantly different from age- and gender-matched nondiabetic community controls. A significant...
DAN is similar to DPN in that it can be divided into clinical and subclinical presentations. It can affect any organ receiving autonomic innervation. Common manifestations of DAN include constipation, diarrhea, dysphagia, decreased urinary flow, and cardiac syndromes. Gastrointestinal autonomic neuropathy and genitourinary autonomic neuropathy are both parasympathetic forms of DAN whose injuries range from mild to, in rare cases, severe. Constipation is the most prevalent gastrointestinal presentation followed by diabetic diarrhea, heartburn, and dysphagia.
Fibre is a particularly important component to encourage in an older person's diet. Constipation is common and increasing fibre intake can reduce laxative use and improve bowel function. However, fibrous foods tend to have a greater satiating effect and should be advised with caution for those with depressed appetites.
Dietary fiber is the nondigestible carbohydrate and lignin that are found in plants. Fiber is an important part of a pregnant woman's diet as constipation is a common symptom during pregnancy. Fiber promotes bowel regularity and may help with postprandial blood glucose excursions by slowing Insoluble fiber does not dissolve in water. It reduces constipation by adding bulk to the stool and decreasing stool transit time. Good food sources of insoluble fiber are whole wheat, bran, nuts, and vegetables. Soluble fiber such as pectin and guar gum dissolve in water and form a gel-like substance, which slows gastric emptying and increases satiety and may reduce peak postprandial blood glucose (12). Good food sources of soluble fiber are oats, peas, beans, barley, vegetables, and some fruits (apples, citrus) and pysllium (found in bran cereals and Metamucil). It is important to consume fiber with plenty of fluids and to increase the quantity of fiber slowly to avoid cramping, gas, and...
Pharmacologically similar to reuptake inhibitors used as antidepressants, but sibutramine does not have antidepressant or euphoric properties. It is pharmacologically distinct from serotonin releasing agents, such as dexfenfluramine, that have been reported to cause cardiac valvular lesions similar to those seen in carcinoid syndrome (Connolly et al., 1997 Gundlah et al., 1997 Bach et al., 1999). Sibutramine is thought to act by both increasing post-prandial satiety (the feeling of fullness after a meal), and by increasing thermogenesis, particularly by attenuating the usual fall in energy expenditure that occurs with weight loss (Hal-ford et al., 1994 Hansen et al., 1998). CNS-mediated side effects include dry mouth, insomnia and constipation there is also a modest increase in sympathetic nervous system activity, which is responsible for the change in thermogenesis, but also can result in increases in heart rate and blood pressure in some patients, although the average changes seen...
Tion of their body is often out of tune with reality. Even very thin women sometimes perceive themselves as being overweight. People with bulimia will often eat normal or even excessive amounts of food and then purge the food by inducing vomiting or taking laxatives. Over time, bulimia can cause problems with the esophagus, as well as many dental problems. Both disorders stress the body and deny it the necessary nutrients.
Fecal incontinence is a challenging clinical condition particularly in elderly diabetics. It has been estimated that upto one-fifth of patients with diabetes have fecal incontinence, although prevalences depend on criteria of incontinence applied. The incidence of fecal incontinence in diabetics appears to correlate with duration of the disease (90). Incontinence is probably multifactorial and involves age-related changes, diabetic neuropathy, multimorbidity, and polymedication (91). However, instability of the internal sphincter probably plays a major role in incontinent diabetics (92). Another important cause is fecal impaction (93).
Gastrointestinal disturbances, including esophageal dysfunction, gastroparesis, diabetic enteropathy, diarrhea and fecal incontinence (including bacterial overgrowth), and constipation. Patients may experience delayed gastric secretion and emptying, and present with episodes of nausea and vomiting. Other symptoms can include anorexia, bloating, epigastric discomfort, and alternating episodes of constipation and diarrhea (with diarrhea being more prominent in patients with autonomic neuropathy). Diarrhea can result from pancreatic insufficiency, bacterial overgrowth, malabsorption, or intestinal hyper-motility. Amitriptyline may cause some unwanted side effects, including seizures, hypotension, increased sedation, hyperthermia, and other effects, including constipation and pseudodementia. This can be especially problematic in the elderly patient population, which may be prone to develop cardiac and other side effects. effect. Dose-dependence and drug abuse have raised some concern in...
AGIs have very few contraindications. They should not be given to patients with diverticulosis, large hernia, acute gastrointestinal diseases, colitis, inclusive and obstructive diseases of the bowel because of their adverse effects on gas production in the bowel, particularly in the colon. Pregnancy and lactation period are contraindications. For acarbose, but not for miglitol, severe renal insufficiency (serum creatinine 3.5mg dL) is a contraindication. Bile acid adsorbents, such as cholestyramine, antacid agents, and digestive enzymes, may decrease the efficacy of these drugs. Clinical experience has shown that combination with the lipase inhibitor orlistat can exaggerate the gastrointestinal side effects of both drugs, but no controlled data are available. Laxatives and sugar alcohols, such as sorbitol with its high osmotic activity, increase gastrointestinal adverse reactions and should not be taken with AGI treatment.
The pathogenesis of diarrhea in patients with diabetes is poorly understood and probably multifactorial. It may be caused by disturbances directly related to diabetes (primary causes) or to late complications (secondary causes). Among primary causes, visceral neuropathy is a key factor but other factors probably contribute as well. Functional changes such as accelerated transit time and decreased intestinal tone might be associated with enhanced cholinergic and decreased P-adrenergic receptor activities (65). Neuroendocrine peptide dysfuntions might also be involved. El-Salhy and Spangeus (66) have shown that in diabetic mice antral VIP and galanin levels are increased, whereas colonic PYY concentrations are decreased. These particular anomalies in enteric peptide profile would favor the development of diarrhea, whereas other anomalies in peptide levels could favor constipation. Diabetic diarrhea was first recognized in 1936 by Bargen et al. (73) (Table 2). The diarrhea is watery,...
Clinical symptoms vary dramatically according to the individual and the age. Young children often present with diarrhea, abdominal pain, and poor growth, though vomiting, irritability, anorexia, and even constipation are common. Older children and adolescents sometimes present with short stature, neurological symptoms, and anemia (36). The classic presentation among adults is diarrhea, abdominal distention or discomfort though only about 50 of new cases in the last 10 years have presented with diarrhea (37). Many people have silent symptoms such as chronic anemia, osteoporosis, gastroesophageal reflux, unrecognized weight loss, and elevated liver enzymes. Erratic blood glucoses from untreated CD in individuals with type 1 diabetes are sometimes exacerbated by concomitant gastroparesis. Bone and joint pain Constipation
Insoluble fiber binds water, making stools softer and bulkier. Therefore, fiber especially that found in whole grain products is helpful in the treatment and prevention of constipation, hemorrhoids and diverticulosis. Diverticula are pouches of the intestinal wall that can become Fiber supplements are sold in a variety of forms from bran tablets to purified cellulose. Many laxatives sold as stool softeners actually are fiber supplements. Fiber's role in the diet is still being investigated. It appears that the various types of fiber have different roles in the body.
Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.