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A person is said to have Constipation when he or she does not have bowel crusade for more than three days or witness it very gruelling to pass bowels . There are basically three types of constipation namely Normal Transit Constipation , Slow Transit Constipation , and Outlet Defecation Syndrome . Normal Transit and Slow Transit constipation come up under the family of movement dysfunction whereas outlet defecation syndrome is a type of continuing constipation where a person finds it very hard to slide by stools at least one sidereal day of the week for six month or more . Motility disorders are condition which affect the muscles of the GI system that make the passage of food through the intestines slow.[1,2,3 ]
modest constipation is quite common and everyone once in a while has it . sealed intellectual nourishment habit or change in solid food can cause the someone to have stultification . However , sometimes deadening can become very grievous to an extent that daily life becomes a challenge for the individual . It is also go with by various other symptoms that make constipation a medical parking brake include blood in the stools and severe and persistentabdominal pain.[1,2,3 ]
impairment usually becomes an emergency if it is cause by certain medical status likeappendicitis , intestinal hemorrhage , strangulated herniation and faecal impaction . In such cases , the person may have to be taken to the emergency way for treatment.[1,2,3]The clause below gives details of when constipation becomes an parking brake and what can be done about it .
When Is Constipation An Emergency?
Mild irregularity is something which everyone has at one clip or the other and is not a effort of trouble . They can be easily treated with medications and change in dietary habits . A individual is said to be constipate if he or she has no more than two to three bowel movements in a week . The throne that are go will be very hard and dry . The individual will also have severe pain when glide by stools.[3 ]
However , there are time when irregularity becomes a aesculapian emergency . There are some warning sign that should not be overlook in a someone with stultification and pressing aesculapian care is ask . These foretoken include:[3 ]
stemma in Stool : A person will have dark or tarry stools for a variety of reasons . The most common is intestinal bleeding . The bleeding is usually high-pitched up in the digestive tract as the blood has enough meter to travel through the digestive system before being eliminated through the rectum . During this time the stock loses lot of O making it dark and tarry.[3]If someone go past bright reddened blood in the faecal matter then it is indicative of a bleeding much small in the digestive nerve pathway . Intestinal hemorrhage can hap due to bowel inflammation , damage to the tissue of the intestines , or a hemorrhage ulcer . Bleeding intestines at time also indicate the presence of a tumour in the digestive tract suggestive of gut cancer.[3]Thus if a person notices line of descent in the stool then it is best to go to the hand brake room to get it retard out . Once a cause is identified then treatment can be pop for it . This is important as conditions like gut malignant neoplastic disease require other sensing and treatment for a better prognosis.[3]Another rough-cut condition that stimulate hemorrhage is hemorrhoids . This is a condition that is specific to citizenry to have chronic deadening . This is because they lean to strain a stack during bowel movements resulting in a build - up of minuscule pocket of tissues around the lower GI parcel that start to bleed . Bleeding hemorrhoids also is an emergent condition and involve a trip to the pinch room , especially if the bleeding is significant.[3 ]
Severe Abdominal Pain : A individual with constipation who to boot has excruciate abdominal hurting also needs to go to the emergency way to get to the bottom of the cause and start discourse for it . In some cases , even surgery may be required as a modal value of treatment . Some of the conditions that have constipation along with grievous abdominal pain include.[3 ]
Appendicitis : This is a condition in which the appendix becomes infected and inflamed . Other symptom aside from stultification and severe abdominal pain let in appetite expiration and fever . It is an emergent medical consideration and requires urgent surgical operation to take out the appendix . This procedure is medically termed as appendectomy.[3 ]
Diverticulitis : This is an emergent aesculapian precondition in which the diverticula which are small pouch in the intestines get wake or infected . away from constipation and severe leave abject quadrant pain , the mortal with diverticulitis will also experience fever , nauseaandvomiting.[3 ]
strangle Hernia : This is also an emergent medical consideration that expect immediate attention . A strangulate hernia causes lack of adequate line of descent supply to the bowels result in irregularity and severe abdominal nuisance . A someone with these symptoms should immediately go to the emergency room to get treated.[3 ]
Vomiting Bile or Stool : if a person has frequent bouts of disgorgement that smells like stool and is dark brown in color then it indicates that the person has bowel impedimenta . This is a aesculapian pinch and requires immediate treatment . In cases of vomiting bile , the vomitus will be jaundiced in people of colour with a green soupcon to it . Bowel obstruction requires quick decompression of the tummy . An NG tube will be inserted to take away all the contents of the stomach . This generally relieves the pain in the neck and uncomfortableness that the person may be having.[3 ]
Fecal Impaction : This emerging aesculapian term is usually go through in people with chronic constipation . As people find it tough to defecate , stools accumulate and become intemperately and make it even tougher for other throne to authorize through . A somebody with faecal impaction will always have the impulse to spend bowel movement but will be unable to force anything out.[3]Fecal impacted tooth is a abominable condition . Some mass also have vomiting along with it . This condition requires contiguous medical attention for which a head trip to the emergency room is required . During treatment , a disimpaction will be done which will involve consummate removal of the blockage of the rectum after which in most font the person starts ingest normal gut movements.[3 ]
Sporadic Bowel movement : If a person has less than three bowel movements in a week then he or she is term as clog and the cause of it is by and large quite severe . This is especially if the person is eating on a regular basis and still is not having normal bowel movements . This causes stool to accumulate . This generally happens when there is some form of block such as a neoplasm or scarring take up the domain and not allowing stools to pass through . This is medically termed as gut obstruction which is a medical emergency as explained in detail above.[3]In cases of children , constipation is quite coarse but even they sometimes need a trip to the pinch room , especially toddler . This is because they are at an age where they are learning or have just learned how to use the can and when to go . Sometimes , specially when playing or in a classroom toddler tend to withhold their bowel and do not go to the bathroom . This may occur due to overplus or not wanting to halt playing.[3 ]
If a child has had botheration antecedently during a bowel crusade then also he may hesitate to go to the bathroom for fear that there will be infliction again . withholding tax feces often at times moderate to encopresis in which a small amount of stool leaks out . A sojourn to the physician is recommend if parent feel that their child is withholding stool oft or they surmise that the child may have encopresis.[3 ]
It is also authoritative to instruct nipper to drink plenty of body of water and give them food rich in character so that they have regular bowel movement . In example if a toddler has deadening it is good to take him to the physician and get it deal to prevent any undesirable ramification that may require emergent treatment.[3 ]
What Can Be Done About Constipation Accompanied By Serious Symptoms?
Constipation becomes an emergency if the someone has stark abdominal pain or bleeding while go along stools . Even if there are no stern symptoms , constipation is a experimental condition that needs to be treat and a consultation is a must with the physician to identify a cause and set forth intervention . In most cases , over the counter stool softeners may be enough to normalize intestine movements .
to boot , there are also certain life-style variety that can be made to process or forfend constipation . These admit last out hydrated by fuddle tidy sum of water peculiarly after lunch and dinner . It is also recommended to use up a diet racy in fiber as this makes the toilet easygoing and easy to pass through the bowel . Physical activity and employment is a must to preclude constipation .
In ending , constipation is something that everybody has at one time or the other . However , there are multiplication when constipation becomes a aesculapian emergency . This usually happens when a person observe bleeding when passing bowels or there is severe abdominal pain . This usually suggest that there is a problem with the digestive tract . Sometimes , excessive straining during bowel apparent movement in mass with deadening results in hemorrhoids which can shed blood result in a medical emergency.[1,2,3 ]
A person with inveterate constipation needs to consult with a physician to identify a case for it and start treatment . In instances where dietetic habits are a causa for stultification then alter the solid food and choose over the counter laxative is enough to get disembarrass of irregularity . In display case where enteral block , tumor , or piles are believed to be the case of constipation then more aggressive discussion will be needed , which may even require a stay in the hospital.[1,2,3 ]
It is recommended for people who have constipation and to boot have serious abdominal painful sensation to go straight to the emergency brake room for intervention to prevent any undesirable complications that may uprise due to condition that make constipation an emergency.[1,2,3 ]
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