Constipation
Simple constipation:
1. High residue diet with dietary roughage: Oatmeal porridge
Or wheat husk with milk. Chappatiswith ghee or brown bread with butter, honey or fruits such as prunes, dates, figs, mangoes, apricots. Green vegetables, salads of lettuce,radish
2. Drink at least 10 glasses of water in a day.
3. Exercise.
4. Develop regular bowel habit. Natural reflex should not be suppressed.
5. Massage over the colon with hand or fist moving from caecum along ascending and transverse colon down to descending colon.
Moderate constipation:
1. Diet: containing roughage (green leafy vegetables) and less of carbohydrates and starches. Fruit such as bananas, figs, Dry figs, apricots and black currents to be soaked overnight and the crushed pulp sweetened and given daily.
2. Water intake to be increased.
3. Regular bowel habits to be encouraged.
Severe Constipation:
1. Hypertonic saline enema
2. Bowel wash with normal saline till all the hard masses are removed.
3. Rectal examination should be done to direct fissure-in-anostricture of anus , or any other painful condition around rectum and anus.
Note: Habitual constipation is more common and should be treated with psychological backup.
Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.
Simple constipation:
1. High residue diet with dietary roughage: Oatmeal porridge
Or wheat husk with milk. Chappatiswith ghee or brown bread with butter, honey or fruits such as prunes, dates, figs, mangoes, apricots. Green vegetables, salads of lettuce,radish
2. Drink at least 10 glasses of water in a day.
3. Exercise.
4. Develop regular bowel habit. Natural reflex should not be suppressed.
5. Massage over the colon with hand or fist moving from caecum along ascending and transverse colon down to descending colon.
Moderate constipation:
1. Diet: containing roughage (green leafy vegetables) and less of carbohydrates and starches. Fruit such as bananas, figs, Dry figs, apricots and black currents to be soaked overnight and the crushed pulp sweetened and given daily.
2. Water intake to be increased.
3. Regular bowel habits to be encouraged.
Severe Constipation:
1. Hypertonic saline enema
2. Bowel wash with normal saline till all the hard masses are removed.
3. Rectal examination should be done to direct fissure-in-anostricture of anus , or any other painful condition around rectum and anus.
Note: Habitual constipation is more common and should be treated with psychological backup.
Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.
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