Answer: The causes of constipation can be categorized into organic and non-organic types. Organic lesions include rectal and anal conditions such as hemorrhoids; organic intestinal diseases like postoperative strictures; endocrine or metabolic disorders like parathyroid disease; as well as neurological conditions and neuromuscular disorders of the colon.Non-organic causes are primarily related to lifestyle factors, including significant mental stress, lack of exercise, pregnancy, aging, and lifestyle changes due to travel. This type of constipation, also known as functional constipation, is the most common clinically. How to prevent constipation? Q: Many people with constipation experience it due to lifestyle factors. How should they adjust? A:To resolve constipation, first establish healthy bowel habits and lifestyle practices: maintain regular routines and an optimistic outlook; increase vegetable intake and hydration; engage in moderate exercise like brisk walking; develop a consistent bowel schedule—ideally in the morning or after breakfast; focus fully during bowel movements—avoid reading while on the toilet;Learn abdominal massage techniques and practice Kegel exercises. When the urge to defecate arises, go immediately—do not hold it in.
Why is my stool sometimes hard and sometimes loose?
Q: Why is the first part of my stool hard, while the latter part is very loose?
A: Constipation manifests in various forms.Some people have consistently dry, hard stools throughout, while others have hard stools initially followed by loose, watery stools resembling diarrhea. This is typical intestinal dysfunction, clinically termed mixed constipation. Some individuals can pass stool relatively easily but feel incomplete evacuation, with a persistent sensation of something falling from the anus. This is also constipation.
What medications treat constipation?
Q:I heard Western medicine can treat constipation. Which medications are effective?
A: Western medications for constipation are primarily divided into oral and topical categories. Common oral medications include bisacodyl enteric-coated tablets. Suitable for all types of constipation, these must be swallowed whole without crushing or dissolving. Avoid milk or antacids within 2 hours before or after taking them. Bowel movements typically occur 6–12 hours after ingestion.Topical medications like glycerin suppositories lubricate the intestinal walls and soften stool for easier passage. They are suitable for the elderly, hypertensive patients, post-operative patients, and those with hemorrhoids. However, this medication has a high potential for dependency and can damage the anal sphincter, leading to anal leakage. Long-term use is not recommended.
Can laxative health supplements be used long-term?
Q: I've suffered from constipation for years and found laxative teas effective after some time. Can such supplements be used long-term?
A: A major misconception in constipation treatment is overlooking the risks associated with laxatives. We do not recommend long-term use of supplements or traditional Chinese medicines containing anthraquinones like senna, rhubarb, or aloe vera, as they may cause colonic melanosis.Research indicates that over 80% of constipation patients who continuously take anthraquinone laxatives for one year develop colonic melanosis, which increases the risk of colorectal cancer.
Should chronic constipation patients undergo colonoscopy?
Q: I've been treating my constipation with Chinese herbal medicine for some time. Should I get a colonoscopy to check for melanosis?
A:Based on clinical experience, colonoscopy is generally recommended for individuals over 40 with the following conditions: those who have tried multiple medications for constipation without success; those with chronic constipation who have never undergone relevant examinations; those with sudden onset of constipation; those with constipation and a family history of intestinal tumors; or those with constipation accompanied by bloody stools. For younger individuals taking Chinese patent medicines long-term under medical supervision, regular follow-up examinations are sufficient.