Constipation Causes and Remedies Explained by Gastroenterologist Leo Treyzon M.D.
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- Опубліковано 8 сер 2020
- Treatment concepts:
What is Constipation?
1. Infrequent Bowel Movements
2. Difficulty in evacuating stool (strain, push)
3. Altered stool form (e.g. hard rocks)
4. Discomfort or Pain before, during, or after stool passage (often seen in IBS-C)
How long does it take for food to travel your system?
How is a bowel movement generated?
1. Peristalsis of intestine occurs on a periodic schedule
2. Coordination of diaphragm muscle and abdominal wall muscles to
3. Relaxation of the pelvic floor muscles, and puborectalis muscle
4. Relaxation of the anal sphincter
Types of Constipation:
1. Slow transit or colonic inertia
2. Pelvic floor dysfunction and anismus
Secondary causes of
Constipation:
1. Medications
- Narcotics
- Antibiotics
- Anticholinergics
- Antidepressants , Antipsychotics,
Anti-Parkinson’s medications
- Calcium-channel blockers
2. Metabolic conditions
- Hypercalcemia
- hypothyroidism
- Diabetes mellitus (with autonomic neuropathy)
- Hypokalemia
3. Central nervous system diseases
- Parkinson’s disease
- Multiple sclerosis
- Spinal cord injury
- Depression
4. Enteric myopathies or neuropathies
-
Scleroderma
- Chronic pseudo-obstruction
-
Amyloidosis
5. Organic colorectal diseases
- Rectocele
- Cancer
- Strictures (postinflammatory, postischemic, postdiverticulitis)
6. Lifestyle Factors:
- Lack of hydration
- Weight loss
- Sedentary lifestyle
- Traveling/ Barometric Pressure changes
Treatments
Over the Counter:
1. Fiber
- Metamucil® (Psyllium)
- Benefiber® (Wheat Dextrin)
- Konsyl® (Psyllium)
- Citrucel®(Methylcellulose Fiber)
- Sunfiber® (Guar Gum)
- Cereals (Fiber One®, All Bran®)
2. Stool softener
s:
- Docusate Sodium 100mg
3. Miralax® (Polyethylene Glycol-3350)
4. Magnesium treatments
a.
- Magnesium Oxide 500 mg (Philips Brand for example)
b.
- Milk of magnesia (Philips Brand for example)
- Magnesium Citrate 300 mL
5. Stimulant Laxatives:
- Senna or Sennasoides (Ex-Lax®, Chinese teas, Swiss Kris®, Smooth Move®)
- Bisacodyl 5mg (Dulcolax® pills or suppositories)
6. Enemas
- Fleets brand Saline enema®
- Soap suds enemas
- Colonics with a colon hydrotherapist
7. Suppositories:
- Glycerin
- Bisacodyl
8. Mineral Oil Lubricant
- Kondremul® (Mineral Oil + Irish Moss Fiber)
9. Creams for Anal irritation:
- Balneol®
- Desitin®
10. Ayurvedic medicines:
Triphala
11. Anti-Bloating:
- Atrantil®
- IBgard®
- Simethocone (Gas-X®, Phazyme®)
- Digestive Enzymes
e
- Activated Charcoal
12. Prescription Medications:
- linaclotide (Linzess®)
- plecanatide (Trulance®)
- lubiprostone (Amitiza®)
- pruclaopride (Motegrity®, Resolor®)
- erythromycin
- tegaserod (Zelnorm®)
- Low Dose Naltrexone (LDN)
13. Bowel preparations
:
- SUPREP®
- MoviePrep®
- GoLYTELY®
- Plenvu®
Useful Links:
1. What is Pelvic Floor:
• Pelvic Floor Muscles 1...
2. American Gastroenterology Association handout for constipation:
aga-cms-assets.s3.amazonaws.c...
3. Dr. Rao explains dyssynergic defecation:
• What is dyssynergic de...
• Dyssynergic Defecation
Visit us at:
www.treyzonmed.com
Twitter: @DrTreyzonGI
This video does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have seen on this site or video.
The best GI doctor by far.
Excellent
This is a fantastic video. Superb explanations and comprehensive. Thank you!!!
Dr Leo Treyzon, MD EXCELLENT video superb EXPLANATIONS,Thank You
YOU COVERED INDIAN TRIPHALA THAT IS GREAT
GOD BLESS YOU&YOUR FAMILY from Prof Rammohun Nathanael
How do I manage constipation caused by gastroparesis that in turn gives me reflux …that if I don’t go causes vomiting. It’s MISERABLE. And I’m hungry
Thanks Dr. Treyzon! Great insight as im about to be on linzess for ibs-c & chronic constipation.
Thank you for a helpful and comprehensive video.
It’s a bad mistake to recommend Metamucil unless you want a rock hard turd that you create hemorrhoids pushing out. If we are talking about constipation we are looking for apple sauce not bricks.
Good education thanks
Thanks Dr Treyzon very helpful information
Best Dr ever !
I have 10yrs with CIC, Gastroparesis, etc. Been using saline enemas for almost every bowel movement since 2014. For me, magnesium citrate works well with coconut water + dulcolax pink added. This is how i prep for colo procedures. Mirilax does very little for me. Neither does fiber. The med Linzess gave me intense enuresis reactions. About to try Trulance. Anybody on Trulance?
In my opinion based on my body is nerve situation. I eat healthy, salads and a lot of water but still I can’t go. I use linzess now and it works great. I tried fiber and other stuff like prunes but linzess works best
Awesome video .great job
My sonsent me the link to watch .Very well presented and I learned a lot thanks
Thank you!!!!!!
Thank you 🙏
Separate question. I have read that long term use of any laxatives or enemas can damage the colon's muscles/ability to move stool along and make you dependent on them. Can you expound on this either here or in a video?
Fiber 1 constipated me so does Metamucil Things. So I use gotten free bread Cherrios gluten free oatmeal and Kellogg Cornflakes not the frosted. Even red meat constipated me so I quit
How can I get in touch with you. I don’t do computers. Lol
zofran, probably slow transit , gastroparesis , diet, ibs c,
Thanks for the video. Is taking 200mg of Magnesium Citrate every few days or so dangerous used long term? I have started certain Yoga exercises which can really help mixed with a little prune juice in the AM, easy on the juice or you'll spend an hour going back and forth to the bathroom.
I have it and i cant go in school because i will get laughed at