Alo Yeditepe
Constipation can be defined as having fewer than three bowel movements per week. However, the main determining factor is the individual's own bowel routine. A person who has had two bowel movements per week since birth and is not bothered by this is not considered medically constipated. What is important are changes that develop later, such as a decrease in the frequency of bowel movements, straining during bowel movements, or a noticeable change in stool consistency.
• Low-fiber diet
• Insufficient fluid intake
• Lack of physical activity
• Delaying bowel movements (especially the habit of not going to the bathroom outside)
• Stress – The intestines' own nervous system (enteric nervous system) contracts irregularly and spasms occur in stressful situations.
• Air temperature and water balance – In hot weather, the body retains water, which increases water absorption in the intestines and hardens the stool.
• Less than 3 bowel movements per week
• Straining during bowel movements
• Hard or lumpy stools
• Feeling of incomplete emptying after using the toilet
• Abdominal pain, bloating
Constipation, especially in older adults, may be a simple digestive problem, but it can also be an early sign of intestinal diseases or tumors. Individuals who experience sudden and persistent changes in their bowel habits should consult a doctor.
Exercise regularly: As the body's muscles work, the intestines also adapt to this rhythm. Especially daily walks of 6–7 kilometers can accelerate bowel movements.
Eat a healthy diet:Consume fiber-rich foods (vegetables, fruits, legumes, whole grains).
Develop a toilet routine: Try to go to the toilet at the same time every day. Especially the 10–15 minutes after breakfast are the most active time for bowel movements.
Do not delay going to the toilet: Especially in women, the habit of not going to the toilet outside can disrupt bowel movements over time.
Use your body's natural reflex: When food reaches the stomach, the digestive system sends a “work” signal to the intestines. Using this reflex after breakfast to go to the bathroom can make bowel movements easier.
The intestines communicate directly with the brain through their own nerve network. During periods of stress, this nervous system contracts irregularly, causing spasms and slowing bowel movements. When stool remains in the intestines for extended periods, water is absorbed, causing it to harden and cause constipation.
While laxatives may provide short-term relief, long-term use can lead to sluggish bowel movements. Constantly stimulated by medication, intestinal muscles become desensitized over time, requiring higher dosages. Therefore, lifestyle and dietary adjustments should be the first choice for constipation.
Senna and similar herbal products may be effective in short-term use. However, continuous use reduces their effectiveness and can disrupt the natural intestinal function. They should be used intermittently and under the advice of a doctor.
Changes in stool consistency don't always indicate constipation. Factors such as diet, water consumption, physical activity, and stress affect stool consistency. If a person can pass stool without difficulty, a change in stool consistency alone doesn't diagnose constipation.
About
Faculty and Year of Graduation:
Hacettepe University Faculty of Medicine, 1993
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Alo Yeditepe
