Difficult Chapter

Illustration of Difficult Chapter
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Good night. I want to ask what is the cause of the difficult chapter? I used to rarely feel difficult chapter but now often feel difficult chapter. Thank you doctor

1 Answer:

Hello Nani Astuti,

Defecation that is hard-large-dry-difficult (needs to be strained strongly) or changes in the frequency of bowel movements to less than 3 times per week is called constipation. Patients can also experience complaints of bloating, abdominal discomfort, pain in the anus due to abrasions after removing hard / large stool. Constipation can occur at any age, from infants to adults.

Some causes of constipation in adults are:

 Not drinking enough water Less consumption of fibrous food Immobile patients - not actively moving Like holding back CHAPTER There are changes in diet and type of food consumed Stress, anxiety disorders Side effects of drugs consumed Diseases such as: diabetes mellitus, Parkinson's disease, irritable bowel syndrome, thyroid disorders, etc. Some things you can do to improve the condition of constipation independently are:

 Drink more water. Avoid alcoholic drinks, caffeinated. Increase fiber intake from food. Fiber can be obtained from fruits, vegetables, beans (beans), wheat, cereals, etc. Suggested fiber consumption per day is as much as 20-35 grams. Perform regular physical activity, at least 30 minutes / day, 5 times a week. Consumption of probiotics if necessary, pay attention to instructions for use and contraindications Use of laxatives if necessary (should not be used too often) If the methods above have not been able to handle your constipation, constipation occurs> 3 weeks, of course you need further examination with your doctor. If no bowel movements are accompanied by severe pain in the abdomen, can not pass gas at all, vomiting continuously, there is a drastic weight loss, you should immediately consult a doctor.

The diagnosis of constipation can be found from history taking and physical examination (including digital rectal examination). Investigations such as plain x-rays or with barium enema, anorectal manometry, or colonoscopy may be needed to find out whether there are other diseases that cause bowel disorders.

Thus the explanation from me, hopefully useful.

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