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Causes

Constipation can result from a variety of factors, including diet, medication, medical disorders, and pregnancy.

Constipation can be brought on by a variety of factors, including :

• Low-fibre food consumption.
• a deficiency in hydration (dehydration).
• Physical activity isn't enough.
• Traveling, eating, and sleeping at odd hours, as well as changes in your regular schedule.
• Excessive intake of cheese or milk
• Stress.
• I'm resisting the need to go the restroom.
• Medications include antacids, pain relievers, diuretics, and certain Parkinson's disease treatments.

Constipation can be caused by a variety of medical and health issues, including :

• Hypothyroidism (an underactive thyroid gland), diabetes, uremia, and hypercalcemia are all endocrine illnesses.
• Colorectal cancer begins in the colon and spreads to other organs.
• Irritable bowel syndrome (IBS) affects the intestines and is a kind of irritable bowel syndrome (IBS).
• Diverticular disease is a kind of cancer that affects the intestines.
• Constipation might occur as a result of a defective outlet. (It's a problem with the pelvic floor muscles' coordination.) The organs in the pelvis and lower abdomen are supported by these muscles. Their use is necessitated by faeces ejection.)
• Damage to the spinal cord, multiple sclerosis, Parkinson's disease, and stroke are all neurological illnesses.
• Amyloidosis, lupus, and scleroderma are only a few examples of organ disorders.
• Pregnancy.

Diagnosis

Although constipation is usually easy to detect, in chronic situations, testing may be necessary to determine the underlying reason. Following a thorough examination of your bowel habits, overall health, and lifestyle, your doctor may request one or more of the following tests :

• Rectal examination or Proctoscopy - A lubricated gloved finger or a Proctoscope can be used to accomplish this procedure.
• Colonoscopy is a procedure that examines the colon's lower portion. A long flexible tube with a light and camera at the end is introduced through the anus during the exam. Your doctor may inspect the insides of your intestines on a computer screen.
• Anal Manometry involves inserting a tiny device into your rectum and connecting it to a machine that measures pressure while pinching, relaxing, and pushing your rectum muscles. This indicates how well the rectum's nerves and muscles are functioning.
• MRI Defecography - MRI defecography is a non-invasive method that uses magnetic resonance imaging to obtain pictures at various stages of defecation to analyse how well the pelvic muscles react and offer insight into rectal function. It's utilised to figure out what's causing incontinence, constipation, and other problems with faeces flow, such as pelvic organ prolapse.
• Thyroid function tests, B12, D3, and blood calcium levels should all be kept track of.
• Food intolerance testing

Risk Factor

Constipation is a disorder characterised by difficult or infrequent bowel movements. The following are some of the risk factors :

• Every day, consume 20 to 35 grams of dietary fibre.
• Faeces become dry due to a lack of water.
• A lack of physical activity
• When you have a need, avoid passing bowel motions.
• As a recreational drug, using opiates or other opioids.
• A major life or habit change is taking place, such as a pregnancy or vacation.
• Diabetes, lupus, and multiple sclerosis are only a few diseases or disorders to name.
• A colon tumour, irritable bowel syndrome, or an obstruction are all possibilities.

Treatment

MCDPA

Dr. Ashwin Porwal, who has treated hundreds of patients with piles and severe constipation, popularized the MCDPA phrase "SAY NO TO SURGERY." Many of these people did not require surgery, he realised. In these circumstances, caution and lifestyle modifications are essential. He devised the MCDPA treatment technique based on these findings ( Medicines-Constac-Diet-Physiotherapy-Ayurveda ). It's a ground-breaking blend of modern science, traditional Ayurveda, and Pelvic Floor Physiotherapy that ensures a multidimensional approach to the problem, considerably increasing the likelihood of a successful treatment. The pillars of MCDPA are the delivery of recognised scientific therapies and complete patient care.

BIOFEEDBACK

Biofeedback is used to regain control of the rectal muscles. Reduced rectal muscle activity is a crucial element in recurrent constipation, particularly in Obstructed Defecation Syndrome, which causes faeces evacuation problems. In this non-invasive procedure, a probe is placed into the rectum, and the muscle activity is recorded on a computer screen. After that, you'll be coached and educated by a physiotherapist on how to improve your defecation effort.

STARR SURGERY

In cases of Obstructed Defecation Syndrome or Chronic Constipation that has resulted in rectal prolapse, surgical intervention in the form of STARR Surgery may be necessary. A healthy part of the remaining rectum is used to replace a blocked or prolapsed rectum segment in this procedure. During STARR surgery, which is conducted under general anaesthesia, two circular staplers are used to create a circumferential trans-anal full thickness resection of the lower rectum. When the two stapled resections are combined, the structural abnormalities associated with ODS are eradicated.