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Constipation.....The Hard Facts!

It seems the first thing to be affected by a difference in our daily routine (e.g. traveling) or by stress, is our gut. Either it speeds up causing diarrhea, or it slows down and causes constipation. Either way it can really interfere with our lifestyle. Constipation is a condition in which a person has difficult or infrequent passage of feces (poo). Constipation usually results from a delay in transit within the colon from a wide variety of causes. It can occur at any age, and most people have constipation sometime in life, but it is more frequent in infancy and old age. Most cases of simple constipation result from changes in diet or physical activity, including inadequate fluid intake. If the constipation is on-going, with pain, bloating and / or blood in the stool underlying medical or psychogenic causes should be ruled out. Lifestyle and dietary changes along with nutritional support can contribute to the long-term resolution of constipation. Herbs can be used to help tone and strengthen bowel function. Laxative herbs should be used with caution, as they may become less effective with habitual use. Mind-body techniques, such as meditation, hypnosis and yoga, may help reduce nervous tension that may contribute to constipation.

Watch your nutrition
Take time to eat in a relaxed atmosphere, breathing and chewing food thoroughly. Eat smaller, more frequent meals and avoid overeating at one sitting. Eliminate refined foods, sugars, caffeine, alcohol, and dairy products. Decrease saturated fats (animal products) and increase essential fatty acids (cold-water fish, nuts, and seeds). Increase intake of fresh vegetables, whole grains, and water (lots!). Stewed or soaked prunes, 1 to 3 a day, have a slightly laxative effect. Flax meal, 1 heaping tsp. in 8 oz. of apple juice, provides fiber and essential fatty acids to help relieve constipation and promote normal motility within the digestive tract. Follow with an additional 8 oz. of water. Warm lemon water taken before meals stimulates digestion. Consider digestive enzymes for chronic constipation. Vitamin C 1,000 mg 2 to 3 times a day. Magnesium 250 mg 2 to 3 times a day.

Herbs
Herbs are generally a safe way to strengthen and tone the body’s systems. As with any therapy, it is important to ascertain a diagnosis before pursuing treatment. Dr. Frederique Nault at the Holistic Healing Center is qualified in prescribing herbs, and may be contacted on 766259

Other natural remedies
Castor oil packs to the abdomen may be useful in resolving constipation. Used externally, castor oil is a powerful anti-inflammatory. Apply oil directly to skin, and cover with a clean, soft cloth (e.g., flannel) and plastic wrap. Place a heat source (hot water bottle or heating pad) over the pack and let sit for 30 to 60 minutes. For best results, use three consecutive days in one week. Contrast hydrotherapy may help to tone and strengthen bowel function. Alternating hot and cold applications brings nutrients to the site and diffuses metabolic waste from inflammation. The overall effect may be decreased inflammation, pain relief, and enhanced function. Apply hot and cold towels to the abdomen. Alternate 3 minutes hot with 1 minute cold. Repeat three times to complete one set. Do two to three sets each day. Constipation may be also effectively treated with acupuncture, which can stimulate and tone digestive function. Therapeutic massage can induce stress release and relieve constipation that is due to spasm and nervous tension. Massage of abdomen can also stimulate some increase in peristalsis.

Laxatives
The pharmacy shelves are always loaded with remedies for constipation and it is often a matter of trial and error as to which on suitable for you. Bulk-forming agents (psyllium, bran, Metamucil) are generally effective and work by stimulating contractions of the large intestine, with low risk of adverse effects. Bisacodyl (Dulcolax) is a bowel stimulant but can cause gut cramping in some people. Senna, aloe, or cascara tend to be a little more gentle. Castor oil increases intraluminal bowel fluid levels and thereby increases motility; although this should be used with caution as it can interfere with fluid and electrolyte levels.

Pregnancy
Constipation is a common ailment in pregnancy and is usually relieved with dietary changes and increased water intake. Digestive enzymes may be safely taken to support digestion. Herbs that are stimulating to the digestive tract may have a reflexive reaction in uterine muscle and induce contractions. Laxative herbs should not be used in pregnancy without the supervision of a physician.

“Kim Patra is a qualified Registered Nurse and Midwife that has been living and working in Bali for almost twenty years. She now runs her own private practice and medical referral service from her Kuta office. Kim is happy to discuss any health concerns with you and she may be contacted via e-mail at <info#chcbali.com> or Hp. 081 2366 0000”.

Copyright © 2007 Kim Patra
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