The survey found that those who are likely to cause constipation, dizziness, palpitations, fatigue, irritability, insomnia, memory loss, skin itching, pigmentation, bad breath and other sub-health symptoms. In addition, the feces constipation due to frequent dry hard, easily lead to anal fissure, hemorrhoids bleeding of clinical symptoms, can cause severe anemia. Constipation is also induced Alzheimer’s disease and intestinal cancer risk factors. Sometimes, constipation can be life-threatening, such as high blood pressure often due to constipation and forced breath, light persons has high blood pressure, severe cases, lead to stroke and sudden death. Thus, despite the perceived constipation is not a big problems, however,
For the harm caused by constipation and the resulting quality of life issues affecting older persons can not be ignored.
A, constipation occurs because
Constipation caused by many reasons, in addition to organic disease (such as gastrointestinal obstruction, intestinal cancer) causes, in general, constipation occurs mainly due to poor eating habits, lifestyle and psychological factors.
(1) insufficient intake of dietary fiber
As China’s economic development and improvement of living standards, it increases the consumption of animal foods, chicken, duck, fish, meat Hunsi eating more and eating less and less to eat cereals, and in order to fine rice, the smart side dominated. As the food is too fine, reduce the intake of dietary fiber, making slow intestinal peristalsis, defecation, constipation caused by poor. According to Chinese residents nutritional survey found that average daily dietary fiber intake has been decreased to 26 grams over the past 17 grams. Some studies that fecal lower dietary fiber content, faeces through the gut the longer.
High-fiber diet person’s stool to absorb moisture, size, quality, weight, stool through the intestinal tract of only 14 hours, while the low-fiber diet may be as long as 76 hours were, and some even up to 144 hours (6 days).
(2) poor dietary behavior
Such as drinking, eating spicy food, drinking water is too small, the partial eclipse and other unhealthy eating behaviors and related to the occurrence of constipation. For the inappropriate choice of food may also lead to constipation. For example, eat more fruits and can prevent constipation, but the fruit selection of species may be counterproductive unreasonable, pears, bananas can promote bowel movements, will help to improve constipation, and persimmons, apples due to rich in tannic acid, eat often can aggravate constipation.
(3) The adverse lifestyle
For the sedentary, the lack of movement, are often prone to constipation. Irregular daily life, or not to develop good bowel habits of the elderly are prone to constipation. For example, some people can not regular bowel movements, and often endured when there will be intended to continue to address the matter at hand, delayed defecation time, time passes, it will cause will be intended to inhibit or induce the disappearance of constipation. Still others like to listen to the radio during defecation, reading, reading a newspaper or thinking problems, which often distracted not only affect the defecation reflex, but also easy to form hemorrhoids, constipation and hemorrhoids will add to the elderly.
(4), mental tension, stress, insomnia
Mental factors and constipation are also closely related to the elderly, according to a survey of more than 3300 found that mental stress, psychological stress, insomnia or poor sleep quality of elderly people, and non-elderly compared to the above-mentioned symptoms, constipation occurred to increase the risk of 30% to 45%.
Second, how to prevent the elderly constipation
(1) to increase dietary fiber intake
First to eat more foods rich in dietary fiber, which is an effective way to prevent constipation. Due to the chemical structure of dietary fiber, contains a variety of hydrophilic groups, with a strong suction effect can increase the volume of fibers 1.5 ~ 25 times. Dietary fiber, water holding capacity due to strong, and greatly increased the volume of stool and stimulate intestinal peristalsis is conducive to feces to reduce the harmful substances in the gut residence time, which can effectively prevent the occurrence of constipation and hemorrhoids. Elderly people in general is a fine staple diet of rice, which contain very little dietary fiber per 100 grams of rice containing dietary fiber is only 0.4 to 0.7 grams. The high content of dietary fiber in cereals,
Per 100 grams of corn including 6.0 ~ 8.0 grams dietary fiber, wheat flour contains 2.1 grams standards, sorghum, rice contains 4.3 grams, buckwheat contains 6.5 grams. Therefore, the recommended thickness of the elderly to do with the staple food, rice and coarse grains with the fine to eat. In addition, a variety of vegetable sprouts (such as bean sprouts, green bean sprouts, radish sprouts, etc.), hot pepper, garlic, amaranth, cabbage, celery, radish, leek, bamboo shoots, seaweed and other vegetables, as well as pears, bananas, watermelon, no flowers fruit, kiwi, strawberries and other fruits, are a good source of dietary fiber, the old people can be a reasonable choice of food, increase dietary fiber intake. If the thickness of every day and cereal
With intake of 400 grams of vegetables and fruits for more than 200 grams, you can meet the relative intake of dietary fiber to increase fecal bulk, fecal qualitative change in the soft, promote intestinal peristalsis is conducive to the prevention of constipation.
(2) eat food Runchang catharsis
Should be noted that the elderly usually eat Runchang laxative foods such as yogurt, honey, sesame seeds, pine nuts, walnut, white fungus, lily and so on. According to research found that more than Suannai role in the prevention of constipation, and drink milk, and vice versa. In addition, the science of drinking water is particularly important for the elderly, and some elderly people do not like drinking or no drinking habits. Water has a lubricating intestines, promoting the body discharging the role of metabolic wastes and toxins. Intracellular water in the elderly than in adolescence reduced by 30% to 40%, Changcheng dry state. In order to maintain the balance of the body of water a day should be 5 to 8 cups water (1200 ~ 1800 ml). To prevent constipation,
To cultivate the good habit of regular drinking water for at least 1 day to drink four times in water, the morning after drinking a cup of water, can reduce blood viscosity, but also lubricate intestines is conducive to defecation. 10 am to drink a cup of water to supplement the activities of the morning the water consumed. 16:00 pm to drink a cup of water to supplement the activities in the afternoon of water consumed. 1 hour before bedtime at night to drink a cup of water to supplement the water consumed by sleep apnea at night.
(3) to cultivate good living habits and eating habits
In order to prevent constipation, elderly people should be smoking, drinking, Eat spicy foods. Life must be rules, on time and go to bed on time to get up. Maintain an appropriate exercise, such as walking, tai chi, practice gymnastics, running and so on. Peacetime to maintain the peace of mind and feel happy. At the same time, we must regularly as possible defecation, in the defecation Do not read books, reading newspapers, listening to the radio and so on.
Third, constipation what the elderly should eat each day?
First of all, to change bad eating habits. Food can not be too fine, the staple food should be diversified, with the thickness of grain, do not ignore the soy intake in winter not forget Red Bean, in the summer did not forget the green bean, eat porridge every day, often eating whole-wheat bread; vegetables and Fruit is a good source of dietary fiber each day to ensure a jin of vegetables, including celery, onion, leek, edible fungus, seaweed, mushrooms, etc. should always appear on the table during the day and ensure that 2 2-4 2 fruit, bananas, apples of the most affordable. Teeth bad mouth the elderly, eat with a filling food such as dumplings, steamed dumpling, dumplings and so on, or to the end of cooked vegetables and sliced vegetables,
Fruit pulp is made (with soya-bean milk or food cooking machine stir crumbled into mud). 1 to 2 boxes a day yogurt.
In addition, to increase water intake. To our consulting room to the Zheng Dabo is a typical dry-type constipation patients. See his skin dry, withered and yellow, he did not like He Yu, did not like to drink water, but do not drink soup, because it has insisted for many years, developed a habit, do not feel thirsty, but often troubled by constipation him, make him the pain bear. We suggested that he should be drinking water every day about 2000 milliliters of water can be used as lubricant, dietary fiber absorbs water in the intestine can be fully inflated, stimulate peristalsis, softening stool.
Also note, do not rely on laxatives to cultivate the habit of. Laxatives to make food through the intestine too quickly, reducing the intestinal digestion and absorption of food, resulting in a variety of nutrients have been lost. The long-term use of laxatives, but also to intestinal muscle relaxation deformation, flora imbalance, it will increase the constipation.
Finally, to remind the elderly constipation friend, should always eat honey, black sesame and so on, they have a very good role in prevention and treatment of constipation. To research into the black sesame powder, into a big gruel years, then add honey, you can purge, Runchang, in addition to dry.
4, Chinese medicine constipation prevention for the elderly
Constipation are more harmful for the elderly;
(1), fecal retention oppression gut, makes people feel abdominal fullness discomfort, affecting the elderly appetite.
(2) fecal bacteria break down undigested proteins have been, many of the harmful substances will be absorbed by the body, if more than the liver’s detoxification capacity, can cause poisoning symptoms, such as mental apathy, fatigue, dizziness, loss of appetite, and even heart rate, fall in blood pressure, respiratory depression and so on.
(3) constipation can also cause rectal prolapse, uterine prolapse, hernia, hemorrhoids, following the incidence of urinary incontinence.
(4) suffering from pulmonary heart disease, coronary heart disease, asthma, Hypertension, cerebrovascular disease of the elderly, constipation can increase the disease, especially in the stool Nu earn high, often leading to cerebral hemorrhage, angina. Therefore, maintaining smooth stool, for the elderly is particularly important.
So, the elderly constipation medicine should be how? Specifically, the following points:
Life guidance develop a regular bowel movement after breakfast habits, can strengthen the stomach a gut reflex. Appropriate increase in exercise (such as walking, boxing) to strengthen the diaphragm and abdominal exercises will strengthen the gastrointestinal peristalsis, help defecation.
Self-Massage
Defecation from the cecum to the descending colon through the transverse colon massage. Assist in the smooth bowel movement. This side can also be carried out on the bed, and methods are: emptying urine, supine in bed, with the right palm roots close to the abdominal wall, left stacked on the right hand back, his hands forced, press the right lower abdomen – right upper quadrant – the left upper abdomen – left lower quadrant The clockwise circulation massage. Practices lighter to heavier, massage every 2 seconds a lap, the general to the 100 or so it may appear intended.
Pressure Point Therapy defecation ago, with both hands a means of oppression or rubbing friction Ying-xiang points (nose on both sides of the depression) 5-10 minutes, can help defecation. Can also press Zusanli (outer knee now 3 inches) a few minutes. Anrou points should be based on self-sense point at Suanma is appropriate.
Exercise therapy compared with a wide selection venue, standing with his legs apart about 30 cm. Since the first right arm swings forward and backward rotation 0-100 circle, and back to his left arm swing 60-100 rotating ring, usually in the un-finished, when they can have a meaning.
Food conditioning every morning, drink a cup of cold saline with fasting catharsis, but there are high blood pressure, nephritis and heart failure in the elderly, can be used instead of cold milk. Soft drinks, beer and other carbonated beverages, sesame oil, milk and other foods rich in fatty acids, Pickle’s Yangmei, pineapple and other fruits containing same stuff organic acids, coarse grains (buckwheat, brown rice), vegetables (carrot, potato), seaweed same stuff such as plant fiber-containing foods, lactose, honey, sugar content and more food and so on and so on colon wall chemical or mechanical stimulation, can promote bowel movements and promote the next row of feces.
Diet will be side
(1) Asako Su porridge: Su 10 grams, 10 grams of pock-ren, and research fine, the addition of 100 grams of rice, Ao Yu, early morning fasting food.
(2) Yu Liren porridge: Yu Liren 10 grams, smashed, water, juice, after research by adding 100 grams of rice, porridge eating, eat honey, when 10 grams.
(3) Apple Cider Vinegar: Apple 1,000 grams, wash after dry, cut into small pieces; crystal sugar 400 grams. Simmer with water-based; a distiller’s yeast, crushed. Be apples, Bing Tangshui, distiller’s yeast mixture into a clean small cylinder seals. Two weeks after the opening 10 minutes, stirring so that the air to enter. In another two weeks, Serve. Daily drink 30-50 ml. Apple cider vinegar to eradicate not only the role of constipation, but also inhibit spots acne skin types, there is the promotion of the role of skin metabolism.
Pharmacotherapy
(1) Cassia 15-30 grams, Wei Chao of daily tea drinking.
(2), senna 5 g, boiling water, brewing, when the tea.
(3) of proprietary Chinese medicines: Asako Ren pills, 6-9 grams per day, taken before bed or early in the morning; Sangma pills, six grams per day, two times.
5, the elderly outside the governing methods of constipation
Elderly constipation occurs more intestinal motility due to slower absorption of fecal water was caused by too much. From the Chinese point of view analysis, compared with spleen and kidney qi deficiency, transportation of dereliction of duty, or body fluid dystrophy, intestinal bowel caused by loss of moisture. Therapy method, in addition to an appropriate increase dietary fiber intake, the Chinese foreign rule method can be received an unexpected effect, and the toxic side effects. The following external ways for elderly patients with chronic constipation reference:
1, Cistanche 150 grams, 6 grams of sulfur, a total of pound mud, half of the Umbilicus, on half of the grip in the palm of the hand. Indications old Yang and constipation, body chills, lumbar acid in urine clear.
2, Phytolacca root 10 grams, and research is to fine, the water transfer for the paste, paste dove tail hole (after the top of the anus).
3, large snail 3, mash, add a little blue salt sea air deposition hole (below the belly button), governing the elderly heat constipation.
4, even 3 to onion, ginger 10 grams, 3 grams of salt, Seme sojae preparatum 12, a total of pound drunk, making cakes Hongre, Fuyu navel, on every 5-10 minutes, 2-3 times a day, for constipation in the elderly physically weak.
5, 60 grams of hemp seed, rhubarb 15 grams, Yu Liren 30 grams, a total of research to fine, refining honey to reconcile various drugs, cool shape into strips 3 cm long, squeezed anus, each one, each Day 2.
6, Gleditsia 1, brown sugar 60 grams, 60 grams of very light blue, brown sugar torment concentrated first poured, after cooling twist strips 3 cm long, and then simmer Gleditsia black-existence Yan Mo, light blue Daozhi, Finally dip scallion stalk of sugar, juice, and then glue the end of Gleditsia, squeezed inside the anus.
7, honey adequate, Wei Huo kneaded, after exhaustive Daileng suppository, each thick as a finger, about 3 cm, each taking an anal plug.
8, light blue 250 grams, smashed into the cake, Fuyu God Jue Point (navel), thick cloth cover with a hot iron pot filled with boiling water, daily l-2 times, each time with pot cool for 30 minutes or the degree.
9, raw tuber 15 grams, 10 grams Kudingcha, the system Chuanwu 10 grams, Angelica 10 grams, 3 grams of pepper, garlic 10 grams. A total of breaking fried hot, into a bag, home God Jue hole, add hot water bottle to maintain temperature, daily l-2 times, each time 30 minutes.
10, citrus aurantium, wheat bran, green all equal parts of salt, stir-fry until hot, filling bags home God Jue hole, add hot water bottle to maintain the temperature, daily l-2 times, each time 30 minutes.
6, older patients with chronic constipation relief vent to those drugs should be selected
1, volume of laxatives: These laxatives include cars Qianfan diarrhea composite particles and particles such as sodium carboxymethyl cellulose, its role is to increase the volume of stool, retaining the moisture in the stool, and can contribute to mild intestinal peristalsis. Volume of laxatives for mild to moderate constipation and patients, the onset time of about 24 hours after medication.
2, osmotic laxatives: these laxatives include lactulose, white mixture, compound powder such as magnesium sulfate. Are sugar lactulose laxative, when it entered after the colon broken down into small molecules of organic acids, can serve to increase fecal water to prevent the stool is too dry tough role. White mixture, compound belonging to magnesium sulfate powder laxative category, the main ingredient is magnesium sulfate, with increased stool water and to stimulate contraction of the role of the intestinal wall. Osmotic laxatives applied in patients with severe constipation, but it is only short-term use, otherwise it will lead to water and electrolyte disturbance and hypermagnesemia. In addition, the
For some classes do not take magnesium laxative patients with chronic constipation, such as sodium sulfate can be allowed to take classes laxative, can also play a laxative effect.
3, lubricating laxatives: these laxatives include paraffin oil, castor oil, etc., with stool-softening effect. Lubricating laxative is not a long-term applications, should be careful when taking to prevent inhalation of mistake trachea, causing respiratory infections.
4, suppository laxatives: these laxatives include enema, glycerin suppositories, and pairs of vinegar, phenol D and so on, whose role is to stimulate gastrointestinal reflex, thereby enhancing peristalsis and promote defecation. Laxative suppository intended to apply to have fewer difficulties in patients with chronic constipation defecation.
5, the promotion of gastrointestinal motility drugs: These laxatives include cisapride (cisapride), mosapride (Gaston-ching), domperidone (Motilium), etc., is characterized by its role can promote intestinal peristalsis, generated will be intended to help patients with chronic constipation. To promote gastrointestinal motility gastrointestinal motility drugs for poor patients with chronic constipation, particularly applies to diabetes, gastrointestinal diseases caused by patients with functional constipation.
6, Chinese medicine: Such laxatives, including Maren Pills, Liuwei Anxiao capsules, with lubricating the intestinal wall, increasing fecal water and mild to promote the role of peristalsis is suitable for mild to moderate patients with chronic constipation.
7, Other: Elderly patients with chronic constipation can also be according to their own circumstances, under the guidance of a doctor taking a number of intestinal microbial agents, anti-anxiety drugs such as depression and drugs. These drugs can relieve constipation and played a supporting role.
In addition, patients with chronic constipation in the first volume of taking laxatives, osmotic laxatives, and Chinese patent medicines such as laxatives, it would be daily, the dinner bell and after the 22:00 service once, and after getting up every morning from time to time stool. Found feces began thinning should be reduced by the amount of medication can be changed clothes twice a day. If the medication twice a day into a day after the stool once (on the 2nd one also) and does not dilute, two weeks after the reduction in the amount of medication instead of 10 o’clock every night, serving a second; if continued medication 4 ~ 8 weeks after the stool has been normal, you can observe the withdrawal.