Constipation

Natural ways to deal with a common problem

More than 80 per cent of people suffer from constipation at some time in their life and most are too embarrassed to talk about it. Women can discuss the contents of their babies nappies without so much as a blush and many people are happy to discuss intimate details of their lives, but ask them to talk about their bowel movements and they cringe with embarrassment. Yet constipation is a common complaint that affects just about everyone at some stage. We have so much knowledge about what causes it and its simple to cure, yet left untreated it can lead to serious health problems.

To come to grips with constipation, you need to understand how your colon (part of the large intestine) works. As food moves through it, the colon absorbs water. Muscle contractions in the colon push the waste along, while water is absorbed from the waste and it becomes more solid. If the contractions are slow or sluggish, the waste moves too slowly and too much water is absorbed. The faeces become hard and difficult to move, leading to faecal impaction.

Ideally, a normal bowel movement is daily with one or two fully formed, soft and effortless stools that partially float in the water, are not excessively smelly and leave little residue. However, there is no right number of daily or weekly bowel movements. Normal could be three times a day, depending on the individual, what is eaten and how much. Some people have three bowel movements a week but the stools are soft. If your stools are usually hard and dry, slow and painful to move, and accompanied by abdominal pain, bloating and cramps, you probably have constipation. The best way to check how effectively your bowel eliminates waste is to eat visible foods such as corn, sesame or sunflower seeds. Don't chew thoroughly and they should appear 18-30 hours later. Longer than 48 hours is a problem.

Most health professionals agree that whether its mild or severe, constipation affects your well being and is responsible for a large amount of low-level ill health. Besides the general bloated, uncomfortable feeling, it can lead to haemorrhoids, varicose veins, anal fissures, diverticulitis, hernia, appendicitis, gall bladder disease, headaches, bad breath and colon polyps. In serious cases, it leads to irritable bowel syndrome, a condition that involves constipation and diarrhea, and even rectal and colon cancer.

Karen, 39, has been plagued by constipation since her early 20s, when she went travelling for a few years and changed her diet and routine. I have eaten more bran and fibre than I care to remember. Ive gone the colonic irrigation and fasting route, and I try to exercise regularly, but the constipation continues, she says. The problem is that in the beginning, when I started to get constipated, I took laxatives, then I carried on taking them, more and more, until my bowels could not function without them. Now, its all very difficult to get back into a regular routine without them.

Sometimes things go quite smoothly, but the minute I drop my guard and stop drinking plenty of water or start eating meat and bread again, the problem returns with a vengeance. My stomach starts to bloat, my hair and eyes look dull and lifeless, I get headaches and a furry tongue, and I feel extremely uncomfortable. The temptation to take a laxative by day four is enormous, but its only a short-term fix. Now, my entire mood depends on whether I have gone to the toilet that day or not, she says.

Karen is typical of many people who have become caught in the laxative trap. Some people take as many as 30 pills a day, simply because their systems have become so battered by laxatives that it really does almost need dynamite to get them going again. The only solution is to wean themselves off the pills, make radical changes to their diet and fluid intake and get professional medical help in learning all over again to do what comes naturally.

Other common constipation triggers are food sensitivities and allergies, which may provoke more serious clinical problems, and at the other end of the scale, the self-induced triggers of poor diet, inadequate liquids and a lazy lifestyle.


Getting to the bottom of the problem
  • Most blame lies at the door of a poor diet high in animal fats (meat, diary products and eggs), white flour (found in bread and cakes) and foods low in fibre.
  • Irritable bowel syndrome (IBS), commonly known as a spastic colon, is also a common cause of constipation. The spasms of the colon delay the speed with which the contents of the intestine move through the digestive tract.
  • Ignoring the urge to go often triggers a bout of block-up. Many people dont want to go to the toilet in a strange environment because of inhibitions about the sound and smell, so they suppress the urge. Some people are so busy they just never seem to find the time to go. If you ignore the signals often enough, your body will stop giving them.
  • Constipation could be aggravated by food allergies, excess of foods the body doesnt tolerate well, intestinal overgrowth of yeast, intestinal parasites or worms, poor digestion or a sluggish thyroid.
  • Laxative abuse has already been mentioned. It makes your bowels lazy and you can become dependent on them. Eventually, your intestines may fail to work properly.
  • People often experience constipation when travelling long distances, which may relate to changes in lifestyle, schedule, diet and drinking water.
  • Pregnancy is another common trigger, mainly because of the pressure of the heavy womb compressing the intestine, but also because of hormonal changes.
  • The irregular hours and change in routine for travellers and shift workers can result in constipation.
  • Other causes are specific diseases such as multiple sclerosis, Parkinsons disease, stroke, inflammation of the colon, or cancer. Injuries to the spinal cord or tumours pressing on the spinal cord affect the nerves leading to the intestine.
  • Constipation can also be caused by medicines such as pain relievers, antacids containing aluminium, antispasmodic drugs, antidepressants, tranquillisers, iron supplements and anticonvulsants used for epilepsy.
  • More and more children are suffering from constipation as parents are not feeding their children properly, giving them refined breakfast cereals instead of wholegrain types, mashing their fruit and vegetables and feeding them white bread and pasta, which are particularly constipating. Parents allow their children to sit around watching television instead of encouraging them to run about and play outside.
  • Elderly people may get constipated as they suffer from reduced intestinal muscle contractions and take more regular medications for age-related diseases.


  • Getting things moving

  • Youll need a high-fibre diet, lots of fluids (at least six large glasses per day) and enough oil to lubricate the digestive tract. In severe cases, a fibre supplement made from pure plant fibres, available from health stores, will help. However, if you have a bowel condition such as diverticulitis or IBS, stick to soft, soluble fibres like fruit without pips, skins or seeds, and soft oats.
  • Get some flaxseed oil from your local health shop and take one or two teaspoons a day, preferably at breakfast, mixed in with your cereal or a little natural yoghurt. The oil helps to lubricate the digestive tract and keep stools soft. Fish oil, contained in omega 3 capsules, are good, as is primrose oil or olive oil.
  • Eat water-soluble fibre found in fruit and vegetables.
  • Listen to your body. When you feel the urge, drop everything and go.
  • Natural remedies include slippery elm powder and acidophilus and bifidus supplements, available from your health store. Fibre-rich flaxseeds and aloe vera juice or gel may also help.
  • Make all those often-talked-about but seldom-made lifestyle changes such as eating properly and regularly, drinking more water and exercising regularly.
  • Set aside time after breakfast or dinner for undisturbed visits to the toilet. Practise deep-breathing techniques.
  • Colonic irrigation may help get rid of the buildup of putrefying solidified matter in your bowel. A couple of sessions will clean out the pockets of swollen colon, the sticky clay stuff like chewing gum, the black pieces of leather-like matter and other scary-sounding old debris to get things regular again.
  • If all else fails, remember that prunes (or prune juice) should set you free.
  • If none of the above suggestions cures you of constipation, contact your doctor, especially if the condition is accompanied by vomiting, sudden weight loss or a high fever. Its also advisable to seek medical advice if the constipation is recurrent, getting worse, continues longer than a week, or your stools contain blood.


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