CONSTIPATION
Constipation is the most common intestinal complaint. Symptoms may include infrequent or irregular passage of stool, straining to pass stool, hard or dry stools, abdominal bloating and distention. A medical evaluation may be indicated and might include a digital rectal exam, testing stool for blood, parasites or incomplete digestion, barium enema x-rays, and sigmoidoscopy (using a flexible fiber optic scope to examine the lining of the colon). Standard medical therapies include bulking agents such as psyllium fiber, stimulant laxatives, stool softeners and increased water intake.
Typical causes are primarily lifestyle choices, especially diet. Eating too much meat, cheese, fried foods, sugar and white flour may cause constipation. Eating rapidly and failing to chew food completely, inadequate water intake, excessive coffee, alcohol, soft drinks and eating highly refined foods all contribute. Medications and supplements that might cause constipation include diuretics, aluminum antacids, calcium, iron and many prescription drugs. Lack of stomach acid and digestive enzymes, especially in the elderly, make it difficult to properly digest food. Medical conditions such as hypothyroidism, inflammatory bowel disease, irritable bowel syndrome, and diverticulosis can cause constipation. Food allergies are a problem for some people. Lack of physical activity slows passage of food through the intestines. Emotional factors that might be present include depression, obsessive tendencies, perfectionism, and repressing intense feelings.
Holistic treatments will usually restore normal bowel function. Drink ½ ounce of water per pound of body weight daily. Increase fiber intake by eating raw organic fruits, fresh vegetables, ground flax or sesame seeds, oat or barley bran, whole-wheat products, and whole grain cereals. Add olive oil, flaxseed oil or cod liver oil to a daily smoothie. Reduce or eliminate sugar, milk and cheese, meat, alcohol, coffee, and high fat foods. Healthy habits to develop include regular daily aerobic exercise, always use the toilet when the urge arises, and stop using laxatives. Probiotics such as lactobacillus and bifidus can help reestablish normal bowel bacteria and promote better digestive function. Supplements that are helpful include magnesium, Vitamin C and B complex vitamins. Herbal remedies that can be used sparingly include aloe vera juice, senna, cascara, licorice, rhubarb, psyllium and barberry. Homeopathy and acupuncture can both be helpful. Finally, slow down and relax at mealtimes. Chew your food completely, take deep abdominal breaths and give gratitude for the abundance of healthy foods available to us.
Daniel Blodgett MD