Postpartum constipation

During the confinement period, mothers usually experience various symptoms. The specific symptoms for each person are completely different, but the vast majority of people will experience constipation, which will make it difficult for mothers to defecate. They must use laxative treatment measures in time to avoid worsening of the disease. They should also eat more foods that are conducive to digestion and avoid eating any hard foods.

(I) Treatment of organic constipation: Treat the primary disease.

(II) Treatment of non-organic constipation

1. Use strict non-surgical treatment first

(1) Improve your lifestyle to make it compatible with the physiology of gastrointestinal transit and defecation movements. Increase dietary fiber intake and water intake, develop good bowel habits, and increase exercise.

(2) Adjusting the psychological state helps to establish normal defecation reflex.

(3) Treating the primary disease and concomitant diseases is beneficial to the treatment of constipation.

(4) Avoid drug factors as much as possible to reduce constipation that may be caused by various types of drugs.

(5) Drug treatment should be selected according to the pathophysiology that causes constipation. For slow-transit constipation, intestinal motility drugs should be used, and bulk-forming laxatives, lubricating laxatives, and stimulant laxatives should be selected appropriately. The misuse of laxatives should be avoided.

(6) Biofeedback therapy to correct improper and ineffective bowel movements.

(7) Treatment with traditional Chinese medicine.

2. After a period of strict non-surgical treatment, there is little effect. Various special examinations show clear pathological anatomy and definite functional abnormalities. Surgical treatment can be considered. The surgical indications should be carefully determined and the appropriate surgical procedure should be selected according to the lesions. When multiple lesions exist at the same time, surgery should be performed to resolve the main lesion causing constipation, but also to resolve the secondary or secondary lesions at the same time.

Patients with acute constipation often have abdominal pain, bloating, and even nausea and vomiting, which are more common in intestinal obstruction of various reasons. Chronic constipation often has no special symptoms. Some patients complain of bitter taste in the mouth, loss of appetite, abdominal bloating, lower abdominal discomfort, or neurological symptoms such as dizziness, headache, fatigue, but they are generally not serious.

The feces are hard like sheep dung. During defecation, there may be spasmodic pain and a feeling of heaviness in the left abdomen or lower abdomen. The spasmodic sigmoid colon can often be felt in the left lower abdomen. Severe defecation difficulties may result in blood in the stool or blood in the stool due to worsening hemorrhoids and anal fissures, and the patient may also become nervous and anxious. Chronic habitual constipation often occurs in middle-aged and elderly people, especially multiparous women, and may be related to the decreased tension of the intestinal muscles, abdominal muscles and pelvic floor muscles.