Constipation: the Solution
Treatment can be started once the cause of constipation can be found. Slow transit constipation requires aggressive medical or surgical management. But only approximately 60% of patients with constipation are found to have such a physiologic disorder and half of them with colonic transit delay and half with evacuation disorder.
Patients with slow transit constipation are treated with bulk, osmotic, prokinetic, secretory, and stimulant laxatives. Some of the laxatives are fiber, psyllium, milk of magnesia, lactulose, polyethylene glycol (colonic lavage solution), lubiprostone, and bisacodyl. Latest treatment of constipation is aimed at increasing motility of intestines. For 3 to 6 months patient should be tried with medical management, but if it fails to give proper result than surgical management can be decided. But surgical management should not be considered if motility disorder is present, because it will not improve the problem of constipation.
Categories: GIT Problems Tags: lifestyle change, Second nature
