Chronic constipation is characterized by infrequent bowel movements or difficulty passing stools for several weeks or longer. Constipation is generally characterized by fewer than three small, loose bowel movements per week. Although occasional constipation is very common, some people develop chronic constipation that can interfere with their ability to perform daily tasks.
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Chronic constipation: What is it?
Unlike occasional constipation, chronic constipation persists for more than six months. It is characterized by the difficulty of evacuating hard and small stools, accompanied by a reduction in the number of stools up to at least three per week.
Chronic constipation is frequently due to several external or internal factors:
- Poor living hygiene
- A diet that is not high in fiber and low in calorie intake
- Stress
- Lack of physical activity
- Physical or sexual abuse
- Side effects of some medications on antidepressants and antacids…
- Some conditions such as hypothyroidism, bowel obstruction
Symptoms of chronic constipation
In addition to the difficulties of stool evacuation, chronic constipation leads to the appearance of certain disorders and digestive discomfort accompanied by different symptoms depending on the patient's case:
- Bloating
- Flatulence
- Hemorrhoids
- Abdominal pain
Relieving these symptoms is necessary to improve quality of life. These symptoms are due to hormonal changes that can disrupt the functioning of the digestive tract and cause constipation whether occasional or at worst chronic constipation. Women are more affected than men because they suffer more hormonal upheavals.
Patient Exam in Turkey
Diagnosis of chronic constipation is based on an assessment of symptoms, physical examination, and, in some cases, additional tests. Here are the key elements in diagnosing chronic constipation:
Patient interrogation
In the face of constipation, dialogue between doctors and patients is essential. Sometimes taboo, this subject is at the origin of multiple apprehensions (even if in most cases, constipation does not necessarily symbolize a risk for health). The doctor will first determine whether it is constipation or not (less than 3 bowel movements per week). It will then assess its impact on quality of life. Medical and surgical history, medications, eating habits, and physical activity levels will also be studied.
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Medical examination of the rectal area in Istanbul, Turkey can detect the presence of stool accumulations, hemorrhoidal lesions, or possible abnormalities (cracks, tumors, etc.). It will also evaluate the tone of the anal sphincter.
Blood tests and colonoscopies are primary examinations prescribed under well-defined conditions to rule out probable pathologies that can lead to constipation. Rest assured, Turquie Santé provides you with Guaranteed Direct Prices for your consultation with a specialist in Turkey.
If constipation persists even after the follow-up of medication and a healthy and well-balanced diet, a special test for anorectal manometry, colon transit time, or intestinal MRI is performed. These tests will help determine an accurate mechanism to provide the appropriate treatment for chronic constipation.
Treatment of chronic constipation in Istanbul Turkey
To treat chronic or occasional constipation, it is recommended to improve your diet, starting with a fiber intake (between 20 and 40 grams).
In most cases, daily treatment with laxatives is sufficient once fiber intake has been adjusted. Analgesic (mucolytic) laxatives and osmotic laxatives, which promote stool hydration, as well as paraffin-based lubricating laxatives (emollients),are beneficial in softening the stool and facilitating passage.
In case of failure, stimulant laxatives may be prescribed. These laxatives stimulate the motor of the colon and the secretion of water in the colic mucosa but often cause abdominal pain and diarrhea. The use of an enema or in some cases a rehabilitation by push is more appropriate for anorectal constipation.
Finally, in special cases, we can mention a subtotal colectomy in one of the clinics in Istanbul, Turkey, that is to say, the resection of almost the entire colon can be performed. In the case of constipation of anorectal origin, surgery can restore an anatomical abnormality in the case of rectal prolapse or rectocele.
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