Grandma Li, who is over 80 years old this year, has been feeling bloated for a while, and has been suffering from diarrhea for 4 consecutive days. When she went to the hospital for an examination, the doctor told her that it was not diarrhea but constipation! Chief physician Chen Hong, Department of Gastroenterology, Zhongda Hospital, Southeast University, pointed out that some patients had diarrhea only as a manifestation, and the essence was due to faecal intestinal obstruction.
A few days ago, Grandma Li always felt a dull abdominal pain and a falling sensation. She always wanted to go to the toilet, and she was particularly anxious. She also had discomfort such as abdominal distension and abdominal pain. But every time I squeezed a little stool, and the amount was not much. I used the toilet more than 20 times a day, my legs were soft, and the whole person was weak. Grandma Li thought she had a diarrhea, so she took some medicine herself, but she didn t see any improvement. Finally, when visiting the Department of Gastroenterology, Zhongda Hospital, Chief Physician Chen Hong found that the anal finger test touched hard stools and diagnosed as fecal impaction, which is a type of constipation commonly known.
Chief Physician Chen Hong suggested that Grandma Li adopt a method to remove hard and hard stools, and in severe cases, take enema and soften stool medicine. After several days of treatment, the symptoms of abdominal pain and bloating disappeared, and defecation returned to normal.
When it comes to constipation, most people have the impression that the stool can not be pulled out. Diarrhea more than 20 times a day, many people think that it is a bad stomach, how could it be constipation? How can constipation cause diarrhea?
Chen Hong, chief physician, pointed out that this patient belongs to constipation with exit obstruction. Fecal mass intestinal obstruction leads to rectal irritation. Therefore, the patient has always felt defecation, but the feces cannot be discharged. This type of constipation is more common in women. Some middle-aged and elderly female patients have a history of vaginal delivery, a history of pelvic surgery, or a long-term increase in abdominal pressure due to constipation, which damages and relaxes the pelvic floor, leading to rectal protrusion and perineal descent syndrome.
Many elderly people tend to cause constipation because of insufficient water in the diet or slowed bowel movements. In general, constipation can be manifested as decreased stool frequency, dry stools, and laborious defecation, but it can also be expressed as increased stool frequency and thinness . Diagnosis can be made by palpation or digital rectal examination. But don t take antidiarrheals without authorization, the results may be counterproductive.
Experts remind elderly people to prevent constipation, they should develop the habit of regular bowel movements every day; moderate exercise or clockwise massage of the abdomen to promote bowel movements; light diet and easy digestion, eat more fresh vegetables and fruits rich in crude fiber foods , but also pay attention to water supplement.
Xing Liyang, deputy chief physician of the Department of Acupuncture, Zhongda Hospital, recommends a method of massage to relieve constipation. The specific method is to perform clockwise massage on the abdomen with the palm of his hand, starting from the left upper abdomen, then to the position of the heart socket, and gradually massage to the upper part. Abdomen, then to the navel, and then massage to the lower abdomen. After rubbing from the lower abdomen to the right lower abdomen, push from the right lower abdomen to the right upper abdomen, then to the left upper abdomen, and finally to the left lower abdomen.