Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time. Constipation refers to stool frequency decreased to less than 3 times a week, there is bowel movement is not smooth, effortless, fecal dry hard, such as performance. Organic or functional lesions in the intestinal constipation. The life about 1/10 the occurrence of constipation, causing trouble and pain of everyday life, affecting the quality of life. Long-term constipation lead to colon cancer, breast cancer, hemorrhoids, as early as possible, of the Alzheimer elderly cardiovascular and cerebrovascular diseases lethal incentives, so in the event of constipation should promptly consult a specialist, in order to get good treatment, prevents constipation the harm.
Classification of chronic constipation
Chronic constipation is divided into slow transit constipation and outlet obstruction constipation and mixed constipation.
Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time.
Outlet obstruction constipation manifests itself defecation effort, not the flu or a sense of falling, defecation; anal rectal examination rectal memory in a number of mud-like feces; normal colonic transit time shows, the majority of marker retention in the rectum; anal manometry show abnormal or rectum by the rectal pressure paresthesia.
Mixed constipation with slow transit constipation and outlet obstruction constipation.
Check for chronic constipation
Constipation in patients under the guidance of a doctor conduct routine examination to exclude organic disease, such as digital rectal examination, fecal occult blood test, colonoscopy, etc.. Especially the elderly, obese and other patients with symptoms of blood in the stool, anemia, weight loss, fever, melena, abdominal pain alerts, should lead to a high degree of vigilance, because these symptoms are often the junction cancer, hemorrhoids, acute inflammation, intestinal polyps, manifestations of inflammatory bowel disease and other diseases. When found to have intestinal lesions, according to the original treatment. If you do not find the problem, should be considered a functional disease, constipation special disease outpatient consult a specialist doctor will have a choice depending on your situation, the following special checks.
Determination of colonic transit time: breakfast with the test meal swallow 20 through X-ray markers, separated by a certain time (for example, clothing markers after 24 hours, 48 hours, 72 hours) shooting abdominal X-rays. Types of doctors based on the distribution of the markers on the abdominal X-rays to judge constipation, constipation-a major inspection methods.
Anorectal manometry: can detect the pressure of the anal muscles, and the perceived function of the rectum and rectal wall compliance, determine whether the anal pressure and sensory function abnormalities, it is also constipation typing a detection method.
Colon pressure monitoring: is a continuous 2448 hours under physiological conditions to monitor colonic pressure changes. Determination colon is motor weakness, guiding significance for the treatment of constipation.
The balloons discharge test: screening test anus with or without discharge barriers. The inspection found to be positive patients, the need for further examination.
Defecography, pelvic floor electromyography, pudendal nerve latency measurement, anal endoscopic ultrasound and other tests, you can understand constipation causes.
After the above examinations, specialists will be based on test results to determine the cause of constipation, extent and type of constipation, make a diagnosis of constipation involving the range (colon, rectum, anus, or with upper gastrointestinal tract), the affected tissue (myopathy or neuropathy ), with or without localized structural abnormalities and constipation causality make a comprehensive judgment, and then to develop effective treatment programs and predict efficacy.