Case Sharing:

　　Constipation more than 10 years, the colon is full of stool!

　　Accompanied by her children, a woman from Wenzhou, Zhejiang province, went to the anorectal surgery Department of the Affiliated Shaw Hospital of Nanjing Medical University.

　　Chief complaint: There has been no bowel movement for more than a month!

　　The old woman in the Shaw Hospital constipation specialist outpatient clinic, haggard appearance, expression pain, the old woman said that recently has been poor appetite, abdominal often appear bouts of colic, has been unable to live normally.

　　The aunt's daughter said that the aunt began to reduce the number of defecation and extend the defecation time from more than 10 years ago. It takes about 3-4 days to have a defecation, and the stool is dry and small, accompanied by the discomfort of abdominal distension. But has not taken these conditions seriously, also did not go to the hospital examination.

　　Gradually, the frequency of defecation decreased to once a week, sometimes even once every two weeks or so, which caused her abdomen to gradually swell.

　　Until three years ago, the woman's difficulty in defecating became more and more serious, and her abdominal swelling became more and more obvious. At the same time, she suffered from decreased appetite, weight loss and gaunt appearance. After that, he went to many hospitals, but the treatment plan was enema, oral defecation-promoting drugs and other symptomatic treatment. At that time, the defecation situation was improved, but the defecation situation soon returned to the previous situation after stopping the use of drugs.

　　From this year, even though the old woman took oral defecation drugs on time, the defecation condition has not been significantly improved, and the abdominal swelling is becoming more obvious. The children are very anxious about the old woman's condition. After the affiliated Run Run Shaw Hospital of Nanjing Medical University constipation specialist clinic admitted to hospital.

　　After admission, the constipation team of Shaw Hospital arranged a detailed physical and laboratory examination for her. After abdominal CT examination and a series of special examinations for constipation, including colonic transport test and defecography, the medical team comprehensively considered and determined that the woman had slow transit constipation. After adequate preoperative preparation, the attending doctor performed 'laparoscopic total colectomy' for the aunt.

　　After surgical exploration, it was found that the whole colon in the abdominal cavity of the aunt was extremely dilated, the state of the bowel was stiff, and the contents of the bowel were accumulated, that is to say, the colon was full of undischarged stool!

　　Finally, the colon filled with stool in the abdominal cavity of the aunt was completely removed. There was almost no bleeding during the whole operation, and the monitoring indicators of the aunt were basically normal after the operation. Now, has recovered well, preoperative abdominal distension, bilge pain, nausea and other symptoms have disappeared completely.

　　-- The real case is from Shaw Hospital Affiliated to Nanjing Medical University

　　In fact, many people suffer from constipation

　　-- 'It's so hard to take a dump. Every bowel movement takes a lot of energy and sweat. It's like running 800 meters.'

　　-- The baby used to pull once a day smelly, then do not know how to go on, to three or four days will defecate once, even sometimes to a week.

　　-- 'Can't pull in place once, the total feeling of unfinished, intermittent, is very uncomfortable.'

　　-- 'Squat till your legs feel numb... Still nothing...'

　　-- 'I feel like my stomach is getting bigger and bigger every day. I'm afraid my intestines are full of poop.'

　　-- 'Sometimes laxatives help, but more often they don't work.'

　　Defecation is difficult, defecation time is long, defecation is not clean, defecation is time-consuming... These are all headaches for people with constipation.

　　So why do we have these constipation conditions? What is it that makes us constipated? First of all, how does poo come out?

　　The food we eat is the original raw material for poop, which is absorbed into the small intestine, leaving a nutrient-free residue. Some of this residue, water, vitamins, electrolytes, etc., is absorbed by the colon, and the rest is pinched into poop and sent to the rectum. The rectum is responsible for allowing poop through and storing it for a short period of time. When poop accumulates in the rectum above a certain threshold, the signal to excrete is reported to the brain, triggering the 'defecation' function. Finally through the anus smoothly excreted feces.

　　By understanding how poop is produced, we can identify what goes wrong that can lead to constipation.

　　The raw material composition is not good: in the formation process of poop, water will be constantly absorbed. If there is little water and dietary fiber in the raw material, the poop will be dry and hard, which increases the difficulty of transportation and excretion.

　　Lack of ingredients: If there's not enough food coming in, there's not enough raw material for the poop to be released, so the poop can't be released until there's enough of it.

　　Insufficient power output: The colon, rectum, and anus exert a lot of energy during the process of transporting and releasing feces. However, too little movement and sedentary behavior will cause the colon to slow down and weaken the strength of the rectum and anus, which will not have the energy to transport feces.

　　Confused reception: When the volume of feces is high, the brain will be told to poop. However, if the brain is under high pressure at this point, the request to ignore the poop will be fulfilled, resulting in the inability to poop. If there is often no discharge, the stool will accumulate more and more, and the rectum will slowly get used to exceeding the standard of the stool, leading to the rise of the 'warning line', the deterioration of the allergy to the stool capacity, causing functional constipation.

　　'Launch port' blockage: in the process of defecation, if the anatomy and function of the muscles of the pelvic floor and anus are abnormal, and the effective coordination is lost, resulting in the inability to discharge stool, or the chrysanthemum cannot be opened smoothly, the poop will be blocked in the anus, and the emission cannot go out, causing outlet obstruction constipation.

　　Constipation, which makes people feel 'full of shit' and carries huge health risks -- how can it be improved?

　　01 Develop good eating habits, regular meals (especially breakfast), do not blindly diet, to ensure that the formation of stool raw materials are sufficient.

　　02 Appropriate intake of fruits and vegetables, improve the diet structure, ensure adequate intake of dietary fiber (20-30g/ day) and fluid (1.5-2L/ day) to soften stool.

　　03 Avoid sitting for a long time, appropriate physical exercise, to strengthen intestinal peristalsis, promote defecation.

　　04 Develop good defecation habits, regular defecation (the best defecation time in the morning 5-7, especially after eating breakfast to accelerate gastrointestinal peristalsis, promote defecation), do not play mobile phone when defecation focus, in a short time to complete defecation, do not forbear defecation.

　　05 Improve MENTAL STATE, keep regular life, adequate sleep and cheerful mood.

　　06 If produce constipation do not blindly use rhubarb, senna leaf, aloe and stimulant laxative, ought to arrive regular hospital diagnosis and treatment as soon as possible.

　　Functional gastrointestinal disease diagnosis and treatment equipment, functional constipation special treatment equipment, recommended -- Kuancheng Technology biofeedback gastrointestinal motility instrument!