What Causes Constipation?
Discussion Constipation generally is defined as infrequent or painful defecation. Constipation can be very disturbing to the patient and family who believe the stools are too infrequent, too hard or too difficult to pass. Most children develop constipation after the child begins to associate pain (e.g. a hard bowel movement) with defecation. The child then begins to withhold the stools trying to decrease the defecation discomfort. As stool withholding continues, the rectum dilates and gradually accommodates with the normal defecation urge disappearing. Passing large hard stools infrequently reinforces the defecation pain. The cycle continues. If the cycling is severe enough, worsening stool retention and more abnormal defecation dynamics occurs. Chronic rectal distension results in both loss of rectal sensitivity, and loss of urge to defecate, which can lead to encopresis. Treatment basics include: Evacuate the colon – a clean out by enemas or oral medication Stop painful defecation – by using laxatives in a maintenance regimen so patients have a soft stool daily Establish regular bowel habits – through toilet sitting A balanced diet is important and increasing dietary fiber may also help. Medications include osmotic laxatives, stimulant laxatives, stool softeners and lubricants. MiraLaxTM is polyethylene glycol, is an osmotic laxative, and pool research studies show that it may be superior to placebo, milk of magnesia or lactulose. It is usually used as a...
ConclusionsExhortations for pre-operative and post-operative weight management are not often successful or sustainable, implying a need for individualized holistic approaches.
This article presents diagnostic measures and current therapeutic approaches as well as their integration in practice in order to achieve awareness of this topic in everyday clinical practice and show the pathways of appropriate treatment. Specific multiprofessional treatment approaches which centre on the mother-child relationship demonstrate successes with regard to depression in the mothers and also on the development of a secure mother-child bond and are thus a protective factor in the development of the affected children. The now well-known effects of PPD on the fathers as well as the negative impacts of paternal depr...
CANCER symptoms vary depending on which part of the body is affected by a tumour. You may be at risk of a deadly tumour if you have this painful sign in your chest. Should you see a doctor?
Conclusion: Patients receiving lornoxicam-ketamine attained greater reduction in pain scores and less side effects with better functional state and also are less likely to require further analgesia than those administered pethidine to control acute renal colic pain. PMID: 31001434 [PubMed]
ConclusionOral administration of XSLJZT (3.0 g) for 28 days lowered the mean diarrhea score in patients with IBS, indicating that the patients in the TG had greater diarrhea improvement than those in the CG. The present study used 10% XSLJZT as a comparator, and the different items of the Gastrointestinal System Rating Scale–IBS, IBS-QOL, and World Health Organization Quality of Life–Brief were scored separately. Therefore, the selection of an appropriate comparator or placebo and score assessment are crucial issues for future study.Graphical abstract
CONCLUSIONS: PrG patients seem to be at an even higher risk for psychiatric comorbidities compared to OMT patients. Raising awareness among practitioners for the high prevalence of psychiatric comorbidities among patients with gambling disorder and individuals with ADHD is crucial to initiate adequate treatment and to improve response. PMID: 30999811 [PubMed - as supplied by publisher]
TYPE 2 diabetes is generally regarded as being a lifelong condition, but some patients have been able to put it into remission by following certain diets. Express.co.uk spoke to two women who no longer have type 2 diabetes after following this particular diet.
Publication date: May 2019Source: The Lancet Psychiatry, Volume 6, Issue 5Author(s): Samuel B Harvey
Publication date: May 2019Source: The Lancet Psychiatry, Volume 6, Issue 5Author(s): Nicholas D Lawson
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