I believe everyone has experienced constipation before, but people generally do not treat it as a disease. Most people just pay attention to their diet when they are constipated. In fact, constipation is also a disease, and it also has different types. Women of childbearing age are most likely to suffer from slow-transmission constipation. Its typical symptom is the lack of the urge to defecate. This type of constipation must be treated in a timely manner. How to treat slow-transmission constipation? The current consensus is: ① Do not blindly perform colectomy on patients with short-term colonic slow-transit constipation. For patients with mild constipation, conservative treatment should be considered first. Only when long-term conservative treatment is indeed ineffective, surgical treatment should be considered. ② For those with normal colon transit test but abnormal pelvic floor physiological examination, conservative treatment should be used as much as possible; for those with slow transit and abnormal physiological examination, treatment should first target pelvic floor dysfunction, because slow transit may also be the result of abnormal pelvic floor function. Surgery should be considered only when there is no improvement in slow transit after conservative treatment after improvement in pelvic floor function. The indications for surgery should be strictly controlled. The following points must be met before surgical treatment can be considered: ① there is clear evidence of colonic atony; ② there is no sign of outlet obstruction; ③ there is sufficient tension in the anal canal contraction; ④ there is no obvious clinical anxiety, depression or other mental abnormalities; ⑤ there is no evidence of diffuse intestinal motility disorders, such as irritable bowel syndrome. Colectomy was performed before a comprehensive pelvic floor physiology examination. The effect will not be ideal. This article will stop here to introduce how to treat slow transmission constipation. In fact, the occurrence of slow transmission constipation is related to many factors, such as diet, irregular bowel movements, etc. This is true. If you want to completely cure slow transmission constipation, you must not only pay attention to taking medication, but also develop the habit of regular bowel movements. |
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