Constipation Flashcards

1
Q

What is constipation?

A
  • infrequent bowel movements or difficult passage of stools
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2
Q

When does constipation most commonly occur and what may happen as a result?

A
  • when waste or stool moves too slowly through the digestive tract
  • or cannot be eliminated effectively from the rectum
  • may cause the stool to become hard and dry
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3
Q

What are the causes of chronic constipation?

A
  • blockages in the colon or rectum
  • problems with nerves around the colon or rectum
  • difficult with the pelvic muscles involved in elimination
  • conditions that affect hormones in the body
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4
Q

What kind of blockages in the colon or rectum cause chronic constipation?

A
  • anal fissures
  • bowel obstruction
  • colon or rectal cancer
  • narrowing of the colon
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5
Q

What kind of problems with nerves around the colon or rectum can cause chronic constipation?

A
  • neurological problems
  • can affect the nerves that cause muscles in the colon and rectum to contract and move stool through the intestines
  • examples: stroke, Parkinson’s disease
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6
Q

What kind of difficulty with the pelvic muscles involved in elimination can cause chronic constipation?

A
  • weakened pelvic muscles
  • cause an inability to co-ordinate relaxation and contraction
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7
Q

How and what kind of conditions that affect hormones in the body can cause chronic constipation?

A
  • hormones help balance fluids in your body
  • diseases and conditions that upset the balance of hormones may lead to constipation
  • examples: diabetes, pregnancy, thyroid problems
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8
Q

Who is most at risk of developing constipation?

A
  • elderly
  • women
  • dehydrated people
  • people with diets low in fibre
  • people who participate in little to no physical exercise
  • people with mental healthy problems (depression or eating disorders)
  • people who take certain medications
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9
Q

What are the signs and symptoms of constipation?

A
  • straining to have bowel movements
  • fewer than 3 bowel movements per week
  • lumpy or hard stools
  • feelings of blockage in the rectum
  • needing help to empty rectum
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10
Q

When does constipation become considered chronic?

A
  • if you have experienced 2 or more of these symptoms for the last 3 months
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11
Q

What are the complications of constipation?

A
  • swollen veins in anus (haemorrhoids)
  • torn skin in the anus (anal fissure)
  • stool that can’t be expelled (fecal impaction)
  • intestine that protrudes from the anus (rectal prolapse)
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12
Q

How does one develop haemorrhoids from constipation?

A
  • straining to have a bowel movement
  • may cause swelling in the veins in and around your anus
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13
Q

How does constipation cause anal fissures?

A
  • a large or hard stool
  • can cause tiny tears in the anus
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14
Q

How does constipation cause fecal impaction?

A
  • chronic constipation may cause an accumulation of hardened stool
  • this gets stuck in your intestines
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15
Q

How does constipation cause a rectal prolapse?

A
  • straining to have a bowel movement
  • can cause a small amount of the rectum to stretch and protrude from the anus
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16
Q

How can constipation be prevented?

A
  • high-fibre diet (insoluble fibre)
  • eat fewer foods with low amounts of fiber
  • drink plenty of fluids
  • regular exercise
  • management of stress
  • regular schedule for bowel movements
  • make sure children who begin to eat solid foods get plenty of fibre in their diets
17
Q

Which foods are sources of insoluble fibre?

A
  • carbohydrates
  • unrefined sugars
  • beans
  • vegetables
  • fruits
  • wholegrain cereals
  • bran
18
Q

Which food are low sources of fibre?

A
  • processed foods
  • dairy
  • meat products
19
Q

How do laxatives affect the body?

A
  • irritate the intestine
  • cause the intestine to expel the faeces unnaturally quickly
  • this can lead to dependence on laxatives
  • as the normal rhythm of the bowel and health of the muscles will be affected
20
Q

What is peristaltic movement?

A
  • the rhythmic alternating contraction and relaxation of smooth muscle that forces food through the intestine
21
Q

How does soluble fibre react in water?

A
  • easily dissolves in water
  • is broken down into a gel-like substance in the colon
22
Q

How does insoluble fibre react in water?

A
  • does not dissolve in water
  • is left intact as food moves through the gastrointestinal tract
23
Q

How much fibre should be consumed daily?

A
  • 20-30g
  • no more than 50g
24
Q

Why is soluble fibre filling? How does this benefit people?

A
  • it delays the emptying of the stomach
  • helps reduce body weight
  • helps people to control their food intake
25
Q

How is soluble fibre beneficial for diabetics?

A
  • slows down the digestion of carbohydrates
  • helps to control blood glucose levels
26
Q

How does soluble fibre benefit the heart?

A
  • it has a cholesterol lowering effect
  • this reduces the risk of coronary heart disease
27
Q

How does soluble fibre aid gut health?

A
  • supports gut health
  • feeds beneficial bacteria
28
Q

What are some sources of soluble fibre?

A
  • wholegrain cereals
  • oats
  • peas
  • beans
  • lentils
  • carrots
  • leafy vegetables
  • apples
  • citrus fruits
29
Q

How does insoluble fibre behave in the body?

A
  • cannot be digested
  • as food passes along the intestine
  • fibre absorbs water & increases in bulk
  • this makes the faeces soft so that they can pass easily through the digestive system and out of the body
  • ultimately promotes peristalsis and prevents constipation
30
Q

What does insoluble fibre pick up in the body?

A
  • picks up waste quickly
  • carries it out of your body
31
Q

Why must faeces be removed quickly and regularly?

A

One may develop:
- constipation
- colon cancer
- haemorrhoids

32
Q

What are some sources of insoluble fibre?

A
  • whole-wheat flour
  • whole-wheat and brown bread
  • wholegrain breakfast cereals
  • wholegrain pasta
  • brown rice
  • legumes
  • skins of some fruit
  • vegetables