Homoeopathic medicines for eliminating constipation - Dr Terese Kavya Raju

Homoeopathic medicines for eliminating constipation

eliminating constipation

Abstract

Constipation is defined as bowel movements that are infrequent or difficult to pass. At any one time between 6% and 30% of the population may report constipation. It is frequent health problem leading to great discomfort to the person and affects his or her quality of life. Constipation becomes a regular problem especially in paediatric age group. Most of the people consider constipation is decrease in frequency of bowel movement. In children mostly the constipation is functional or habitual because bowel movements are varying along with age. Homoeopathy has an answer for constipation many constitutional remedies indicated. Every patient is unique and deserves a treatment plan tailored to suit their individual needs

Keywords; Constipation, Homoeopathic remedy

Introduction

Constipation is defined as infrequent passage of hard stools. Patients may also complain of straining, a sensation of incomplete evacuation and either perianal or abdominal discomfort. Constipation may occur in many gastrointestinal and other medical disorders

Epidemiology

Constipation, however it is defined, is a common problem in the community. The exact prevalence of constipation depends on the definition used; prevalence estimates range from 2% to 28%. The evidence that life-style factors are causally linked to constipation is weak, although nonsteroidal anti-inflammatory drug use and the use of other constipation-inducing medications are important risk factors. Constipation is not of clinical importance until it causes physical risks or impairs quality of life.

Pathophysiology

Colonic sensorimotor disturbances and pelvic floor dysfunction are the most widely recognized causes. Other factors, such as reduced caloric intake, disturbances of the microbiome, anatomical issues, or medications, can also contribute. Constipation generally results from inadequate   fibre   or   fluid   intake   or   from disordered    colonic    transit    or anorectal function. These results from neurogasteroenterologic disturbances certain drugs, advancing age or in association with a large number of systemic diseases that affect the   gastrointestinal   tract.   Constipation   of recent onset may be a symptom of significant organic disease such as tumor or stricture. In idiopathic  constipation  a  subset  of  patients exhibits delayed  emptying  of  the  ascending and  transverse  colon  with  prolongation  of transit  (often  in  the  proximal  colon)  and  a reduced   frequency   of   propulsive   colonic contractions (HAPC’S) outlet obstruction to defecation     (also     called     as     evacuation disorder)  may  cause  delayed  colonic  transit which  is  usually  corrected  by  biofeedback retraining of the disordered defecation. Constipation     of     any     cause     may    be  exacerbated  by  chronic  illnesses  that  lead  to physical  or  mental  impairment  and  result  in inactivity or physical immobility.

Constipation may be of 2 types

1. Acute constipation

2. Chronic constipation

 1. Acute constipation: This term refers to temporary or short termed constipation   it   is   usually   a   reaction   to particular cause or isolated incident. There is no underlying medicinal cause.

2. Chronic constipation: This term  refers  to  a  long  term  effective in activity of colon which  has some underlying pathological causes.

Causes

Gastrointestinal causes

 Dietary

 • Lack of fibre and/or fluid intake

 Motility

 • Slow-transit constipation

 • Irritable bowel syndrome

 • Drugs

 • Chronic intestinal pseudo-obstruction

 Structural

 • Colonic carcinoma

 • Diverticular disease

 • Hirschsprung’s disease

Defecation

  • Anorectal disease (Crohn’s, fissures, haemorrhoids)

  • Obstructed defecation

 Non-gastrointestinal causes

 Drugs

 • Opiates

• Anticholinergics

 • Calcium antagonists

• Iron supplements

• Aluminium-containing antacids

 Neurological

 • Multiple sclerosis

 • Spinal cord lesions

 • Cerebrovascular accidents

• Parkinsonism

Metabolic/endocrine

• Diabetes mellitus

 • Hypercalcaemia

 • Hypothyroidism

 • Pregnancy

 Others

 • Any serious illness with immobility, especially in the elderly

 • Depression

Signs and symptoms

A constipated patient may be otherwise totally asymptomatic or may complain of one or more of the following

  • Abdominal bloating
  • Pain on defecation
  • Rectal bleeding
  • Spurious diarrhoea
  • Low backache

The following also suggest that the patient may have difficult rectal evacuation:

  • Feeling of incomplete evacuation
  • Straining
  • Digital exctraction
  • Tenesmus
  • Enema retention

Complications

  • Hemorrhoids
  • Anal fissures
  • Rectal prolapse
  • Diverticular disease
  • Chronic back pain
  • Hernia
  • Urinary tract infection

Diagnosis

  • Clinical presentation and evaluation
  • Endoscopy
  • Anorectal manometry
  • Balloon expulsion testing
  • Barium enema
  • Defecography and magnetic resonance defecography (MRD)
  • Colonic transit study

According to the Rome IV criteria for constipation, a patient must have experienced at least two of the following symptoms over the preceding three months:

  • Fewer than three spontaneous bowel movements per week
  • Straining for more than 25% of defecation attempts
  • Lumpy or hard stools for at least 25% of defecation attempts
  • Sensation of anorectal obstruction or blockage for at least 25% of defecation attempts
  • Sensation of incomplete defecation for at least 25% of defecation attempts
  • Manual maneuvering required to defecate for at least 25% of defecation attempts

Diet

Common causes of chronic constipation include a lack of fiber (inadequate consumption of fruits, vegetables, and other foods containing fibers), no sufficient drinking water or liquids. In these cases, constipation is usually not a serious problem and can be controlled and treated by correcting nutritional habits and lifestyles.

Studies have indicated that a high-fiber diet can increase stool weight, resulting in a decreased colon transit time, while poor-fiber diet induces constipation.Moreover, it has been revealed that increased fiber diet could improve symptoms in patients with normal colonic transit and anorectal function, while constipated patients with delayed colonic transit patients have not improved by increasing dietary fiber. Increasing fiber consumption does not make colonic transit normal, and may even worsen their symptoms through the fiber’s metabolism as a result of the gas produced. On the other hand, it has been demonstrated that diets with soluble fiber (i.e., psyllium or ispaghula), but not fiber insoluble diet (wheat Bran), can be associated with the improvement of the symptoms in chronic constipation. A systematic review showed that soluble fiber improved constipation symptoms in IBS with varying effects on abdominal pain

Homoeopathic remedy

Alumina:

A very general condition corresponding to this drug is dryness of mucous membranes and skin, and tendency to paretic muscular states. Sluggish functions, heaviness, numbness, and staggering, and the characteristic constipation find an excellent remedy in Alumina. It  produces  irritation  of  mucus  membrane with   dryness   with   extreme   secretion   and paralysis  of  involuntary  muscles  as  those  of rectum  and  of  the  nerves  muscular  system generally.   Soft   stool   passes   with   great difficulty,  children’s  liable  to  this  kind  of constipation,  rectum  feels  sore  and  painful after  passing  stool.  No  desire  for  and  no ability  to  pass  stool,  until  there  is  no  large accumulation. Even a soft stool is passed with difficulty. Great straining. Constipation of infants (Collins; Psor; Paraf) and old people from inactive rectum, and in women of very sedentary habit. Evacuation preceded by painful urging long before stool, and then straining at stool.

 Nux vomica:

The typical Nux patient is rather thin, spare, quick, active, nervous, and irritable. He does a good deal of mental work; has mental strains and leads a sedentary life, found in prolonged office work, over study, and close application to business, with its cares and anxieties. Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained unexpelled. Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication. Alternate constipation and diarrhea-after abuse of purgatives. Urging to stool felt throughout abdomen

Silicea:

Silica patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter. Lack of vital heat. Prostration of mind and body. Great sensitiveness to taking cold. Rectum feels paralyzed. Stool comes down with difficulty; when partly expelled, recedes again. Great straining; rectum stings; closes upon stool. Feces remain a long time in rectum. Constipation always before and during menses; with irritable sphincter ani. Stool  scanty  or  composed  of  hard  lumps, light  colored;  expulsion  difficult,  as  from inactivity  of  rectum.  Consequently, the stool has  to  be  removed  mechanically. Constipation always occurs before, during and after menses. The stool may be in small balls or large and soft or large and hard, but there is much straining and sweating about the head and great suffering while straining; the rectum becomes impacted, he strains until he is weak and exhausted

 Bryonia Alba:

Bryonia affects especially the constitution of a robust, firm fiber and dark complexion, with tendency to leanness and irritability. Mucous membranes are all dry. The Bryonia patient is irritable; has vertigo from raising the head, pressive headache; dry, parched lips, mouth; excessive thirst, bitter taste, sensitive epigastrium, and feeling of a stone in the stomach; stools large, dry, hard; dry cough; rheumatic pains and swellings; dropsical effusions into synovial and serous membranes. No  inclination   or   desire   for stool.  Stool  is  dry  hard  knotty,  as  if  burnt. Headache   due   to   constipation   with   dry tongue  and  thirst  for  large  quantity  of cold-water at  large intervals. Stools brown, thick, bloody; worse in morning, from moving, in hot weather, after being heated, from cold drinks, every spell of hot weather.

Ratanhia:

Hard and broken evacuations, with urgent want to evacuate (with straining) and protrusion of haemorrhoidal excrescences.-Ineffectual want to evacuate, with troublesome pains in loins.-Straining; so hard that she cried out; great protrusion of haemorrhoids, followed for a long time by burning in anus. Constipation: stool hard with great straining; protrusion of haemorrhoids followed by long lasting aching and burning in anus ; bowels inactive; pain after stool as if splinters of glass were sticking in anus and rectum . Excruciating pains after stool; burning after soft stool

Opium

Obstinate constipation; no desire to go to stool. Round, hard, black balls. Faeces protrude and recede (Thuj; Sil). Spasmodic retention of faeces in small intestines. Constipation from inactivity of the intestines. Constipation, sometimes of long standing. Constipation: of children; of good-natured women; of lead-poisoning; (Confined bowels with bleeding, furred tongue and drowsiness.).Offensive black stool.

Sanicula:

Stools large, heavy and painful. Pain in whole perineum. No desire until a large accumulation. After great straining only partially expelled; recedes, crumbles at verge of anus (Mag mur). Very offensive odor. Excoriation of skin about anus, perineum, and genitals. Stool: hard, impossible to evacuate; of grayish-white balls, like burnt lime; crumbling from verge of anus with the odor of limburger cheese

 Natrum Muraticum:

Sensation    of    contraction    of    anus;    torn bleeding, smarting afterword; stool dry, hard, difficult,    crumbling; stitches    in    rectum; involuntary,   knows   not   whether   flatus   or faeces escape. Burning pains and stitching after stool.

Reference

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About Author:

Dr Terese Kavya Raju
MD part 1
FMHMCH

Homeopathy360 Team
Posted By: Homeopathy360 Team