WHAT IS CONSTIPATION? MEANING, CAUSES, TYPES OF CONSPIATION,SIGN AND SYMPTOMS, HOW TO PREVENT? HOW DOES CONSPIATION MAKE YOU FEEL? DIAGNOSIS, TREATMENT

 WHAT IS CONSTIPATION? MEANING, CAUSES, TYPES OF CONSPIATION,SIGNS AND SYMPTOMS, HOW TO PREVENT? HOW DOES CONSPIATION MAKE YOU FEEL? DIAGNOSIS, TREATMENT

• CONSTIPATION DEF:
• WHAT IS CONSTIPATION?
• CAUSES OF CONSTIPATION
• SIGNS AND SYMPTOMS
• HOW TO PREVENT?
• HOW DOES MAKE YOU FEEL? 
• DIAGNOSIS
• TREATMENT

CONSTIPATION DEF:

1- Constipation is clinically defined as less than three stools per week and severe constipation less than one stool per week. Some of the symptoms of constipation are low abdominal discomfort, feeling of incomplete movement (feeling you still have to "go")  After bowel movement, Rectal bleeding, and / or  tight stools, physical aches and / or  movements.

2-  Constipation occurs when movements are short and defecation becomes difficult. It is often caused by a change in diet or routine or a lack of fiber intake.

WHAT IS CONSTIPATION?

Having less than three bowel movements in a week is, technically, the definition of constipation. However, how often you “go” varies from person to person. Some have bowel movements several times a day, others only once or twice a week. Whatever your bowel movement pattern is, it's unique and simple to you - as long as you do not go too far from your model.

Regardless of your  pattern, one fact is certain: the longer you go before you "go", the harder it will be to pass the stool . Other important features that usually define constipation are:

• Your stool is dry and firm.

• Your bowel movement is painful and bowel movement is difficult.

• You feel that you have not completely emptied your bowels.

 WHAT CAUSES CONSTIPATION? 

There are many causes for constipation - lifestyle choices, medications, medical conditions and pregnancy.

1- Common lifestyle causes of constipation:

• Eating a diet low in fiber.

• Not drinking enough water (dehydration).

• Not getting enough exercise.

• Changes in your regular routine, such as traveling or eating or going to bed at different times

• Eating large amounts of milk or cheese.

• Tension.

• Avoid triggering anxiety.

2- Among the drugs that cause constipation include:

• Strong pain medications such as narcotics containing codeine,

•  oxycodone (oxycantin) and hydromorphone. 

• Non-steroidal anti-inflammatory drugs such as ibuprofen  and naproxen .

• Antidepressants, including selective serotonin reuptake inhibitors (such as fluoxetine [Prozac]) or tricyclic antidepressants (such as amitriptyline,

• Antacids containing calcium or aluminum. 

• Iron tablets.

• Antihistamines (such as diphenhydramine  are allergy medications.

• Some blood pressure medications, including calcium channel blockers (such as verapamil [colon SR], diltiazem  and nifedipine  and beta-blockers (such as atenolol

• Psychiatric medications such as clozapine  and olanzapine (Zyprexa).

• Anticonvulsant / antiepileptic drugs such as phenytoin and gabapentin.

• Antinociceptive drugs such as ondansetron (zofran).

3- Medical and health conditions that cause constipation:

• Endocrine problems such as thyroid gland (hypothyroidism),

•  Diabetes, uremia, hypercalcemia.

• Colon cancer.

• Irritant bowel Syndrome (IBS).

• Diverticular disease.

• Outlet malfunction is constipation. (Deficiency in the coordination of the pelvic floor muscles. These muscles support the organs inside the pelvis and abdomen. They help in defecation.)

• Neurological disorders including spinal cord injury, multiple sclerosis, Parkinson's disease .

• Lazy bowel syndrome. The colon contracts poorly and retains stool.

• Intestinal obstruction.

• Structural defects in the digestive system (eg fistula, colon atresia, valvular, intussusception, incomplete anus, or deformity)

• Multiple organ diseases such as amyloidosis, lupus and scleroderma.

4- Pregnancy.

According to one source, about 40% of women experience constipation during pregnancy.

The result may be:

• Hormonal changes

• Physical changes,  When pressure is put on the intestines

• Changes in diet or physical activity

• Most women take iron supplements during pregnancy. These can contribute to constipation and other changes in bowel habits.

TYPES OF CONSTIPATION:

There are two main types of constipation: primary and secondary. Primary constipation is constipation that occurs for no apparent reason. Secondary constipation is caused by lifestyle factors or an underlying disease.

Primary Constipation: Type one

Doctors sometimes refer to primary constipation as "functional" or "idiopathic" constipation. These terms acknowledge that constipation is not a primary medical problem but a symptom of another underlying medical problem.

Below, we describe three branches of basic constipation.

1-Common transport constipation

Normal transit constipation is a condition in which a person experiences constipation, but their stool consistency is normal, and the stool passes through the digestive tract at normal speed.

People with normal transport constipation may experience symptoms such as bloating and pain.

2- Slow transport constipation

People with slow constipation do not experience the usual sensations of called peristalsis after eating. Therefore, food moves through the digestive tract more slowly than normal and takes longer to pass stool through the colon.

Since the stool is longer in the intestines, these individuals have fewer bowel movements.

3- Outlet constipation

Outlet constipation is caused by damage to the pelvic floor muscles. These muscles support the ***** and bladder, as well as the ****** in women.

In outlet constipation, a person may have difficulty bowel movement due to damage to the pelvic floor muscles or nerves. This damage can occur for a variety of reasons, including pregnancy and childbirth.

Some potential symptoms of outlet constipation are:

•  Thrust to empty bowel.
•  Delay in movements due to pain.

•  Requires the use of the hands to assist in movements.

Secondary Constipation: Type two

Secondary constipation is a constipation that occurs as a result of an underlying health problem or a side effect of drug use. The most common causes of secondary constipation are:

• Hypothyroidism

• Diabetes

• Diseases that affect the brain or blood vessels, such as dementia

• Depression

• Use of some of the drugs

• Irritant bowel Syndrome (IBS)

• Less common causes of secondary constipation are:

• Vitamin and mineral deficiency

• Cracks, these are small tears in tissue.

• Nerve damage

• Spinal cord injuries

• Diseases affecting the nervous system such as Parkinson's disease and multiple sclerosis

• Colon cancer

SIGN AND SYMPTOMS:

Patients may experience constipation if they experience one or more of the following symptoms:

1-Abdominal pain and bloating.

 Patients with constipation may feel tightness in their abdomen, or they may have sharp, cramping pain in their abdomen. They can also feel full at all times - as if they were just having a big meal - even though they have not eaten anything for many hours. Patients may also feel gas, but the discomfort is not reduced by passing the gas.

2-Nausea and / or vomiting. 

It may seem negative, but nausea and vomiting may be a symptom of constipation. Constipation affects the intestines, does not affect the stomach, having constipation slows down the entire digestive system, which can delay or prevent food from entering the intestines. When this happens, patients with constipation may also feel nauseous. Diarrhea can also occur when the entire digestive process of the body is affected by partial stool obstructions.

3- Pain and numbness

Abdominal pain is the most common symptom and an important factor in the diagnosis.

In general, your gut and brain work together to control digestion. This is done by hormones, nerves and signals released by the good bacteria that live in your gut.

In IBS, these cooperative signals are distorted, which leads to unorganized and painful tension in the muscles of the digestive system.

This pain usually occurs in the lower abdomen or the entire abdomen but is less likely to occur only in the abdomen. Pain usually subsides after bowel movement.

Low diet in FODMAPs improves diet change, pain and other symptoms (5 reliable source).

Other therapies include Peppermint Oil, Cognitive Behavior Therapy and Hypnotherapy (6 Trusted Source).

For pain unresponsive to these changes, a gastroenterologist can help you find medications that are specifically proven to reduce IBS pain.

 4- Diarrhea

Diarrhea-prevalent IBS is one of the three major types of the disorder diarrhea. It affects about one-third of patients with IBS

Diarrhea in a study of 200 adults — mainly people with IBS, had an average of 12 movements per week — more than twice the number of adults without IBS.

Transit in quick  IBS can lead to sudden, instant  movements. Some patients describe it as an important source of stress, even avoiding certain social conditions for fear of sudden onset of diarrhea.

In addition, diarrhea-prevalent type stool may be loose and watery and may contain mucus.

5- Constipation

Although it may seem negative, IBS can cause constipation as well as diarrhea.

Constipation-prevalent IBS is the most common type, affecting 50% of people with IBS.

Altered communication between the brain and  accelerates or slows down the normal transport time of the stool. As the transport time slows down, absorbs more water from the stool, and it becomes more difficult to pass,

Constipation is defined as at least three bowel movements per week .

“Functional” constipation describes chronic constipation that is not explained by any other disease. It is not related to IBS and is very common. Functional constipation is different from IBS because it is not usually painful.

In contrast, constipation in IBS involves abdominal pain that decreases with bowel movements.

Constipation in IBS also often causes a sensation of incomplete bowel movement. This causes unnecessary stress.

In addition to the usual treatments for IBS, exercise, drinking more water, eating soluble fiber, taking probiotics and limiting the use of laxatives may help.

6- Alternate constipation and diarrhea

Mixed or alternate constipation and diarrhea affect up to 20% of patients with IBS (11 reliable source).

Diarrhea and constipation in IBS include chronic, recurrent abdominal pain. Pain changes in movements are not related to diet or a simple, mild infection (4 trusted source).

This type of IBS is more frequent and more severe than others with severe symptoms. 

The symptoms of mixed IBS also vary greatly from person to person. Therefore, this condition requires an individual treatment approach rather than "one-size-fits-all" recommendations.

7- Bowels Changes in movements

Slow-moving stools in the intestines often become dehydrated as the intestines absorb water. Gradually, it creates hard stools that exacerbate the symptoms of constipation.

The rapid movement of feces through the intestine results in a short time for water absorption and loose stools with symptoms of diarrhea

IBS also causes mucus to accumulate in the stool, which is not usually associated with other causes of constipation.

Blood in the stool is a sign of a more serious medical condition and is worth a visit to your doctor. Blood in the stool may appear red, but often very dark or black, with an adhesive consistency.

8- Fatigue and difficulty sleeping

More than half of people with IBS report fatigue. In one study 160 

 adults with IBS described limited physical activity at work, leisure and low levels of physical activity.

Another study of 85 adults assessed the severity of their symptoms and the severity of fatigue

IBS is also associated with insomnia, which includes drowsiness, frequent awakenings and a lack of morning rest.

In a study of 112 adults with IBS, 13% reported poor sleep quality 

Another study of 50 men and women found that people with IBS slept an hour longer than those without IBS (32 trusted source), but they felt less refreshed in the morning.

Interestingly, poor sleep predicts more severe gastrointestinal symptoms the next day .

9- Anxiety and depression

IBS is also associated with anxiety and depression.

It is not clear whether the symptoms of IBS are a manifestation of stress or whether the stress of living with IBS causes people mental distress.

Whatever comes first, anxiety and digestive IBS symptoms reinforce each other in a vicious cycle.

In a large study of 94,000 men and women, more than 50% of people with IBS have an anxiety disorder and more than 70% have a mental disorder such as depression

Another study compared stress hormone cortisol levels in patients with and without IBS. When given the task of speaking openly, people with IBS experienced greater changes in cortisol‌, indicating higher stress levels

In addition, another study found that anxiety-reducing therapy reduces stress and IBS symptoms.

10- Food intolerance

70% of people with IBS report that certain foods trigger symptoms 

Two-thirds of people with IBS actively reject certain foods. Sometimes these people exclude many foods from the diet.

It is not clear why these foods have trigger symptoms. These food intolerances are not allergies, and trigger foods do not cause measurable differences in digestion.

Trigger diets are different for everyone, some common foods include gas-producing foods, FODMAPs, as well as lactose and gluten.

HOW TO PREVENT CONSTIPATION?

The good news is, if you have mild constipation, regular lifestyle changes can help manage the condition. Prevention tips include:

Increase your fiber intake: High fiber foods, such as fruits, vegetables and whole grains, all improve gut function. If you have  sensitivity, you may want to avoid high fructose fruits such as apples, pears and watermelon, which can cause gas.

Getting more exercise:

 Regular exercise helps keep stool from moving through the colon.

Drink plenty of water: 

The goal is to drink eight glasses a day and avoid caffeine, as it can be dehydrating.

Go when you feel like going.

 When you want to go, do not wait.

HOW DOES CONSTIPATION MAKE YOU FEEL?

Patients with constipation may feel tightness in their abdomen, or they may have sharp, cramping pain in their abdomen. They feel full even at all times - like they just made a big meal - even if they haven’t eaten anything for many hours. Patients may also feel gas, but the discomfort is not reduced by passing the gas.

DIAGNOSIS:

1- Blood Test.

 Your doctor will look for a systemic condition such as low thyroid (hypothyroidism) or high calcium levels.

2- An X-ray.

 An X-ray can help your doctor find out if our intestines are clogged and if there is stool throughout the colon.

  3- (Sigmoidoscopy) examination.

 During this procedure, your doctor inserts a bright, comfortable tube into your bowel to examine  the lower part of your colon.

4-  Examination of the entire colon (colonoscopy). 

This diagnostic procedure allows your doctor to examine the entire colon with a comfortable, camera-fitted tube.

 5- Evaluation of sphincter muscle function (anorectal manometry). 

During this procedure, your doctor will insert a thin, flexible tube into your anus and rectum , and then inflate a small balloon at the tip of the tube. The device is pulled back by the sphincter muscle. This procedure allows your doctor to measure the muscle coordination you use to move your bowels.

6-  Evaluation of sphincter muscle movement (balloon expulsion test).

 Often used with anorectal manometry, this test measures the time it takes to inflate a balloon filled with water and placed in your .

7- Evaluation of how well food moves through the colon 

 In the process, you may swallow a capsule containing a radio pack marker or a wireless recording device. The progression of the capsule through your colon is recorded in 24 to 48 hours and is visible on X-ray.

In some cases, you may eat radiocarbon activated food and a special camera will record its progress (scintigraphy). Your doctor will look for signs of intestinal muscle dysfunction and how well the food is moving through your colon.

8-  X-ray during defecation.

In the process, your doctor will place a soft paste made with barium on your . You pass the barium paste into the stool. Barium appears on X-rays and reveals prolapse or problems with muscle function and muscle coordination.

9- MRI defecation.

 In a procedure like barium defecography, the doctor will apply a contrast gel to your rectum. Then you go to jail. An MRI scanner can and does assess the function of the excretory muscles. This test can also detect problems such as rectocele or rectal prolapse that can cause constipation.

TREATMENT OF CONSTIPATION:

1- Drink more water

Being dehydrated regularly can make a person constipated. To prevent this, it is important to drink enough water and stay hydrated 

When a person has constipation, he or she can get relief by drinking some carbonated (sparkling) water. It helps to re-hydrate them and get things running again.

Some studies have found that sparkling water is more effective in relieving constipation than tap water. This includes people with dyspepsia or dyspepsia and people with chronic idiopathic constipation.

However, it is not advisable to drink carbonated drinks such as sugar sodas as these drinks can cause harmful health effects and exacerbate constipation.

Some people with irritable bowels  syndrome (IBS) have found that carbonated drinks exacerbate their symptoms, so these people may want to avoid sparkling water and other carbonated drinks.

Bottom line: Dehydration causes constipation, so be sure to drink enough water. Sparkling water may be more effective in relieving constipation.

2. Eat more fiber, especially soluble, unleavened fiber

To treat constipation, doctors often tell people to increase their dietary fiber intake.

Because increasing fiber intake increases the bulk and stability of  movements, making them easier to pass. This helps them to pass through the digestive tract quickly. 

However, some studies have found that increasing fiber intake exacerbates the problem. Others have reported that dietary fiber improves stool frequency, but may not help other symptoms of constipation such as stool stability, pain, bloating and gas. 

This is because different types of dietary fiber have different effects on digestion.

There are many types of dietary fiber, but in general, they fall into two categories: insoluble fiber and soluble fiber.

Insoluble fiber

 Wheat bran, vegetables and whole grains - adds a large amount to the stool and helps pass them quickly and easily through the digestive tract.

Soluble fiber-oat bran, barley, nuts, seeds, beans, lentils and peas as well as some fruits and vegetables-absorb water and form a gel-like paste that softens the stool.

Fermented soluble fiber such as psyllium is the best choice to treat constipation

Various brands of psyllium fiber are available online.

Functional such as IBS or chronic idiopathic constipation (19 trusted source, 20 trusted source, 21 trusted source) may exacerbate the insoluble fiber problem in some people with the problem.

Some fermented soluble fibers are also ineffective in treating constipation because they ferment in the gut and lose their ability to retain water.

People should take a mixture of soluble and insoluble fiber to prevent constipation. The recommended daily fiber intake is 25 grams (g) for women and 38 grams (14) for men.

Bottom line: Try to eat foods high in fiber. Replacing food with soluble non-fermentable fiber such as psyllium may also help.

3. Exercise more

Various research studies have reported that exercise may help improve the symptoms of constipation.

Studies show that a sedentary lifestyle increases the risk of constipation. Because of this, some health experts recommend increasing exercise to move the stool.

Not all studies agree that exercise can cure constipation. Therefore, more research is needed.

Other studies show that although exercise does not always improve the number of people going to the bathroom, it does reduce some of the symptoms and improve people's quality of life.

In people with IBS, moderate exercise (active walking) improves digestive symptoms and quality of life. However, intense exercise (jogging) can exacerbate symptoms in some people.

To find out if this helps, try light exercise such as regular walking, swimming, cycling or jogging.

4. Drink coffee, especially caffeinated coffee

Constipation can be relieved by drinking coffee.

For some, drinking coffee may increase their desire to go to the bathroom. Because coffee stimulates muscles in the digestive system 

In fact, a 1998 study found that caffeinated coffee stimulates the intestines in the same way as food. This effect is 60% stronger than drinking water and 23% stronger than drinking decaffeinated coffee 

Coffee may also contain small amounts of soluble fiber that can help prevent constipation by improving the balance of gut bacteria.

 Stimulatory properties of caffeine may be strong in people with IBS. It can worsen digestive symptoms

People with IBS can try to find out if it helps by removing caffeine from their diet.

Learn more about foods and beverages that relieve constipation.

5. Take herbal laxative senna

Senna is a safe and effective herbal laxative that helps treat 

Senna contains plant compounds called glycosides, which stimulate the nerves in the intestine and accelerate ***** movement (36).

Doctors think Senna is safe for adults for a while, but people should consult a doctor if their symptoms do not subside after a few days.

Doctors generally do not prescribe Senna to pregnant women, nursing mothers, or people with certain health conditions, such as inflammatory  disease.

Bottom line: Herbal laxative senna is a popular remedy for constipation. It stimulates the nerves in the gut to accelerate ***** activity.

6. Eat probiotic foods or take a probiotic supplement

Probiotics may help prevent chronic constipation. Probiotics are direct, beneficial bacteria that occur naturally in the gut. These include  Lactobacillus.

People can increase their levels by eating probiotic foods.

Some people with chronic constipation have a bacterial imbalance in their intestines. Increased intake of probiotic foods improves this balance and prevents constipation.

In the 2019 review taking probiotics for 2 weeks reduced constipation, stool frequency and stool stability 

They can help treat constipation by producing short-chain fatty acids. These improve bowel movements, making it easier to pass stool (38).

Alternatively, try a probiotic supplement. Some studies have found that people do not experience the benefits of these supplements after 

Try taking probiotic supplements that are available online or eat a diet high in probiotics to see if it helps with constipation. Prebiotic foods include:

Yogurt

7- Over the counter or prescription laxatives

A person can talk to a doctor or pharmacist about choosing the appropriate laxative. Different types have different types of action, but all are effective for constipation

The doctor may recommend one of the following:

• Bulking agents:

 These are fiber-based laxatives that increase the percentage of water in the stool.

• Stool softeners:

 These contain oils that soften the stool and pass through the intestines.

• Stimulant laxatives: 

These stimulate the nerves in the gut to increase ***** activity.

• Osmotic laxatives:

 These soften feces by absorbing water from the surrounding tissues into the digestive tract.

However, people should not take these laxatives regularly without first talking to a doctor.

8. Try the Low FODMAP Diet

Constipation may be a symptom of IBS. The low FODMAP diet is an elimination diet that helps treat IBS and can relieve IBS-related constipation.

FODMAP means fermented oligosaccharides, disaccharides, monosaccharides and polyols.

Limit high FODMAP foods in the diet before adding them to find out what the body can tolerate 

In people with constipation-prevalent IBS, a low FODMAP diet alone is often not enough.

Such individuals need to focus on other aspects of their diet such as getting enough water and fiber to get relief from their symptoms.

Bottom line: A low FODMAP diet can relieve constipation associated with IBS. However, this alone may not provide adequate relief.

9. Eat noodles for Shirataki or take a glucomannan supplement

Glucomannan is a soluble fiber derived from the roots of the kanzak plant. Some research suggests that it may be effective against constipation.

 In addition to improving motility, glucomannan acts as a prebiotic to improve good bacterial balance in the gut.

On study in children found that 45% of those taking glucomannan were relieved of severe constipation, while only 13% were in the control group.

However, another controlled study did not find a significant effect 

People can get it from glucomannan supplements or by eating noodles for shirataki, 

Bottom line: Glucomannan can treat constipation in some people. The sources include supplements and noodles for Shirataki.

10- Eat Prebiotic Foods

Prebiotics are indigestible carbohydrate fiber. Prebiotics include oligosaccharides and inulin.

Although dietary fiber reduces constipation by improving bowel stability and bulk, prebiotics have their effects by improving digestive health.

Prebiotic fibers improve digestive health by feeding on beneficial bacteria in the gut, which promotes probiotics and improves the balance of gut bacteria.

In fact, some prebiotics  help increase the frequency of movements, as well as soften the stool.

Prebiotic foods include:

• Chicory

• Jerusalem Artichoke

• Garlic

• Onion

• Banana

• Groove

• Chickpeas

11- Try magnesium citrate

Magnesium citrate is a popular home remedy against constipation. It is a type of osmotic laxative that people can buy over the counter or online.

Constipation can be relieved by taking moderate amounts of magnesium supplements. Physicians use high doses to prepare and clean  before surgery or other medical procedures.

Bottom line: Taking a magnesium citrate, over the counter supplement can help relieve constipation.

12. Eat plums

HOMOEOPATHY TREATMENT:

1. Nux vomica - for inefficient desire and less stool

Nux vamica is one of the most effective medications for constipation cases of insufficient stool with useless desire. Defecation is very rare in a person who needs to be prescribed Nux . The stool was unsatisfactory and inadequate. Don’t feel “done” even after a bowel movement several times a day. Constipation may also be accompanied by abdominal pain. Nux vamica is a good alternative medicine for constipation in people with sedentary lifestyle. Most importantly, it also effectively treats piles caused by constipation

2. Bryonia alba - for dry, hard, lumpy stool

For constipation with hard, dry stools, Bryonia alba is considered one of the best medicines for constipation. The stool becomes dry as it burns and passes with great difficulty. In some cases bloating has also been noted. Headaches caused by constipation can also be effectively treated with Bryonia alba.

3. Alumina - days without bowel movement for constipation

Alumina is another well-known name in the long list of medicines for constipation. The guiding feature for the use of alumina is the lack of desire to defecate for several days at a time. A person in need of alumina spends days without defecation. Bowel movement is very slow. Stool passes only when a large amount of ***** substance accumulates in the intestine. Another important feature of using alumina is the high pressure to keep the bowel moving even when the stool is soft. Alumina is also one of the most commonly prescribed medications for constipation in children, infants, bottle-fed infants and the elderly.

4. Lycopodium clavatum - for fart and bloating

Lycopodium clavatum works wonderfully in cases of fart and fart along with constipation. Lycopodium clavatum is also the most useful medicine for constipation in the elderly. It is also very useful in irritable syndrome.

5. Silicea - Stool becomes loose after being partially expelled for constipation

In some cases of constipation, the stool decreases after partial expulsion. In this case, silicea is the most useful medicine for constipation. The stool is soft, requiring pressure to pass out, but returns  after being partially expelled.  Tightened. Exhaustion involves intense attempts to pass stool. There may also be inflammation and severe pain.  Constipation in women before and during silicia use makes another case.

6. Antimonium crudum and Podophyllum peltatum - alternate constipation and diarrhea

Antimonium crudum and Podophyllum peltatum are the two main drugs for constipation with diarrhea. Antimonium crudum is an effective antidote for constipation, treating itching and pain of mucous piles. It is very useful for constipation and diarrhea in the elderly. In addition to optional constipation and diarrhea, some specific symptoms to look out for when prescribing podofilm medications include increased bowel movements, stool, clay colored stool or green stool, and highly aggressive stool.

7. Aeschylus Hippocastanum and Colinsonia candidiasis - for constipation with hemorrhoids

In cases of constipation with hemorrhoids Aesculus hippocastanum and Colinsonia canadensis have shown great improvement. Aeschylus hippocampus is a medicine for constipation, which is indicated for dry, hard, lumpy stools and painful piles. ****** There is a feeling that small sticks are trapped in it. Pain increases when running. Aeschylus hippocastanum is useful for hemorrhagic or blind type piles. Severe pain in the lower back can cure complaints of piles, which can also be treated. Typical symptoms to look for when using Colinsonia canadensis are protruding hemorrhoids with tight stools. Itching or tightening may also be seen. The drug is well prescribed for constipation during pregnancy.

9. Natrum Mur - For constipation when doing bowel movements on alternate days

In cases where the stool is crossed on alternate days, Dr. Natrum Moore may be ordered to regulate bowels movements. Participating symptoms include contraction in sobriety, burning or tearing pain.

10. Opium and Chelidonium majus - for dry, hard stool in ball form

Opium and Chelidonium majus works well in case of constipation when the stool is hard, dry and passes in ball form. Apart from this,  is also a remedy for constipation, where the person is taking laxatives for a long time for bowel movement.

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