$Unique_ID{BRK00547} $Pretitle{} $Title{Assistance for Constipation} $Subject{constipation bowels stools Digestive large intestine colon contractions peristalsis illness stress poor bowel habits diet eating habits bulk fiber fluids exercise} $Volume{I-12} $Log{ Anatomy of the Colon*0001601.scf Anatomy of the Intestine*0004701.scf Anatomy of the Small and Large Intestine*0004702.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Assistance for Constipation ------------------------------------------------------------------------------ QUESTION: It seems you only choose questions for your column that deal with exotic diseases that no one ever has and don't care much about anyway. Why not use your knowledge to help us common people and talk about real subjects like constipation? I know I could use some assistance. ------------------------------------------------------------------------------ ANSWER: Commoner or king, constipation can be a problem for anyone. You are right, it is a subject that should be discussed. For an understanding of the causes of this annoying condition, you must first understand how the large intestine, or colon, works. After our foods have been digested, and the nutrients absorbed by the small intestine, the remaining waste reaches the colon, the last section of the intestinal system before the rectum. The colon moves the waste along with rhythmic contractions, called peristalsis, driving the fecal material towards the rectum. At the same time it reabsorbs the excess fluids, making the stool firmer and firmer as it reaches the last sections of the bowel. If the muscle contractions are slow, or irregular, the stool spends too much time in the colon and too much water is removed, forming hard or dry stool. If peristaltic rhythm is too swift, the stool will be loose and watery, leaving as diarrhea. Constipation is therefore best prevented by assuring that these contractions (called involuntary as we have no control over them) remain normal. They can be affected by illness, stress, poor bowel habits, lack of exercise, and above all improper diet and eating habits. The object is to have the stool arrive at the rectum in a form that makes your voluntary efforts to pass your stool easy and normal. Here are some tips for you. Eat at regular times, taking pleasure in your meals and chewing your food thoroughly. Make sure your diet contains sufficient bulk fiber that is present in cereals, fruits, raw vegetables, and cooked high residue vegetables such as corn, potatoes, spinach, string beans and turnips, to name a few. Be sure to include plenty of fluids in your daily diet. When the urge to move your bowels arrives, pay attention and try to move your bowels without straining, letting nature proceed normally. Adding a brisk walk and sufficient exercise to daily activity may just make the difference that changes your problem of constipation into an unpleasant memory. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.