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Secondary constipation, which is due to another cause, such as chronic conditions, like Type 2 diabetes, poor dietary choices or neurological conditions that may impact intestinal motility
Chronic constipation may be a sign of irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD); a gastroenterologist can recommend both lifestyle changes and medications to help.
In chronic constipation of unknown cause, the main treatment involves the increased intake of water and fiber (either dietary or as supplements). [18] The routine use of laxatives or enemas is discouraged, as having bowel movements may come to be dependent upon their use.
Functional constipation, also known as chronic idiopathic constipation (CIC), is defined by less than three bowel movements per week, hard stools, severe straining, the sensation of anorectal blockage, the feeling of incomplete evacuation, and the need for manual maneuvers during feces, without organic abnormalities.
One study found that probiotics help relieve functional constipation in older people, although the results were most apparent after 71 days of treatment. ... people with chronic digestive ...
It may occur in chronic obstruction of stool transit, as in megacolon [10] and chronic constipation. Some diseases, such as Chagas disease, Hirschsprung's disease and others damage the autonomic nervous system in the colon's mucosa (Auerbach's plexus) and may cause extremely large or "giant" fecalomas, which must be surgically removed ...
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