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Fecal incontinence or constipation occurs when there is a problem with normal bowel functioning. This could be for a variety of reasons. The normal defecation pathway involves contractions of the colon which helps mix the contents, absorb water and propel the contents along. This results in feces moving along the colon to the rectum. [4]
Hypothyroidism can also cause chronic constipation because of sluggish, slower, or weaker colon contractions. Iron supplements or increased blood calcium levels are also potential causes. Spinal cord injury is a common cause of constipation, due to ileus. [citation needed]
Constipation is a symptom, not a disease. Most commonly, constipation is thought of as infrequent bowel movements, usually fewer than 3 stools per week. [15] [16] However, people may have other complaints as well including: [3] [17] Straining with bowel movements; Excessive time needed to pass a bowel movement; Hard stools
Hanouneh explains that constipation becomes a medical issue when it is severe, persistent, or accompanied by alarming symptoms such as: Severe abdominal pain Blood in the stool
Obstructed defecation syndrome (abbreviated as ODS, with many synonymous terms) is a major cause of functional constipation (primary constipation), [18] of which it is considered a subtype. [19] It is characterized by difficult and/or incomplete emptying of the rectum with or without an actual reduction in the number of bowel movements per week ...
Functional constipation has been treated with a variety of 5-hydroxytryptamine 4 (5-HT4) agonists. [13] Serotonin (5-HT) is an enteric and central neurotransmitter that binds to the gut's 5-HT4 receptors to boost acetylcholine release, which in turn increases secretion and motility of the gut. [18]
Greenwald also endorses lifestyle remedies to address constipation: Aim for at least 25 grams of fiber per day, ensure adequate fluid intake (typically defined as 64 ounces or more of fluid each ...
Common constipation is associated with abdominal distention, pain or bloating. [11] Research has revealed that chronic constipation complied with higher risk of cardiovascular events such as coronary heart disease and ischemic stroke, while associating with an increasing risk of mortality. [12]
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