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Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [1]
The initial clean-out is achieved with enemas, laxatives, or both. The predominant approach today is the use of oral stool softeners like Movicol , Miralax , lactulose , mineral oil , etc. Following that, enemas and laxatives are used daily to keep the stools soft and allow the stretched bowel to return to its normal size.
A 2022 study found that two kiwi fruit a day was as effective as psyllium, found in many over-the-counter laxatives, in treating constipation. Foods to avoid when constipated
In a similar sense, we want to get to the roots contributing to constipation to find lasting relief." According to Sanmiguel, certain lifestyle changes can lead to long-lasting constipation relief.
The diagnosis is typically made based on a person's description of the symptoms. Bowel movements that are difficult to pass, very firm, or made up of small hard pellets (like those excreted by rabbits) qualify as constipation, even if they occur every day. Constipation is traditionally defined as three or fewer bowel movements per week. [15]
Rectal douching is a hygienic practice to clean the rectum to void hardened stools as opposed to a pharmaceutical method to soften the stool. Rectal douching is distinguished from anal cleansing , which is the routine cleaning of the anus after defecation .
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