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Constipation

Definition-​ Constipation is passing fewer than 3 stools a week or having a difficult time passing stool.  Stool may be hard, dry, and lumpy, causing person to strain when having a bowel movement.  There may be a feeling that not all stool has passed.  It may be necessary to use a finger to pass stool.  This problem is commonly due to lack of dietary fiber, fluids, and exercise.

Symptoms

  • Fewer than three stools a week

  • Hard, dry or lumpy stools

  • Straining or pain when passing stools

Chronic constipation is having two or more of these symptoms for three months or longer.

Causes

  • Lack of dietary fiber

  • Lack of fluids

  • Lack of exercise

  • Medications- opioid pain relievers, blood pressure, seizures, depression, nervous system, allergy

  • Pelvic floor muscle weakness and coordination problems

  • Blockages in the colon or rectum

Related Diseases

  • Irritable bowel syndrome.

  • Diabetes.

  • Multiple sclerosis.

  • Nerve dysfunction or damage.

  • Overactive thyroid, also called hyperthyroidism.

  • Parkinson's disease.

  • Pregnancy

Long term/Chronic constipation consequences

  • Bleeding from swollen tissues around the anus called hemorrhoids

  • Bacteria or yeast overgrowth

  • Auto-immune disorders

  • Leaky gut syndrome

  • Inflammation·

  • Nutrient deficiency

  • Neurotransmitter imbalance that cause depression and anxiety

    • Torn tissues of the anus, also called anal fissures.

    • Hard stools backed up into the colon, also called fecal impaction.

    • Exposed tissues of the rectum that have slipped out of the anal opening, also called rectal prolapse. Know what is typical for you!

Stool Chart

Functional Medicine Approach

  • You will have a full assessment of your current lifestyle, nutrition, stress level and management, and sleep health and hygiene.

  • Individualized plans of care will be created by the practitioner and patient. 

  • Depending on your specific symptoms, there may be more targeted assessment and testing of blood sugar metabolism, thyroid function, pituitary. or hypothalamus function and cardiovascular assessment, gut imbalances, food intolerances, toxin screening, hormone imbalance, antibody intolerances, inflammatory markers, and/or deficiencies of nutrients.  

  • After finding the root cause of illness plans may be revised.  Solutions can be multi-layered and take time, especially auto-immune disease and hormone imbalance.  We may need to integrate care with a specialist after referral.

  • Detox plans are gentle and supervised if necessary.

Goals of Treatment

Results vary and depend on the stage of your disease process and your commitment to treatment.

  • One to three BMs daily

  • Type 3-5 stool on Bristol chart

  • Satisfying feeling of emptying after BMs

  • Increased ability to eat a variety of foods

  • Increased energy for friends, family, and activities

  • Increased suppleness of hair, skin, and nails

  • Decreased diarrhea and bathroom emergencies

  • Decreased rectal pain and hemorrhoids 

  • Decreased anxiety about outings and travel

  • Decreased abdominal pain

  • Decreased joint pain

  • Decreased visits to the doctor’s office

  • Decreased money spent on medication

 

Commitment to treatment will improve outcomes.

We will support you every step of the way!

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