Constipation Help Relief In Minutes

Nature's Quick Constipation Cure

The First Step-by-step Plan To Cure Constipation Using A Combination Of Unique All-natural Remedies. This plan uses a strategically organized and ordered combination of the safest and most effective natural remedies for constipation. Everything used in this plan is from natures garden. No use of harmful laxatives. People who have used these swear they work Better than over-the-counter laxatives! Every strategy is carefully researched for safety and effectiveness. Each remedy builds on the last while helping out the next. The plan takes into account human physiology, anatomy, nutrition, metabolic needs and deficiencies while using specific dietary remedies and the almost always neglected but extremely powerful, mechanical remedies. All of these have been carefully planned and refined to provide you the most powerful, synergistic constipation relief plan that will relieve you of even the most stubborn of constipation episodes within as quick as 15 minutes and less than 24 Hours. Read more here...

Natures Quick Constipation Cure Overview

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Constipation and Diverticulitis

Constipation is a disorder characterized by the need to strain to pass hard stools and decreased frequency of stools (two to three times a week). Chronic constipation can lead to diverticulosis, in which multiple small sacs of the colonic mucosa are pushed out through the muscular wall of the colon. Diverticulosis occurs because chronic straining to pass feces produces increased pressure inside the colon. Inflammation often develops within the small sacs (diverticula) producing diverticulitis, with abdominal pain and bleeding. Constipation and diverticulitis are so-called diseases of civilization. They occur in near epidemic proportions in the industrialized countries, where one-fifth of the adult population suffers from chronic constipation and diverticu-losis occurs in about one-third of people older than 65 years.

Pathophysiology of functional constipation

The pathophysiology underlying functional constipation might be multifactorial and is certainly not well understood. Functional constipation results from abnormal function of the colon, rectum and sphincter complex, and conscious and subconscious factors in the child. Two main subgroups are described slow-transit constipation and outlet obstruction, leading to retention of feces in the rectum and extending to the whole colon. It is unclear whether different pathophysiological mechanisms are involved in each of these forms of constipation. Slow-transit constipation Pathophysiology of functional constipation 251 muscular (impaired contractility) and neural (uncoordinated activity) mechanisms may lead to impairment of propulsion of fecal contents leading to slow-transit constipation.12 Mechanisms underlying these entities might be an impairment of neural transmitter function, such as nitric oxide (NO) or substance P, or aberrations in the interstitial cells of Cajal. However, this entity...

Constipation in mentally handicapped children

The incidence of constipation was around 61 in a large cohort of mentally handicapped children in Dutch and Belgian institutions. Constipation was defined as bowel movements less than 3 times a week. Eighty-eight per cent of the constipated, mentally handicapped, children used laxatives, in comparison to 40 of constipated controls whose constipation was easily controlled. A significant correlation was found between non-ambulancy, cerebral palsy, use of anticonvulsive medication or benzodiazepines on the one hand and use of H2-receptor antagonists or proton pump inhibitors on the other. Also, an IQ of less than 50 correlated with food refusal, while there was no correlation with age, gender, use of cisapride, motilium, untreated GER disease or vomiting. Laxatives used were contact laxatives in 45 , and osmotic agents such as lactulose and enemas in 14 . Manual evacuation of feces was necessary in 7 of patients. In patients with cerebral palsy, anal sphincter pressures were normal....

Micronutrients Constipation

Pulls water into the colon and softens stools. Start with 250 mg and increase gradually until constipation improves. Take as single dose on arising in the morning Deficiency can aggravate constipation High-dose calcium supplements (more than 2 g day) may worsen constipation. Chronic use of laxatives should be avoided. Most interfere with normal colonic function and reduce absorption of nutrients. They can also precipitate development of irritable bowel syndrome.

Constipation

Constipation is caused by fecal matter that collects in the colon, dries out, and is difficult to move. Constipation indicates that a person has been eating too many cooked foods which are devoid of water and too few raw oils which lubricate the digestive tract. To prevent constipation in the future, eat chlorophyll-rich fibrous foods (green vegetables) with oil (flax seed, olive, etc.) as a dressing. This will softly broom and sweep the intestines alleviating this condition. Apples and pears may be added to this mix to help stimulate a bowel movement. If suffering from constipation, try the following Lemon Water 1 quart (liter) of distilled water Constipation may be caused by dehydration. This may be brought on by stress, overexertion, or overexposure. Eating too much sugar can cause excessive urination and lead to dehydration and constipation. Drinking to 1 quart (liter) of distilled water containing the juice of 1 whole lemon the first thing in the morning can stimulate a bowel...

Diet Constipation

The primary cause of both constipation and diverticulosis are highly refined and processed diets that are low in dietary fiber. Dietary fiber passes into the colon intact and absorbs water - increasing the bulk of the stool and softening it.1 This stimulates peristalsis in the colon, pushing the stool forward more rapidly. Dietary fiber is found in large amounts in whole grains, corn, vegetables, fruits (dried prunes, apples, raisins, and figs), seeds, and legumes. Increasing intake of these foods will soften the stool, and often eliminate constipation. Supplements of fiber, such as corn or wheat bran and psyllium-seed preparations, can also be beneficial. However, because large amounts of fiber can produce gas and abdominal discomfort, fiber intake should be increased gradually as tolerated overa period of several weeks. Ample fluid intake (8-10 large glasses per day) should accompany increases in dietary fiber.2

Clinical signssymptoms

In infants and children, the presentation is often less dramatic and may not mimic acute intestinal obstruction (Figure 17.1). Severe constipation and recurrent fecal impaction are more common. Physical examination reveals a distended abdomen and a contracted anal sphincter and rectum in most children. The rectum is devoid of stools, except in cases of short-segment agan-glionosis. As the finger is withdrawn, there may be an explosive discharge of foul-smelling liquid stools, with decompression of the proximal normal bowel.

The uUhh Better Get Drano Feeling

Most pregnant women experience the constipation blues at one time or another during the nine-month haul. Why does food tend to stop dead in its tracks before reaching its Sometimes, the increased iron can cause constipation, diarrhea, dark-colored stools, and abdominal discomfort. Don't be alarmed it's just par for the course. Be sure to increase your fiber and fluids and move around as much as possible.

Have You Ever Wondered 119

. . . how to relieve hemorrhoids or constipation Plenty of fiber-rich foods, plenty of fluids, and a physically active lifestyle help prevent constipation and hemorrhoids. As important, pay attention to your body's signals. Delaying a bowel movement can lead to constipation and hard, dry stools, which are difficult to pass. For travelers, lack of access to safe water, sweat loss in a hot climate, or a dry airplane cabin may contribute to fluid loss that leads to constipation. If constipation is a chronic or a painful problem, talk to your physician. It might signal a more serious problem or an interaction with medication. See Avoiding the Trio Constipation, Hemorrhoids, and Diverticulosis in chapter 6. For tips for easing the problems, see Constipation during Pregnancy in chapter 17 and the chart Cancer Treatment Handling Side Effects in this chapter.

Symptoms of Lead Poisoning

Lead exposure results from either inhaling or ingesting lead. Low levels of exposure (up to 10 pg dl) are associated with anemia, headaches, general weakness, fatigue, learning disabilities, impaired development of the nervous system, and delayed growth, while greater levels of exposure (70 pg dl) include symptoms such as decreased appetite, vomiting, abdominal pain, constipation, and drowsiness. If blood lead levels exceed 70 pg dl, coma, seizures, bizarre behavior, impaired muscular coordination, and even death can occur.

Reducing Your Risk of Colon Cancer

Can a diet rich in fiber actually lower your chance of developing colon cancer Several studies say yes, and it makes perfect sense. Think about it. Insoluble fiber helps move waste material through your intestines more quickly. Therefore, there is less time for suspicious substances to lurk around and possibly damage your colon and rectal area. In addition, fiber may bind with possibly harmful bacteria, transporting it through the intestines and out of your body. While we're down there, it's a perfect time to point out that softer, more regular bowel movements can also prevent constipation and reduce your chance of getting hemorrhoids.

Have You Ever Wondered 112

. . . if high blood cholesterol could be linked to a thyroid problem Yes, it could. Hypothyroidism-when the thyroid gland doesn't produce enough of the hormone thyroxin-has many symptoms. Among them are a sluggish feeling, poor memory, dry skin and hair, feeling cold, constipation, heavy menstrual flow, weight gain, and muscle cramps. Elevated LDL cholesterol may be another and serious side effect.

Irritable Bowel Syndrome

Irritable bowel syndrome (IBS), an intestinal problem, doesn't have a clear cause however, abnormal contractions in the intestine, stress, and food intolerance all may play a role. Symptoms might be abdominal pain or cramps as well as diarrhea, constipation, bloating, and gassiness. IBS also is known as colitis and spastic colon.

Why Eat Grain Products

Pregnancy, helps protect against some birth defects. And whole grains, as part of healthful eating, help reduce the risk of some chronic diseases, including heart disease, diabetes, and cancer, and help prevent constipation. To help you manage your weight, make at least half your grain choices whole.

Fermentation Excess and Putrefaction

When bad bacteria overgrow in the colon and enter the small bowel, malabsorption and maldigestion of foods can take place.441 Under such circumstances, the undigested carbohydrate ferment in the colon, leading to bloating, flatulence, diarrhea or constipation, and fatigue.

Carbohydrate Loading Without Pasta

Celiac disease can be difficult to diagnose because the symptoms vary from person to person. Some people experience diarrhea others complain about constipation and bloating. Your best bet is to talk with your doctor if you are having intestinal problems or have other niggling health concerns including unexplained fatigue, infertility, and lactose intolerance.

Which Bread Is Whole Grain

Avoiding the Trio Constipation, Hemorrhoids, Diverticulosis You already read about the benefits of insoluble fiber the kind in wheat bran. It holds onto water, helping to soften and add bulk to waste in the intestines. This action helps stools pass through the intestinal tract more quickly with normal frequency and ease. As a result, fiber helps prevent constipation and the discomfort that goes with it.

Picking the perfect plants

1 Are high in fiber, which reduces the risk of heart disease prevents constipation reduces the risk of developing hemorrhoids (or at least makes existing ones less painful) moves food quickly through your digestive tract, thus reducing the risk of diverticular disease (inflammation caused by food getting caught in the folds of your intestines and causing

Cereals Bread Wheat Bran and Wheat Germ

Whole grains are the best natural sources of complex carbohydrates and fiber. Populations eating large amounts of whole-grain products (e.g., Africa and Asia) have far fewer intestinal and bowel problems-such as constipation, hemorrhoids, diverticulitis, and colon cancer-compared to Western populations consuming mainly refined carbohydrates.30

What Is Diverticulosis and Can Fiber Help

Insoluble fibers like cellulose and hemicellulose appear to have a beneficial effect upon the formation of feces and their evacuation. Bran is an excellent source of these insoluble fibers and explains the popularity of bran breakfast cereals, muffins, and other products among individuals experiencing constipation and diverticulosis. Soluble fibers can contribute to mass and moistness of feces but not to the same extent as insoluble fiber. However, it is important to recognize that both types of fibers are beneficial and should be sought out for general digestive health.

Gastrointestinal function and disease

Constipation Constipation is a disorder of motor activity of the large bowel traditionally defined in terms of bowel frequency. The main symptom in constipation is straining at defecation, and discomfort, distension and incomplete rectal emptying are all considered part of the condition. Total gut transit time is generally prolonged in constipated subjects. There are many causes of constipation, with diet one of the common reasons, particularly low-NSP diets, gluten-free diets, 'low-residue' diets and enteral feeds. Treatment of simple constipation is usually in the first instance by dietary means. The principle is to increase fermentable carbohydrates in the diet, especially NSP from whole-grain cereals. Thus, diet has a major role to play in controlling bowel habit. The cause of IBS is unknown but it occurs in many patients following dysentery or antibiotic use. In addition, patients often volunteer that specific foods upset them (food intolerance) and stress is clearly...

Eat Your Fruits and Vegetables

The advice you've likely given kids applies to you, too Eat your fruits and vegetables Colorful and nourishing, they're mostly nutrient rich and provide plenty of phy-tonutrients. Along with their many health-promoting benefits, their fiber can help overcome constipation. Their potassium may help counter the effects of sodium on blood pressure, and their antioxidants may provide anti-aging properties that may reduce disease risk.

Have You Ever Wondered

Iron supplements during pregnancy may cause side effects such as nausea, constipation, and appetite loss. If that happens, try taking the supplement with meals even though the iron may not be absorbed as well. Then make sure you eat more food sources of iron. A lower dosage might help, too talk to your doctor.

Digestion Bowel Movements and Other Pleasant Topics

It will come as no surprise to my older readers to learn that improper digestion is one of the most frequent health complaints in those of us who have reached the golden years. Such difficulties can include dyspepsia, chronic nausea, bloating, weight loss, and chronic constipation. A major reason for constipation is simple dehydration. Most studies have shown that the elderly are frequently dehydrated, a main cause of which is their desire to reduce the number of trips to the bathroom especially at night. As a result, fluid intake in this group is severely inadequate, which causes increased dehydration of the bowel, leading to constipation. A main function of the large bowel is reabsorption of water. Normally, we absorb about one liter of fluid from the bowel a day. When dehydrated, we absorb even more water from the bowel and excrete less in the urine.

Iron deficiency anemia and pregnancy outcomes

During the first trimester of pregnancy in poor women improved birth weight, lowered the incidence of prematurity, but did not alter the incidence of SGA deliveries 38 . The timing and dose of supplementation, as well as the frequency of supplementation, are important considerations in interventions during pregnancy 7, 39 . Large and frequent doses of iron as usually prescribed in the United States (Table 16.3) are frequently associated with complaints of constipation, dark stool, and gastrointestinal (GI) upset. Alternative strategies include nondaily supplementation at a much lower dose, delayed release supplements, and forms of iron salts that are less irritating to the GI tract. Since it is unlikely that dietary intakes alone will meet the iron requirements during pregnancy, it is imperative that cost-effective supplementation vehicles be developed that avoid these side effects while maintaining a positive iron balance. A number of side effects occur with nearly all of these iron...

Poison Toxin Sources

But slowly in mature people Acute lead poisoning Colic, cramps, diarrhea or constipation, leg cramps, and drowsiness The most severe form of lead poisoning, encountered in infants and in heavy drinkers of illicitly distilled whiskey is characterized by profound disturbances of the central nervous system and permanent damage to the brain damage to the kidneys and shortened life span of the erthrocytes Chronic lead poisoning Colic, constipation, lead palsy especially in the forearm and fingers, the symptoms of chronic nephritis, and sometimes mental depression, convulsions, and a blue line at the edge of the gums

Phosphorus and Calcium

Towards the end of the 1960s, the use of antacids such as aluminum hydroxide and aluminum carbonate became common, taking advantage of one of its side effects which was the absorption of phosphorus in the gut (37). Dietitians welcomed this new therapy as the renal diet could be liberalized, while severe bone pain and intense itching were relieved. Binders containing a mixture of aluminum and magnesium were used in some areas. These products reduced constipation and it was thought that higher magnesium levels decreased the muscle cramps that frequently occurred during dialysis. Antacids containing calcium carbonate were regarded as ineffective during this time period (38).

Dietary and Lifestyle Changes

A woman's intake of dietary fiber must be increased during menopause to prevent constipation. This objective can be accomplished by following the Dietary Guidelines for Americans, which recommend consuming six servings of whole grains and cereals, three to five servings of vegetables, and two to four servings of fruit per day. Exercise is also very important for all older individuals. Thirty minutes of moderate daily exercise, such as speed walking, is recommended. Other exercises, such as flexibility and strength training to maintain lean muscle mass and bone density, can be very helpful if done two to three times a week. see also Women's Nutritional Issues.

Weight Loss Drugs and Supplements

In order to do so these drugs must increase one or more chemicals in the brain that affect appetite, namely serotonin. Phen-fen coupled phentermine with fenfluramine, an amphetamine which was removed from the market in 1996 because of an increased risk of cardiovascular complications. Side effects of sibutramine can include mild increases in blood pressure and heart rate, headache, dry mouth, constipation, and insomnia. Phentermine along with other appetite suppressants (phendimetrazine (Bontril, Plegine, Prelu-2, X-Trozine, Adipost) and diethylpropion (Tenuate, Tenuate dospan) can cause sleeplessness and nervousness.

Foundations for practical nutritional information

A number of health and disease end-points, affecting a large proportion of the population, need to be addressed in developing healthy foods. Some, such as cardiovascular disease, colorectal cancer, osteoporosis, and constipation are associated with a combination of ageing and unhealthy dietary patterns. Others, such as obesity, are largely the result of food processors and marketers successfully providing foods that appeal to the basic human preferences for sweetness and fats, in all age groups. It would be best to design foods with a number of endpoints in mind, and evaluate them with a battery of tests to demonstrate nutritional balance. Producing foods for specific functions or using foods as medicines risks unbalanced nutrient intake. Various large bowel disorders including constipation, diverticulosis, colorectal cancer.

After dietary assessment recommend nutrient supplements for vegan diets which are found to be nutrit

The definition of constipation in early childhood is elusive (Forsyth et al., 1985). Stool patterns vary normally from child to child. In infancy, true constipation is infrequent. There is wide variation in the normal number of bowel movements per day, ranging from a bowel movement days apart, to one after each feeding (Rappaport and Levine, 1986). Normal bowel function occurs even when an infant appears to be in extreme discomfort as evidenced by straining and reddening of the face. There is no evidence that inadequate fluid or carbohydrate intake is the cause of constipation in infants nor is there evidence that treating constipation with fruit juices or corn syrup is efficacious. Educating parents about the wide variation in normal bowel function seems essential for avoiding the overtreatment of normal variants.

Specific food allergies

There is increasing recognition that wheat products may play a disproportionate role in inducing intestinal dysmotility, such as gastroesophageal reflux and constipation. There are also reports that wheat and cow's milk may induce behavioral effects, possibly because of their natural content of morphine-like exorphins such as P-casomorphine and gliadomorphine.106,107 While this may also contribute to constipation, such a response would technically be an intolerance rather than a true allergy. However, further work is clearly needed in what is a poorly understood but potentially important area.

Nutritional intervention

This multidisciplinary approach and intervention lasted for 1 year and resulted in an increase of energy intake from 1349 kcal to 1598 kcal. The normally fed group changed from 1673 to 1683 kcal day. Protein intake increased from 50 to 67 g and in the normally fed from 73 to 79 g day. Carbohydrates increased in the undernourished from 170 to 212 g day, and in the well nourished from 189 to 208 g day. Fat increased from 52 to 54 g day, in the well nourished it declined from 70 to 60 g day. Linoleic acid went from 6 to 10 g day, and in the well nourished 8 to 9 g day. Fiber increased from 11 to 26 g day and in the well nourished from 18 to 31 g day. Water increased from 1077 to 1167 ml day, and in the well nourished from 1401 to 1437 ml day. After 1 year, the BMI improved from 18.8 to 19.3 kg m2, triceps skin fold did not change, 0.98 to 1.03 cm, and the upper arm muscle circumference increased from 19 to 20.1 cm. Nutritional deficiencies (in percentage less than two-thirds of the daily...

What Is Celiac Disease

When the body is unable to absorb important nutrients from food (a condition called malabsorption), several conditions may arise. These may include gastrointestinal symptoms such as diarrhea, gas, bloating, and constipation. Other conditions may develop as well. For example, people with celiac disease may experience anemia (low levels of hemoglobin in the blood) caused by the body's inability to properly absorb the mineral iron or the vitamin folate, bone disease (caused by the body's inability to properly absorb the mineral calcium and or vitamin D), and weight loss (because the body cannot properly absorb calories from the macronutrients fat, protein, and carbohydrate).

Bingeing purging and starving Unhealthy relationships to food

But bulimic people don't want to keep the food they eat in their bodies. They may use laxatives to increase defecation, but the more common method they use for getting rid of food is regurgitation. Bulimic people may simply retire to the bathroom after eating and stick their fingers into their throats to make themselves throw up. Or they may use emetics (drugs that induce vomiting). Either way, danger looms.

Overweight Concern Wrestlers

A concern about some form of overweight is common in most sports events where certain weight categories are in place (Table 1). Wrestling, particularly, has been subject to a great number of studies that have dealt with body composition, eating habits and weight loss regimens. A number of these studies have focused on the impact that rapid weight loss may have on various physical performances parameters. Some excellent reviews and discussions can be found in references 382-386. Basically the following findings have been reported. The primary methods of weight loss are diet manipulation by using well balanced diets, fasting and reduction or elimination of fluid intake. Other measures are aerobics to reduce body fat, dehydration via thermal exposure (sauna, hammam) or exercising in nylon suits or multiple layer clothing. The use of diuretics, laxatives, colon cleaning procedures and very low caloric diet (VLCD) products has also been reported. Some reports mention that a low percentage...

What To Do Leading Up To WeighIn

Laxatives and GI Waste If more GI waste needs to be cleared, the use of a mild laxative can help. Several laxative tea mixtures are available to gently stimulate your GI to expel feces and waste. Begin taking your laxative about 2 days out from your weigh-in (when you start to cut back on water intake). But be careful, use only mild laxatives. The use of strong laxatives or the abuse of laxatives can lead to a diarrhea that persists until competition day. So stick with the fiber and if you're still not regular, add in some laxative teas.

Subclinical Eating Disorders

The term subclinical eating disorder is frequently used to describe individuals, athletes and nonathletes, who have considerable eating pathology and body weight concerns, but do not show significant psychopathology or fail to meet all of the DSM-IV criteria for anorexia nervosa, bulimia nervosa, or eating disorders not otherwise specified 18,19 . Many athletes who report using pathogenic weight control methods (eg, laxatives, diet pills, and excessive exercise) do not technically meet the criteria for a clinical eating disorder 19 .

Clinical Eating Disorders

Episodes of binge eating (ie, consuming a large amount of food in a short period) followed by purging (via laxatives, diuretics, enemas, or self-induced vomiting) that have occurred at least twice a week for 3 mo A sense of lack of control during the bingeing or purging episodes Severe body image dissatisfaction and undue influence of body image on self-evaluation Eating disorders not otherwise specified (EDNOS) All the criteria for anorexia nervosa are met except amenorrhea

Binge Eating Disorder A More Common Problem

Binge eating disorder (BED), different from occasional overindulging, is the uncontrollable eating of large amounts of food in a short time. Unlike bulimia, a person with BED usually doesn't purge, fast, abuse diuretics or laxatives, or overexercise. Estimates suggest that 2 percent of Americans (as many as 4 million) have this disorder many are obese or overweight.

Step A for sports with SHORT intervals between weighin and competition

However, if this increase in fiber isn't enough, several laxitive tea mixtures are available to gently stimulate your GI to expel feces and waste, creating a rapid weight loss that will not negatively affect performance - as long as you begin them 2-3 days out from your competition. With this 2-3 day buffer zone you can make the necessary changes to ensure the laxatives don't have a negative effect. For example, if your laxative appears to be too strong (i.e. causes large weight loss or diarrhea), simply reduce your intake of it or stop altogether. The use of strong laxatives or the abuse of laxatives can lead to diarrhea, mineral, and water loss. As we've been talking about, too much mineral and water loss Also, at the same time you begin your fiber and or laxatives, begin taking a natural herbal diuretic like dandelion root. Diuretics stimulate the kidneys to excrete more water than normal, leading to body water losses. Since dandelion root is a natural, gental diruretic that slowly...

Keep the immune system working properly

Very high doses of magnesium supplements can cause diarrhea. Especially in the elderly, they can also cause problems with the kidneys because the kidneys are trying to remove excess magnesium. The elderly are at risk of magnesium tox-icity because kidney function declines with age and they are more likely to take magnesium-containing laxatives and antacids.

Nutritional Assessment

The initial assessment takes into account the diet history of the woman as well as any symptoms or problems that might hinder adequate intake. Typical dietary, appetite, gastrointestinal symptoms (i.e., nausea, vomiting, diarrhea, and constipation), difficulty with chewing and swallowing, food allergies, ethnic and cultural food practices, and household food security should be considered and included in the assessment. Furthermore, all medications and supplements as well as complementary therapies should be investigated in order to determine possible drug-nutrient interactions.

Functional nonretentive fecal soiling

Structural or inflammatory disease and in the absence of signs of fecal retention. Many studies performed in encopretic children assumed that these children were constipated. Therefore, the new definition of encopresis or functional non-retentive fecal soiling states that this is a separate entity. Although in the current literature sometimes a difference is made between soiling (loss of small amounts of feces due to overflow) and encopresis (normal bowel movement) the terms are used interchangeably. Sometimes the term solitary encopresis is used in a research environment the children who presented for constipation with soiling and encopresis (around one in three) proved to have solitary encopresis or functional non-retentive fecal soiling without any sign of constipation, and needed a different treatment strategy.4

Prevalence of Low Energy Availability and Disordered Eating in Athletes

3.3 and 2.4 of the athletes self-reported a diagnosis of clinical anorexia and bulimia nervosa 15 and 31.5 of the athletes scored above the designated cutoff scores on the EAT-26 and EDI-BD None of the men met the criteria for anorexia or bulimia nervosa 1.1 of the women met the criteria for bulimia nervosa. 9.2 of the women and 0.01 of the men met the criteria for subclinical bulimia 2.8 met the criteria for subclinical anorexia. 5.5 of the women and 2 of the men reported purging (vomiting, using laxatives or diuretics) on a weekly basis 1.3 , 8 , and 8.2 were diagnosed with anorexia nervosa, bulimia nervosa, and anorexia athletica 21 (n 21) of the female athletes were classified at risk'' after the initial screening. Results of the clinical interview indicated that 2 met the criteria for anorexia nervosa, 6 for bulimia nervosa, 8 for eating disorders not otherwise specified (EDNOS) and 4 for anorexia athletica

Stomach Yin Vacuity Wei Yin Xu

Lack of appetite, lethargy, afternoon fever or heat sensation, constipation (dry, hard stools), dry mouth, thirst without the desire to drink, drinking in small portions, bloating after eating, minimal to moderate pains in the solar plexus (epigastrium), bleeding gums. Stomach yin vacuity calls first and foremost for a change in dietary habits and the right food choices. These two therapy approaches will produce significant improvement after just a few weeks or months. Patients will subjectively experience a distinct improvement of stomach disorders and a general increase in strength and vitality. Appropriate lifestyle and diet can eliminate stomach disorders permanently. Restoring stomach function often resolves other disorders brought on by a deficiency of liquids and body fluids. Dietary therapy is especially well suited for alleviating symptoms in women with gynecological disorders rooted in blood vacuity. Elderly people often find a distinct improvement of long-lasting...

The Food Guide Pyramid

Servings Fruit

You may have heard of the national campaign to increase the amount of fruits and vegetables eaten by all Americans. This campaign, called 5-a-Day has been adopted by all military services. Its purpose is to encourage people to eat at least five servings of fruits and vegetables each day. Following this program can add needed vitamins and minerals to your daily food intake cut your risk of heart disease, cancer and digestive diseases help control cholesterol prevent constipation and can help manage your body weight and percent body fat. Additionally, many fruits and vegetables contain antioxidants (see the Glossary) and other nutrients that are beneficial to your health. Ideas to help you incorporate more fruits and vegetables in your diet can be found in Appendix A.

Diagnosis with differential

Hirschsprung Disease Rectal Manometry

For the diagnosis of Hirschsprung's disease, the subject's history is very important. The crucial elements to obtain are the age of the appearance of symptoms whether the passage of meconium has been normal or delayed and whether the child presented with episodes of functional intestinal obstruction. In addition, a functional (idiopathic) megacolon must be ruled out. A clinical comparison between functional and congenital megacolon is shown in Table 17.1. When the history (early onset of constipation, absence of fecal soiling) and or the physical examination (empty rectal ampulla) suggests an organic cause, anorectal manometry should be performed. Barium enema is helpful in the assessment of a transition zone between aganglionic and ganglionic bowel, and in giving an estimation of the length of an aganglionic segment. Demonstration of the transition zone is easier if no effort is made to cleanse the bowel (Figure 17.3). In the newborn, dilatation of the proximal ganglionic bowel may...

Spectrum of Menstrual Function

And a reduction in bone mineral density. Increases the risk of nutrient deficiencies. Promotes glycogen depletion, resulting in poor exercise performance Typically function by suppressing appetite and may cause a slight increase in metabolic rate (if they contain ephedrine or caffeine). May induce rapid heart rate, anxiety, inability to concentrate, nervousness, inability to sleep, and dehydration. Any weight lost is quickly regained when use is discontinued Weight loss is primarily water, and any weight lost is quickly regained when use is discontinued. Dehydration and electrolyte imbalances are common and may disrupt thermoregulatory function and induce cardiac arrhythmia Laxatives or enemas Weight loss is primarily water, and any weight lost is quickly regained when use is discontinued. Dehydration and electrolyte imbalances, constipation, cathartic colon (a condition in which the colon becomes unable to function properly on its own), and steatorrhea (excessive fat in the feces)...

Biochemistry And Bioavailability Of Carvocrol

Competition, 289 Complementary proteins, 199 Connecticut Tumor Registry, 69 Conservation tillage, 446 Constipation, 256 Copper-rich manure, 453 Coronary artery disease (CAD), 256, 257 Coronary heart disease (CHD), 34, 92, 350, 382 decreased death rates from, 291 mortality rates, in Western vegetarians, 44 Coronary heart disease, vegetarianism, coronary risk factors, and, 33-54 topics requiring more research, 46-48 CHD in vegans, 46-47 CHD in vegetarian South Asians, 47 n-3 fatty acids, 47-48 vitamin B12 and homocysteine, 47 vegetarianism and coronary heart disease, 43-46

Hirschsprungs disease

This condition is characterized by the absence of enteric neurons and hypertrophy of nerve trunks in the distal bowel always involving the rectum and for a variable distance proximally. There is an absence of peristaltic activity in this aganglionic segment resulting in symptoms of intractable constipation. The bowel proximal to the agan-glionic segment contains ganglionated cells, and peristaltic activity is normal. However, in the so-called transitional zone, immediately proximal to the aganglionic segment, neuronal cells may exist but they are commonly of abnormal architecture and the intestinal peristalsis is abnormal. This zone is of fundamental importance when considering surgical treatment of this disorder.

The two kinds of dietary fiber

By moving food quickly through your intestines, insoluble fiber may help relieve or prevent digestive disorders such as constipation or diver-ticulitis (infection that occurs when food gets stuck in small pouches in the wall of the colon). Insoluble fiber also bulks up stool and makes it softer, reducing your risk of developing hemorrhoids and lessening the discomfort if you already have them.

Normal anatomy and physiology of anorectal function

Training is essential when a child tries to defecate without a sensation of urge (e.g. during toilet training). During the process of toilet training the child starts to obtain control of these complex mechanisms in the defecation process. The will of the child seems to be a crucial factor in this process. Aberrations in these complex interacting mechanisms might lead to clinical signs and symptoms of constipation and fecal incontinence. The patho-physiological mechanisms of these clinical entities are largely unknown. In the past decades, only little progress has been made in resolving these mechanisms.11

Major Minerals Include Calcium Phosphorus and Electrolytes

Based on this it is possible for people to exceed the AI. Although the efficiency of calcium absorption decreases as more is ingested and body calcium status is optimal, this can still lead to increased entry of calcium into the body. The Upper Limit (UL) has been set at 2,500 milligrams for children and adults, a level that is usually only achieved with the assistance of supplementation. Beyond this intake level the risk of undesirable effects increases, and can include loss of appetite, nausea, vomiting, constipation, abdominal pain, dry mouth, thirst, and frequent urination. In addition, since most forms of kidney stones are calcium oxalate, higher levels of calcium in the urine can increase the risk of kidney stones in people prone to them. Very high intakes of calcium from supplements and usually in combination with calcium-containing antacids, over time, can lead to increased calcium content in tissues such as muscle (including our heart), blood vessels,...

Protein Differences Between Omnivores And Vegetarians Or Vegans

A varied diet based on plant proteins is adequate, yielding growth and body maintenance results equivalent to a diet based on meat protein.39 The lower incidence of obesity, constipation, lung cancer, hypertension, coronary artery disease, type 2 diabetes, gallstones, reduced risk of breast cancer, diverticular disease, colon cancer, calcium kidney stones, and osteoporosis appear to be obvious advantages particularly of the well balanced vegan diet for the elderly.3,39,40 Key et al.,40 (Table 11.1) show the protective effect of daily fresh fruit intake in ischemic heart disease, cerebrovascular disease, and lung cancer, and daily raw salad protection for ischemic heart disease. They also presented a higher incidence of breast cancer in the vegetarian women, but the confidence interval was broad. The smokers in their study population demonstrated a higher rate of ischemic heart disease, cerebrovascular disease, and, of course, lung cancer, to emphasize the disease problems associated...

Clinical presentation

The functional diagnosis of constipation Constipation, in approximately 5-10 of the patients, is a symptom of an underlying disorder. In the remaining 90-95 of the patients constipation is idiopathic. This label implies that no clear underlying mechanism explains the defecation problem. The differential diagnosis is large, but it is highly unlikely that one of these diagnoses is missed on clinical grounds, and therefore investigations should be limited and approached cautiously. The main presenting symptoms of constipation in children are a combination of a low defecation frequency and soiling or encopresis. The latter occurs several times a day and, in severe fecal retention, also at night. If specifically asked, most children will report production of a large amount of stools, which might clog the toilet with the frequency of once a week or once a month. Often, the evacuation of such large amounts of stool is preceded by an increase of soiling frequency. At physical examination in...

Disorders of the enteric nervous system

Primary visceral neuropathies can be subdivided into familial neuropathies, where a distinct pattern of inheritance is known, and sporadic cases, in which there are distinctive clinical and morphological findings. In this chapter, Hirschsprung's disease, which is clearly a primary visceral neuropathy, will not be discussed. A number of neuropathic motility disorders, including those that present with slow-transit constipation, remain unclassified, although most frequently degenerative changes are found in the enteric neurons. as an autosomal dominant trait.39 The age of onset may differ within the same family, but in general symptoms develop after infancy. Most patients present with severe slow-transit constipation associated with abdominal distension and colicky pain. In about half of the patients severe episodes of functional obstruction have occurred which have required decompression. To date, there have been no descriptions of any associated abnormalities, such as extrinsic...

Normal physiology

The Rome II criteria are currently used to define childhood constipation based on the presenting symptom profile. Two subgroups, namely functional constipation and functional fecal retention, are distinguished. Functional constipation is defined as follows in infants and children at least 2 weeks of scybalous, pebble-like hard stools for a majority of stools or firm stools two or fewer times week and no evidence of structural or metabolic disease.2 main difference between functional constipation and functional fecal retention is the occurrence of retentive posturing in the latter. Retentive posturing is the behavioral withholding of stool during the sensation of urge, which, according to the authors of the Rome II criteria, mostly results from painful defecation. However, the Rome II criteria exclude a very common and major symptom of constipation, namely fecal soiling (if substantial called encopre-sis), which is not included in the definition. Therefore, to study constipation in...

Epidemiology

Constipation is a common disorder in Western societies. Survey estimates of the prevalence of constipation in childhood vary between 2 and 15 . The average prevalence of constipation increases from childhood (2 ) exponentially to 15 in adults. It is estimated that a general practitioner will see 20-30 children with constipation per year in an average practice of 2500 patients. Around 3 of a pediatrician's practice consists of children with chronic constipation. For the pediatric gastroenterologist, consultation rates vary between 10 and 20 . Thus, a substantial number of children have constipation,1 and this problem is of paramount practical importance for physicians.

Clinical features

In the neonatal period the disease should be considered in any infant who fails to pass meconium in the first 48 h of life. The usual presentation in the neonatal period is with constipation, abdominal distension and eventually vomiting during the first few days of life. More severe symptoms may be present in the neonatal period including those of gastrointestinal obstruction, enterocolitis (see below) and rarely perforation. Later in infancy symptoms of intractable constipation may signify the presence of Hirschsprung's disease.

Other molecules

From the pathophysiological point of view, pro-kinetics seems a logical therapeutic approach. However, efficacy data for the whole group of prokinetic drugs are disappointing. Cisapride was shown to have some efficacy in esophageal acid-exposure duration,135 but it is now banned because of cardiac side-effects. Prucalopride, a 5-HT4 agonist, as been suggested has a possible option, but although the drug seems effective in adult constipation,136 its use was prohibited for children because of the extrapyramidal side-effects. Ondansetron is a 5-HT3 receptor antagonist that accelerates gastric emptying, inhibits chemotherapy-induced emesis, but prolongs colonic transit time.137 The most frequently reported adverse events of ondansetron were mild to moderate headache, constipation and diarrhea in patients receiving chemotherapy. Tegaserod is a partial 5-HT4 agonist that has been mostly studied in constipation-predominant irritable bowel syndrome in adults.138 Tegaserod was shown to...

Diverticular Disease

Diverticular disease is really two conditions. Diver-ticulosis is a condition in which pouches, called diverticula, develop in the weakened walls of the intestine, most often the colon. Diverticulosis is linked to an overall eating approach that's low in fiber. Constipation makes the problem worse. These pouches can become inflamed and infected from bacteria in feces that get trapped there a health problem called diverticulitis. The majority (about 50 percent) of Americans ages sixty to eighty have diverticulosis just about everybody does after age eighty. For diverticulosis eat plenty of high-fiber foods keep waste moving through the intestines to avoid constipation. A high-fiber diet is likely the only treatment you need. Nuts and seeds are likely okay to eat. Studies don't support a link between inflammation of the diverticula and eating nuts and seeds. See chapter 6 for more about dietary fiber.

Pit Stops

Gastrointestinal (GI) problems such as constipation or diarrhea are common among athletes. If you've ever been plagued by one or the other during training or competition, you know how worrisome this is and how much it can interfere with top performance. That's why most athletes go to great extremes to promote regular bowel movements. People who fear becoming constipated should faithfully eat fiber-rich cereals and breads and plenty of fresh fruits and vegetables to help prevent constipation, drink warm liquids in the morning to encourage regular bowel movements, and drink more than enough fluids. If you struggle with rapid transit, you should try to determine what triggers the diarrhea by carefully charting for weeks every food and fluid you ingest, as well as the times you exercise and the times you have diarrhea. Be sure to include sugar-free gum and candies that contain sorbitol, a type of sugar that can cause gastrointestinal problems if taken in excess.

Todays Grains

Today's grains are full of health benefits. Many whole grains are good fiber sources that help to protect against heart disease, but also constipation, diabetes, and diverticular disease, along with other phytonutrients they also supply B vitamins (including folate), vitamin E, and trace minerals such as copper and zinc. Refined grains are enriched with vitamins and minerals. What's more, all grains are rich in starches (complex carbohydrates) and low in fat. The fat they supply is mostly unsaturated a heart health benefit. Seeds such as amaranth and wild rice are high in protein and often are used as grain substitutes.

Dietary fiber

Soluble dietary fiber, such as the pectins in apples and the gums in beans, mops up cholesterol and lowers your risk of heart disease. Insoluble dietary fiber, such as the cellulose in fruit skins, bulks up stool and prevents constipation, moving food more quickly through your gut so there's less time for food to create substances thought to trigger the growth of cancerous cells. (Turn to Chapter 4 to find out how much dietary fiber you need to get each day and to Chapter 8 to read everything you ever wanted to know about dietary fiber maybe even more.)

Exercise

Exercise aids digestive function, helps reduce constipation, reduces stress, helps with muscle tone, helps maintain a healthy weight and decreases cardiovascular disease risk. One of the benefits that is particularly helpful for detoxing is increased circulation - both blood circulation and lymphatic flow. This helps reduce fluid retention and encourages the lymphatic system to move toxins through the body to be eliminated.

Eat What You Crave

Since people usually don't stay with them, there's usually no long-term weight loss. They also may result in fatigue, constipation, nausea, diarrhea, or hair loss. For people with some health problems, such as insulin-dependent diabetes or kidney disease, a very-low-calorie liquid diet can be harmful.

Types of Fiber

Complex carbohydrates, which are a major source of energy for the body, are comprised of two main classes starch, which is digestible, and fiber, which is generally not digestible. There are also two kinds of fiber insoluble and soluble. Insoluble fiber, found in wheat bran and some fruits and vegetables, cannot be dissolved in water. This type of fiber is made up of cellulose and hemicellulose, substances that offer rigidity to plant material (e.g., the peels and skins of fruits and vegetables, wood, stems, and the outer coverings of nuts, seeds, and grains). Insoluble fiber acts as a natural laxative, giving stool the bulk necessary to move quickly through the gastrointestinal tract. In addition to preventing constipation and hemorrhoids, insoluble fiber may also reduce the risk of colon cancer by speeding the passage of food through the digestive tract.

Digestive System

Liver function also declines in older adults, decreasing clearance of many drugs and increasing the potential for adverse drug-nutrient interactions (see appendix I). Constipation is a common complaint in older adults. Immobility, dehydration, and foods low in fiber contribute to this problem. Increasing physical activity, consuming more dietary fiber - eating whole-grain products, legumes, fruits, and vegetables - and drinking from six to eight glasses of water per day is beneficial. Additional vitamin C (0.5 g-1.0 g) per day may also help soften and ease passage of the stool.

Acrid Flavor

Fj People with heat symptoms should assiduously avoid acrid flavors Excess causes heat symptoms and can impair the skin (dryness, allergies, itching skin, sun allergy). Through the controlling cycles, acrid flavors can damage mostly liver and gallbladder (ascendant liver yang, or gan yang shang kang, for example irritability, hyperactivity, sleep disorders.) Acrid flavors disperse spirit ( shen ), resulting in inner restlessness, hyperactiv-ity, and sleep disorders. Via the engendering (sheng) cycle, kidney essence may overheat, causing exaggerated sexual desire, sexual compulsions. May weaken muscle tone and cause dryness in large intestine (constipation).

Parasites

By far the greatest variety of parasites afflicting the present population of the Western world comes from animal foods. Almost every variety of commercial meat available is loaded with parasitic worms. Also, parasites are present in tainted water sources. Parasites thrive in an unhealthy body. They feed on excessive toxicity (constipation) in the colon, particularly cooked starch and decaying cooked animal foods. In that way they are somewhat beneficial they help detoxify the colon by breaking down substances the body cannot deal with into waste the body can eliminate. However, when the body becomes so weakened from a toxic lifestyle that the parasites breach the digestive tract and enter the internal organs of the body, major problems arise. Liver flukes, pancreatic flukes, eggs in the brain tissue, eggs in the liver (occasionally mistaken as liver cancer), etc., all have their role in the manifestation of the major diseases.

Treatment

Patients with constipation.124,125 Fiber may also decrease intraluminal pressures, reducing wall tension and pain.126 In committed families wishing to increase dietary fibers, the change should be attempted gradually, as the excess of undigested carbohydrates in the colon results in fermentation with consequent increase of gas, aggravating IBS symptoms.127 Frequently, non-pharmacological strategies alone fail to bring complete relief to IBS patients, necessitating pharmacotherapy (Table 14.4). Laxatives Patients with severe constipation may find relief by combining fiber with a laxative. It is our preference to use polyethylene glycol or a senna derivative, but other laxatives may be used according to the practitioner's preference. Lactulose should be avoided, as the increase of gas production derived from its use may trigger pain. symptoms in adult patients with functional bowel disorders.128 SSRIs have become the most frequently prescribed antidepressant medications, owing to their...

Adult Nutrition

Constipation difficulty passing feces It is usually at this age that young adults start gaining body fat and reducing their physical activity, resulting in an accumulation of fat in the abdominal areas. This is an ever-increasing risk factor in the population of the United States, where obesity is not only a problem in adults, but also in children. It is believed that the high level of obesity in the United States is mostly due to bad dietary practices such as eating a high-fat, low-complex carbohydrate (low fiber) diet, including excessive amounts of meat. The indulgence in fast foods and a lack of regular physical activity are major factors. Obesity is a risk factor for other degenerative diseases, such as type II (adult onset) diabetes, diseases of heart and circulation, and certain cancers. Another nutritional problem related to eating such a diet is constipation, due to low-fiber diets. This may result in hemorrhoids, diverticulosis, appendicitis, and other more serious diseases...

Dietary Fibre

Although it is true that it has no actual energy value, it nevertheless plays an extremely important role in the digestive process. The cellulose, lignin, pectin and gums that it contains ensure good intestinal function, and lack of dietary fibre is the cause of most cases of constipation. Moreover, fibre is very rich in vitamins, major minerals and trace elements 4 , without which serious deficiencies can occur.

Vegetarian Diets

What are the health benefits of a vegetarian or semivegetarian diet Vegetarians are less at risk for heart attack and diabetes.41 The risk of vegetarians suffering a heart attack is around two-thirds lower than that of meat eaters.42 High blood pressure, obesity, and high blood cholesterol are also less likely in vegetarians. Vegetarians suffer less from many digestive disorders, including gallbladder disease, constipation, and colon cancer.4143 Studies in

Future trends

Roma E, Adamidis D, Nikolava R et al. Diet and chronic constipation in children the role of fiber. J Pediatr Gastroenterol Nutr 1999 28 169-174. Malcolm A, Phillips SP, Camilleri M et al. Pharmacological modulation of rectal tone alters perception of distention in humans. Am J Gastroenterology 1997 92 2073-2079. Anderson JW, Smith BM, Gustafson NJ. Health benefits and practical aspects of high fiber diets. Am J Clin Nutr 1994 59 1242S-1247S. 140. Wagstaff A, Frampton J, Croom K. Tegaserod a review of its use in the management of irritable bowel syndrome with constipation in women. Drugs 2003 63 1101-1120.

Eating Disorders

An eating disorder results in inadequate intakes of kcals and nutrients to replenish the energy used during daily activities. Two common types of eating disorders are Anorexia Nervosa and Bulimia Nervosa. Some behaviors people with eating disorders engage in are starvation, self-induced vomiting, excessive exercise, and the misuse of laxatives or diuretics. Both disorders are extremely damaging to the mind and body, and, if untreated, can lead to death. These disorders can have long-term health consequences by affecting the heart, liver, kidneys, and bone. In addition, these behaviors severely limit physical and mental performance.

Potassium K

Although dietary potassium intake is by and large adequate to meet human needs, situations can place the body at risk for potassium deficiency. Persistent use of laxatives can result in a lowered body potassium level by decreasing the amount of potassium absorbed from the digestive tract. Furthermore, chronic use of certain diuretics used to control blood pressure may also result in increased urinary loss of potassium. Physicians will routinely monitor the potassium levels of patients following either of these prescribed protocols. People who frequently vomit after a meal, either involuntarily or voluntarily, can reduce potassium absorption. Finally, people following a very low calorie diet (VLCD) for extended periods of time need to be concerned about their potassium consumption along with levels of other nutrients as well.

Weight Loss Agents

Weight loss agents contain ingredients such as L-carnitine, which may prevent lactic acid accumulation but does not promote fat loss quercetin, an antioxidant that is important for the heart but does not aid the loss of body fat hydroxycitrate (a diuretic) ephedra caffeine, and senna and or cascara (herbal laxatives). Chitin, or chitosan (advertised as a fat trapper or fat blocker), is made from the shells of insects and shellfish and may lower cholesterol, but it also does not lower body fat levels. It can bind with calcium, iron, and magnesium and interfere with the absorption of Vitamins A, D, E, and K. Any weight loss experienced with the use of these products is primarily due to water loss associated with the laxative diuretic components.

Ann Reed Mangels

Summary A vegetarian diet, defined as an eating style that avoids meat, fish, and poultry, can be healthful and nutritionally adequate for a pregnant woman. Some vegetarians, called vegans, avoid dairy products and eggs as well as meat, fish, and poultry. Vegan diets can also be healthful and nutritionally adequate for pregnancy. Vegetarian diets can provide numerous long-term health benefits including a lower risk of cardiovascular disease, some forms of cancer, and hypertension. Key nutrients for vegetarian pregnancy include protein, iron, zinc, calcium, vitamin D, vitamin B12, iodine, and omega-3 fatty acids. Vegetarian women should also be counseled to follow standard weight gain recommendations. A vegetarian or vegan diet can meet requirements for all of these nutrients although in some instances, fortified foods or supplements can be especially useful in meeting recommendations. The nutrient content of supplements targeted to pregnant vegetarians should be evaluated to make sure...

Stomach Fire Wei Re

This repletion heat syndrome dries out body fluids, causing intense thirst, constipation, and a dry tongue. Subsequent upbearing heat in the stomach channel causes swollen and bleeding gums. The repletion condition also prevents stomach qi from downbearing, resulting in esophageal (sour) reflux. In extreme cases, stomach fire combined with phlegm can impair the spirit (shen). This can lead to disturbed sleep and psychological symptoms. Protracted exposure to extreme heat (fire) can damage stomach substance (yin damage, frustration). Burning and pain in solar plexus (epigastrium), thirst, craving cold beverages, excessive appetite, food cravings, bleeding gums, sour reflux, vomiting after eating, nausea, bad breath, constipation.

Summary

A life-style health advantage can be rated relative to improved mortality of those in other life-styles. Certainly, we must also relate to improved quality of life, or as reduced morbidity. Vegetarians, as health-conscious people, have reduced mortality from ischaemic heart disease, cerebrovas-cular disease, and all causes combined.40,41 More specifically, they experience reduced morbidity and mortality due to obesity, constipation, lung cancer, hypertension, Type II diabetes, and gallstones compared with omnivores.40 Diet and immune function are a very important part of the reduced mortality

Prognosis

Figure 16.1 Outcome with and without laxatives. Figure 16.1 Outcome with and without laxatives. one period of relapse. The relapses occurred more frequently in boys than in girls. In a subset of children aged 16 years and older, constipation was still present in around 30 , thus continuing into adulthood.42 1. van der Pias RN, Benninga MA, B ller HA et al. Biofeedback training in treatment of childhood constipation a randomized, controlled study. Lancet 1996 348 776-780. 3. Loening-Baucke V. Constipation in children. Gastroenterology 1993 105 1557-1564. 4. Benninga MA, Buller HA, Heymans HS et al. Is encopresis always the result of constipation Arch Dis Child 1994 71 186-193. 5. Loening-Baucke V. Factors determining outcome in children with chronic constipation and fecal soiling. Gut 1989 30 999-1006. Carlstedt A, Nordgren S, Fasth S et al. Sympathetic nervous influence on the internal anal sphincter and rectum in man. Int J Colorect Dis 1988 3 90-95. Sarna SK. Physiology and...

Etiology

Smooth muscle cells themselves or of the tumoral and endocrine environment. Good examples of the effect of disturbance of the endocrine environment are the ileus associated with vasoactive intestinal polypeptide-secreting tumors such as ganglioneuromas, and the constipation caused by hypothyroidism. These conditions will not be considered further here. A variety of diseases and drugs, which are listed in Table 18.1, may secondarily cause CIP. Such secondary disorders are much more common in adult life than in childhood. Primary disease of the gut neuromusculature may be due to disease of the enteric nerves or the smooth muscle cells or, at least theoretically, of the interstitial cells of Cajal. Surprisingly, there are virtually no descriptions of the primary pathology of interstitial cells of Cajal, which is said to occur in piebaldism, but there have been descriptions of alterations of these cells in hypertrophic pyloric stenosis and Hirschsprung's disease.14,15 Definite diagnosis...

Sugar

A diet heavy in hybridized sweet fruit can lead to constipation, especially if the individual is not highly active. Because excess sugar spills off into the urine, excessive urination can occur when the sugar is not being immediately utilized (due to lack of activity). Excessive urination leads to dehydration and a potassium overdose, behind which follows constipation. This process is accelerated if nuts are included in the diet (without greens) as nuts are more difficult to digest and slow digestion. If this process continues unabated, a minor diabetic condition will occur as the body is constantly urinating to spill off excess sugar. Too much sugar in the blood calls forth alkaline minerals, such as calcium, from the bones and tissues to buffer the acidifying effects of too much sugar. These minerals are also lost with the urine. So, excessive stimulation of the body by sugars (including hybridized sweet fruit) can not only cause constipation, but can leach minerals from the body in...

Bulimia Nervosa

Individuals with BN engage in binge eating episodes, followed by compensatory behaviors to prevent any increases in body weight. Purging behaviors include self-induced vomiting or self-prescribed use of enemas, laxatives, or diuretics. Nonpurging behaviors include fasting and excessive exercise. While clinically diagnosed BN occurs in approximately 5 of the female population, up to 20 of women have reported bulimic behaviors in their lifetimes 6, 7 . Clinical features of BN include Russell's sign, dental enamel erosion, dental caries, and enlargement of the parotid glands in those who use self-induced vomiting as a purging behavior. Use of enemas, laxatives, and diuretics as well as vomiting can lead to electrolyte imbalances, cardiac dysfunction, and other neurologic disorders. Gastrointestinal symptoms may range from constipation to esophageal or gastric rupture. In those who engage in nonpurging behaviors, electrolyte imbalances, renal and cardiac dysfunction, and gastrointestinal...

Beans and Tofu

Beans are some of nature's greatest foods they are rich in protein and contain little fat and no cholesterol. They help lower blood cholesterol, control blood sugar, fight cancer, reduce problems with constipation, build muscles (with their protein), fuel muscles (with their carbohydrate), and nourish muscles (with lots of B vitamins, iron, zinc, magnesium, copper, folic acid, and potassium).

Rapid Loading

Do not worry about constipation) prefer to eat very low fiber diets so that they have less intestinal fullness. They carbohydrate load on pretzels, juices, gelatin, sherbet, white breads, rice, and pasta. Through trial and error, you'll learn what works for your body. If you are worried about diarrhea, avoid fiber-rich foods before an event.

Diagnosis

To qualify for a clinical diagnosis of bulimia nervosa, binge eating and related compensatory behaviors must take place at least two times a week for a minimum of three months. Sufferers are classified into one of two subtypes the purging type, which employs laxatives, diuretics, or self-induced vomiting to compensate for bingeing, or the nonpurging type, which relies on behaviors such as excessive exercising or fasting to offset binges.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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