Atonic Constipation (Fig. 1)
Enteric Nervous System (ENS) contracts the large intestine and stools are transported to the anus. But if ENS is disturbed by some reasons and doesn’t work, the muscles become loose and can’t contract, stools can’t be transported to the anus.
Stools accumulate, the intestinal tract stretches more and more because it is loose, and the large intestine prolapses since it can’t resist the weight.
Irritant laxatives stimulate ENS directly and contract the intestines. This type of laxative is effective, but must not be used for a long period of time continuously.
A 63 years old woman suffering from constipation not only continued to use the irritant laxatives for 2 and a half years but also increased the dosage without consulting her doctor. The ENS was exhausted by daily stimulation with large amount of the irritant laxative and the muscles of the intestines became too loose to push stools forward, and stools accumulate, making the intestinal tract an abnormal form. As a result, she didn’t have a bowel movement for 10 days and fainted due to stress and anxiety about constipation. Her constipation was atonic constipation.
New Common Sense in Constipation
1. If you have bowel movements 3 times a week, you are not considered as constipation
Some people only have bowel movements in the weekend when they can be relaxed and don’t have bowel movements weekday when they are busy.
2. Don’t use irritant laxatives more than 2 times a week
It has turned out recently that 1-2 times use of irritant laxatives a week has no problems for the large intestine.
3. There is a laxative gentle to the intestines
Nonirritant laxatives collect water in the intestine and soften stools to make them easy to be eliminated. This type of laxatives doesn’t burden the intestine, so you can use every day as long as you are careful about the amount.
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