How To Get Rid Of Hemorrhoids Quickly And Naturally Safe

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Functional gastrointestinal diseases, especially chronic constipation, are among the most frequent illnesses seen by gastroenterologists and account for up to one-half of patient care time. Chronic Constipation is a remarkably common occurrence and costly ailment that can severely impact the quality of life, and result in major social and economic burdens.

Constipation is a symptom-based disorder, and its definition is mainly subjective. In this regard, there is often a lack of consensus between physician and patient’s perception when defining constipation. To better characterize the condition, physicians conceive constipation objectively using defecation frequency, with a normal range of between three and 21 bowel movements per week. The definition of constipation has changed during the past decades, with the most recent Rome III criteria defining it as fewer than three bowel movements per week. Conversely, patients are more concerned with ease of passage and consistency rather than stool frequency. Several medical studies have also shown that the perception of constipation was frequently related to straining or hard stools. Interestingly, many individuals with fewer than three bowel movements per week do not consider themselves to be constipated, while others embrace the popular belief that ‘a bowel movement each day is necessary for good digestive health’. This individual perception of constipation is linked to millions of dollars spent on laxatives and stool softeners. In 1986, more than $200 million was spent on non-prescriptive laxatives. Unfortunately, this situation has not been ameliorated and constipation-related expenses continue to soar. Furthermore, the annual estimated expenditure of $800 million for laxatives in the United States (US) appears to be an underestimation because many patients purchase over-the-counter (OTC) preparations before escalating prescriptive medications.

Understanding the excretory system

Disorders of the pelvic floor manifesting with both constipation and disorders of incontinence are most prevalent in the elderly population. The pelvic floor comprises a group of muscles that have a crucial role in the process of defecation. Understanding the anatomy of the pelvic floor is essential to recognize its role in constipation. The functional anatomy of the pelvic floor consists of the pelvic diaphragm (levator ani and coccygeus muscles) and anal sphincters (external and internal), innervated by the sacral nerve roots and the pudendal nerve. Normal standard functioning of this neuromuscular unit allows for efficient and complete elimination of stool from the rectum.

Defecation occurs through a neurologically mediated series of coordinated muscle movements of the pelvic floor and anal sphincters. This process is complex, and dysfunction can lead to abnormal stool expulsion or obstructive defecation. Abnormalities in this process include failed relaxation of the pelvic floor, paradoxical contraction of the pelvic floor muscles, or the inability to produce the necessary propulsive forces needed in the rectum to expel the stool completely. Earlier studies of the pelvic floor in the elderly using anorectal manometry (ARM) did not show differences in anorectal function between the elderly and younger counterparts. However, other physiologic studies show various abnormalities with aging, such as decreased rectal compliance, increased urge thresholds for defecation, and decreased rest and squeeze pressures in the anal canal.

Suitable treatment

One possible way to solve the problem of chronic constipation is the usage of an assistive device such as a squat stool that can help ensure that the puborectalis muscle can be further relaxed for fecal waste elimination. In the excretory system, the colon transports the fecal waste products to the rectum for removal. Just before reaching the rectum for explusion, the colon has a natural kink that helps to maintain continence. Normal upright sitting positions will only partially relax the puborectalis muscle and this will to a certain extent, block the flow of fecal waste. As a result, most individuals stain and use excessive force to excrete their faeces. Some will also have hemorrhoids due to the constant strain. Actually, for some people who suffer from chronic hemorrhoids, instead of thinking how to get rid of hemorrhoids, it would be a good idea to think of how to eliminate constipation.

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