Wednesday 27 November 2013

Constipation of the blog was too hard to resolve!! Due to travel it was not possible. We are sorry for the delay!

Understanding constipation is important as it may be difficult to give various combinations and treatments on this platform. It is an individualistic treatment. Again it is a recurring problem. So underfstanding will help more than giving ready made solutions.

Physical activity is vital in the treatment of constipation. In modern life style physical activities are minimised. Sports are limited to certain age and exercising is also not very regular activity in the life. Competition is tremendous even sportsmen also face tough competition. They get constipation despite physical activities. So understanding about constipation is a combination of physical inactivity, mental stress and eating habits; all contribute to the constipation. Problems with central nervous system and bowel obstruction due to some tumor or some other surgical conditions which are rare and those conditions are not topics to be discussed here.

Management of constipation:

Food and food habits:
According to Ayurveda main meals to be taken twice daily. According to the tradition and Indian conditioning we incorporate all pulses cereals, fat and have together. This system is being changed now. This is mandatory as the life pattern is changed in many ways and drastically.
One thing is certain that one must eat when we feel hunger. Unless you have proper feeling for eating or to drink something, one must not  take anything orally. This must be mentioned because we eat according to the time and convenience. This habit of eating invariably disturbs digestion in long run. It may be important that you should not have feeling of hunger during important meeting or you should not be disturbed due to bowel motion, to have your presence in the meeting. But to have this comfort having belly full just before meeting though you are not hungry or moving bowel in morning with the help of strong purgative or with lot of straining is harmful.

If you are having constipation with sticky stools you should see the doctor to treat or rule out amebiasis and other conditions. But measures we are suggesting here may be useful for you. You should plan the treatment by a Friday considering you have a weekend to start with. Here we are doing two groups according to the place where we live. Either there the place is with lot of moisture due to rains, forest or due to coastal area. If moisture is high in the climate there are more chances that one has constipation with soft and most probably with sticky stools.

In such a climate physical activity is more important. Wheat may be a problem in this area not just because of Gluten but wheat itself can make constipation if not digested properly. Brown bread is an alternative but multi-grain or whole wheat bread maybe a better option. In coastal area in India grains like Ragi or Juwar may be the better choices. One must eat with fresh mint leaves, ginger and garlic. Green salad is important in coastal area or in humid climate. Taking small quantities of food and waiting for  hunger is more important. When digestion is complete body naturally discards the waste if we allow time for that. If we eat something then it gets postponed. Taking some water about two hours after lunch can help digestion. Taking water sip by sip along with food can control quantity of the food at the same time helps digestion. Taking large quantities of water with the food can hamper digestion. Quantity and bulk of the fecal matter depends upon the fiber content of the food.
 

Papaya, pomegranate, pineapple apples, pears, guavas may be some of the useful fruits. Black currants are important and may be taken regularly to have smooth bowels. 10 -20 per day must be taken to have its effect. Dried figs are also helpful in constipation. Eating spicy food in morning might prove useful in some people if we do not have hyper acidity or piles and fissure in ano.

Monday 4 November 2013

Understanding Constipation-3

Constipation may be caused by various reasons. There may be improper development of nerves in the intestines, there  can be hypothyroidism and so many uncommon conditions in children also. We are not considering such conditions over here.

When natural urge to evacuate is neglected then one can evacuate after you finish what you are doing. It must be consciously done. But if you do not do it then muscles get message, 'this is not a right way and time' and they stop giving alert! 

There is another common deliberate mistake (For knowing this term see the previous posts no 5) is eating again and again. If one keeps munching every now and then the indigestion becomes a cause for constipation. Even if you have received an alert  from your neuro-muscular system and you decide to evacuate after taking food. it is quite likely that the alarm stops. When there is an indigestion it is likely that the stools are not hard but sticky. This condition must be treated correctly. 

It is a common myth that water relieves the constipation. If it is taken in right quantity it will help otherwise it can spoil the system. Sometimes taking lot of water creates new disorders in the system. Anything that goes in and travels gastro-intestinal route, undergoes the digestive process. Taking banana, taking warm milk and ghee at bed time are also means to manage constipation. These measures may work for certain people in certain physical conditions. That is why Ayurveda treats the condition at individual level. Having apple is cause for constipation, is also a myth. Coffee or tea can make bowels constipated. Not only that these have capacity to hold back the toxins in the body. But Some have another effect on the bowels. Many of people get motions after taking tea in the morning. Here some other mechanism in the body that works i.e. gastro-colic reflex. Some get this action triggered by smoking. Because these stimulation stomach is exited and it gives some push to the large intestine. So the large intestine is set in action immediately. For such people even hot water also  should work but they are habituated to caffeine or nicotine so they need those drugs to help to evacuate bowels.

Eating stale food, stuff containing white flour, cheese, paneer, regularly and other fats in large quantity can slowdown bowel motions. It is mandatory that quantity has to be controlled properly.  Freshly prepared food taken when you are hungry then it will help the bowels to get organised. After proper digestion of food there has to be natural evacuation. Previously taking proper food twice spaced correctly was the way of eating. But it changed as per our modern routine.That used to be adjusted according to season and daily routine, was the proper way to eat. But now it is observed that some get acidity with this way. If one can tolerate this the problem can automatically be solved. But again this may not work for all. However it is logical that if one has food say around 10-12 in morning and by 7 to 8.30 in evening will help bowels.



Now we will discuss the management of constipation. But the effect will not be lifelong. One has to make essential correction according to the routine, season, etc. The figure above can be a guideline but we will discuss it in details in the next post!

Till then we can enjoy and relish our taste buds with festival special food. Happy Deepawali !!