• 제목/요약/키워드: Improving constipation

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Fecal Retention in Overactive Bladder (OAB) in Children: Perspective of a Pediatric Gastroenterologist

  • Jeong, Su Jin
    • Childhood Kidney Diseases
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    • 제19권1호
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    • pp.1-7
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    • 2015
  • Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

The Effects of Interferential Current and Kaltenborn-Evjenth Orthopedic Manual Therapy on Functional Constipation

  • Koo, Ja-Pung;An, Ho-Jung;Koo, Hee-Seo;Park, Ji-Hwan;Kim, Suhn-Yeop;Kim, Yong-Kwon;Choi, Jung-Hyun;Kim, Soon-Hee;Min, Kyung-Ok
    • 국제물리치료학회지
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    • 제1권1호
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    • pp.45-51
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    • 2010
  • 2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

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정형외과 환자의 수술 후 변비 발생과 영향 요인 (Constipation in Patients following Orthopedic Surgery: Incidence and Influencing Factors)

  • 박정희;윤선옥;김선화;유미경;함은진
    • 성인간호학회지
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    • 제28권6호
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    • pp.637-645
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    • 2016
  • Purpose: The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery. Methods: The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day. Results: Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within $4.0{\pm}2.2days$ following surgery. Mean days of first defecation of constipation group vs. non-constipation group was $5.5{\pm}1.7days$ vs. $2.1{\pm}1.0days$. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance. Conclusion: Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.

Blending Three Probiotics Alleviates Loperamide-Induced Constipation in Sprague-Dawley (SD)-Rats

  • Ye-Ji Jang;Jin Seok Moon;Ji Eun Kim;Dayoung Kim;Han Sol Choi;Ikhoon Oh
    • 한국축산식품학회지
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    • 제44권1호
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    • pp.119-131
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    • 2024
  • BIOVITA 3 bacterial species (BIOVITA 3), a probiotic blend powder containing Clostridium butyricum IDCC 1301, Weizmannia coagulans IDCC 1201, and Bacillus subtilis IDCC 1101, has been used as a food ingredient for gut health. However, its efficacy in improving constipation has not been reported. Therefore, we aimed to investigate the functional effects of oral administration of BIOVITA 3 as well as its component strains alone (at 1.0×109 CFU/day) in Sprague-Dawley (SD) rats with loperamide-induced constipation. The study included fecal analysis, gastrointestinal transit ratio, histopathological analysis, short chain fatty acids (SCFAs), and metagenome analysis. As results, the BIOVITA 3 group showed significant improvements in fecal number, water content, gastrointestinal transit ratio, and thickening of the mucosal layer. In the SCFAs analysis, all probiotic-treated groups showed an increase in total SCFAs compared to the loperamide-constipated group. Changes in microbial abundance and the diversity index of three groups (normal, constipated, and BIOVITA 3) were also defined. Of these, the BIOVITA 3 showed a significant improvement in loperamide-constipated SD-rats. This study suggests the possibility that BIOVITA 3 can be applied as an ingredient in functional foods to relieve constipation.

변비 환자를 위한 고섬유질 음식 개발에 관한 연구 (The Development of High fiber Food for Constipation)

  • 박혜원;정혜정;최은정;이지정
    • 대한지역사회영양학회지
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    • 제7권5호
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    • pp.715-723
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    • 2002
  • In recent yearn, eating habit that is not right causes disease the dietary fiber (DF) intakes of Korean decreases. Occurrence of chronic disease such as constipation increased gradually. This study was performed to investigate of high fiber standard recipes for one day including major source of DF such as vegetables, cereals and grain products, seaweeds, fruits, fungi and mushrooms, and legumes and products for improving constipation through dietary treatment. Nutrient analysis per person marked energy, protein, fat and DF content. The food of high I : S ratio (Insoluble fibers: Soluble fibers) are soybean sprout salad, rice gruel with vegetables, pan fried mushroom with vegetables. The food of low I:S ratio are fermented soybean paste stew, fried rice with kimchi, fruits salad with yogurt dressing and seasoned noodle with vegetables. The representative high fiber diet menu is rice gruel with vegetable, rice with radish and oyster, fermented soybean paste stew, kimchi stew, assorted soybean sprout salad, three kinds of pancake roll, pan fried mushroom with vegetables, fruits salad with yogurt dressing and seasoned noodle with vegetables. The menu developed in this study, contains fiber of at least 8.97 times of RDA and in point view of 1 day intake, that is similar to the scope of RDA, 20-25 g per day. This findings should be appliable to nutritional education and medical food for constipation. And also, the aim of study is constipation patients easily applicate that developed the food of high fiber using Korean common food. And the result of the study will be the basic data about clinical test of food developed in this study and the danger of high fiber diet. The representative high fiber diet menu is rice gruel with vegetable, rice with radish and oyster, fermented soybean paste stew, kimchi stew, assorted soybean sprout salad, three kinds of pancake roll, pan fried mushroom with vegetables, fruits salad with yoghurt dressing and seasoned noodle with vegetables. This findings should be applicable to nutritional education and medical food for constipation.

함초 추출물의 장 기능 개선과 변비 해소 효과 (Effects of Slander Glasswort (Salicornia herbacea L.) Extract on Improvements in Bowel Function and Constipation Relief)

  • 조영심;김순임;한영실
    • 한국식품과학회지
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    • 제40권3호
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    • pp.326-331
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    • 2008
  • 함초 추출물의 장내 이동 효과를 살펴보기 위하여 함초 추출물을 식수에 첨가하여 장 이동률을 살펴본 결과 대조군에 비해 함초 추출물을 처리한 군에서 활성탄 식이의 장 이동률은 8.5-16.4% 증가되었다. 함초 추출물의 변비해소효과는 함초 추출물을 식수에 녹여 공급한 결과 대조군에 비해 함초 추출물을 3 mg/mL 처리한 군에서의 변량이 식수 섭취량과 관련하여 최대 156% 증가하였다. 또한 함초 요구르트의 변비해소효과는 0.25% 함초 요구르트의 공급으로 변비 유발기간 내 변량이 최대 150% 증가되었으며 처리군에 비해 loperamide를 계속 섭취함에도 불구하고 변비가 해소되었음을 알 수 있었다. 이상의 결과로 볼 때 함초 추출물은 장 이동률을 증가시켜 장운동을 촉진할 수 있으리라 생각되며 또한 변비 해소작용까지 나타내어 장 기능 개선에 효과를 나타내는 물질이라 생각된다.

여대생 변비와 관련된 식습관 및 생활습관 요인 (Dietary Habits and Factors Related to Lifestyles in Constipated Female Students)

  • 신정란;이선영
    • 대한지역사회영양학회지
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    • 제8권5호
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    • pp.675-688
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    • 2003
  • The aim of this study was to investigate the dietary habits and the factors related to lifestyles in female college students with constipation. A survey was conducted using a self-administered questionnaires. Two hundred ninety one subjects participated in this study. All respondents were divided into three groups based on their frequency of stool evacuation: 129 subjects (44.3%) comprised the normal group, 109 (37.5%) the mild constipated group and 53 (18.2%) the severely constipated group. Abdominal pain and ailment during evacuation were higher and the feeling of relief after evacuation was lower in the normal group than in the two constipated groups. The greater the symptoms of constipation, the more laxatives were taken. The prevalence of constipation was lower in students who lived at home than in those who lived in other types of residences. The more pocket money the subject had, the more complaints they had about constipation symptoms. Forty three percent of the subjects ate meals regularly. The less frequently they ate meals and the greater the rate of skipping breakfasts and dining-out, the greater were their constipation symptoms. Rice and most of the food items in the vegetable food group were consumed less frequently in the two constipated groups than in the normal group. The severely constipated group ate food items in the fat group less frequently than the normal and mildly constipated groups. The beverage intake of the normal group tended to be lower than those of the two constipated groups; the constipated groups consumed fruits and vegetable juices less frequently and coffee and tea more frequently. The severely constipated group ate the least number of food items in the vegetable & fruit and fat food groups. Therefore, dietary habits and factors related to lifestyles should be changed through nutrition education programs aimed at improving the symptoms of constipation in young women.

발-반사 마사지가 지역사회 재가노인의 수면, 우울 및 변비에 미치는 효과 (The Effects of Foot-Reflexology Massage on Sleep, Depression, & Constipation in Community-Dwelling Elders)

  • 김명숙;강문희
    • 디지털융복합연구
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    • 제15권9호
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    • pp.249-259
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    • 2017
  • 본 연구의 목적은 발-반사 마사지가 지역사회 재가노인의 수면, 우울 및 변비에 미치는 효과를 검증하는 것이다. 본 연구는 비동등성 대조군 전후설계 유사실험연구이다. 연구대상자는 D광역시 소재 2개 노인복지관을 이용하는 65세 이상 노인 46명이다(실험군=24명, 대조군=22명). 실험군은 2주간 1회 20분씩 주 5회, 총 10회의 발-반사 마사지에 참여하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 서술통계, ${\chi}^2-test$, independent t-test, Pearson correlation coefficient로 분석하였다. 본 연구결과, 2주 후 발-반사 마사지에 참여한 실험군은 참여하지 않은 대조군에 비해 통계적으로 유의한 수면증진 (t=-5.60, p<.001), 우울감소(t=3.93, p<.001), 및 변비완화 (t=4.90, p<.001)효과가 나타났다. 따라서 발-반사 마사지는 재가노인의 수면증진과 우울 및 변비 감소에 효과적인 중재임이 확인되었다.

한약 치료로 호전된 소아 다한증에 대한 증례 2례 비교 연구 (Comparative Study of Hyperhidrosis in Two Children Treated with Herbal Medicine)

  • 최봄;최준용;장수비;천진홍;김기봉
    • 대한한방소아과학회지
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    • 제37권4호
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    • pp.63-69
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    • 2023
  • Objective This study aimed to compare two cases of hyperhidrosis treated with herbal medicines. Methods This study included two children with hyperhidrosis who visited Pusan National University Korean Medicine Hospital. One patient was treated with Okbyungpoong-tang gagam and the other with Daeshiho-tang. Visual analog scale (VAS) scores for symptoms were evaluated before and after treatment. The characteristics, symptoms, and progression of treatment of each patient were evaluated and compared. Results After treatment, the patients showed a remarkable improvement in their main symptoms, and their constipation was relieved. Conclusion This case study showed that hyperhidrosis in two children improved significantly with herbal medicine. Furthermore, herbal medicine was effective in improving the accompanying symptoms, including constipation.

TNBS 동물 모델과 loperamide 동물 모델에서 해삼 건조 분말의 대장염 및 변비 개선 효과 (Improving Effects of Stichopus Japonicus on TNBS-Induced Colitis and Loperamide-Induced Constipation in Animal Disease Models)

  • 김정훈;오홍근;강영례;박정우;문대인;서민영;박상훈;강양규;최충현;박인선;김주;유강렬;김재경;김옥진;황홍연;류도곤;이영래;이학용
    • 동의생리병리학회지
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    • 제26권5호
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    • pp.672-678
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    • 2012
  • Colitis and constipation are the most common intestinal complaints worldwide. This study examined the beneficial effects of sea cucumber powder for TNBS-induced colitis in ICR mice(n=6/group) and loperamide-induced constipation in rats(n=8/group). Animals were divided into normal and four dried see cucumber treated groups that were named Nor, Con(0 mg/kg), GI(30 mg/kg), GII(100 mg/kg) and GIII(300 mg/kg). In order to induce colitis and constipation, 5% TNBS was injected into distal colon and loperamide (2 mg/kg, twice a day, peroral) was treated for 5 day in the four experimental groups but not the normal group. Gross finding score was decreased tendency by oral administration of sea cucumber in colitis-induced animal model, but colonic weight was not different. Excreted fecal pellet number, weight and water content were increased in the sea cucumber-treated group compared to the non-treated group. The fecal pellet number was reduced within distal colon of the sea cucumber-treated groups. Interestingly, intestinal transit length was increased compared to the non-treated group. Our results demonstrated that colitis and constipation were improved by sea cucumber treatment in the animal models. Specifically, gross finding score in TNBS-induced colitis model was improved by sea cucumber. After animals being fed sea cucumber, excreted fecal number, weight, water contents, and fecal number within distal colon and colonic transit length also get better in loperamide-induced constipation model.