• Title/Summary/Keyword: management of constipation

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Influence of Constipation in Women in Their Twenties on Low Back Pain (20대 여성들의 변비가 허리통증에 미치는 영향)

  • Yu, Ha-young;Jeong, Yeon-woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.43-49
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    • 2018
  • Background: In this study, the importance of constipation and back pain was assessed by regression analysis of the effects of stress, dietary habits, and water intake on constipation in women in their twenties and the influence of constipation and body mass index (BMI) To provide basic data. Methods: This study selected 109 having constipation of 120 students attending G University in Gwangju and eating habits, water intake level, stress and BMI. Trigger point at the tip of erector spina was palated with tenderness set in order to examine whether muscle tenderness and actual low back muscle tenderness level were same and left and right parts were measured three times and average of Max values was used. We examined the effect of constipation on low back pain and examined constipation and BMI to determine whether they affected low back pain. Results: There was no significant difference in eating habit although there was a significant difference in the effect of stress and water intake on constipation. Constipation had significant difference in back pain. However, there was no significant difference in BMI, normal weight, overweight, and obesity except for low body weight. Conclusions: This study found that constipation was associated with stress levels, water intake, and back pain. In conclusion, this study suggests basic data to prevent and treat constipation-related back pain, and recommends plenty of water intake, proper exercise and stress management to prevent constipation.

The Effects of Meridian Acupressure on Decreasing Constipation for Stroke Patients (경혈지압이 뇌졸중 환자의 변비완화에 미치는 효과)

  • Lee, Gab Nyea;Shon, Kyung Hee
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.760-770
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    • 2006
  • Purpose: This study was aimed at identifying the effect of meridian acupressure on decreasing the severity of constipation in stroke patients admitted to the intensive care unit. Method: The data was collected from June 1 to July 30, 2005 at D Hospital in Busan. They were divided into two group: one experimental group of 18, and the another control group of 17. Meridian acupressure was given to the experimental group and no meridian acupressure was given to the control group. The data was analyzed using the t-test, ${\chi}^2-test$, Fisher exact, and repeated measures ANCOVA. Results: There was a significant improvement in frequency of defecation and severity of constipation in the experimental group compared to the control group. Conclusion: Meridian acupressure can be considered an effective nursing method for the management of constipation among Cerebrovascular Accident patients.

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A Clinical Study of the Treatment Prescribed Kalkunseunggi-tang for Rectal Tenesmus and Constipation Patient (이급후중(裏急後重)을 동반한 태음인(太陰人) 편비(便秘)환자 치험 1례)

  • Yim, Chi-Hye;Cho, Jae-Seung;Kim, Hyo-Soo;Kwon, Seung-Man;Kim, Shin;Kim, Il-Hwan;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
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    • v.20 no.3
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    • pp.218-224
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    • 2008
  • 1. Objectives Constipation is a common symptom affecting 16.5% of general population in Korean countries. However, many people are looking for constipation due to the hospital. The clinical studies in herbal medicine to cure rectal tenesmus and constipation caused by the stress of the case. 2. Methods We have tried researching effect of herbal medicines(Chungpyesagan - tang and kalkunseunggi-tang) treatments to Stress caused by Taeumin rectal tenesmus and constipation patient. 3. Results A Taeumin patient diagnosed to rectal tenesmus and constipation was treated with Taeumin herbal medicines (Kalkunseunggi - tang treatments) and change of patient's the feces number of times and abdomen discomfort were improved. 4. Conclusions The cause of constipation variety as was treatments is various. The constitutional treatment with Kalkunseunggi - tang may have an effect on management of constipation. So we report the healing process and results of this patient in this study.

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Opioid-induced constipation: a narrative review of therapeutic options in clinical management

  • Lang-Illievich, Kordula;Bornemann-Cimenti, Helmar
    • The Korean Journal of Pain
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    • v.32 no.2
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    • pp.69-78
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    • 2019
  • Pain therapy often entails gastrointestinal adverse events. While opioids are effective drugs for pain relief, the incidence of opioid-induced constipation (OIC) varies greatly from 15% to as high as 81%. This can lead to a significant impairment in quality of life, often resulting in discontinuation of opioid therapy. In this regard, a good doctor-patient relationship is especially pivotal when initiating opioid therapy. In addition to a detailed history of bowel habits, patient education regarding the possible gastrointestinal side effects of the drugs is crucial. In addition, the bowel function must be regularly evaluated for the entire duration of treatment with opioids. Furthermore, if the patient has preexisting constipation that is well under control, continuation of that treatment is important. In the absence of such history, general recommendations should include sufficient fluid intake, physical activity, and regular intake of dietary fiber. In patients of OIC with ongoing opioid therapy, the necessity of opioid use should be critically reevaluated in terms of an with acceptable quality of life, particularly in cases of non-cancer pain. If opioids must be continued, lowering the dose may help, as well as changing the type of opioid. If these measures do not suffice, the next step for persistent OIC is the administration of laxatives. If these are ineffective as well, treatment with peripherally active ${\mu}$-opioid receptor antagonists should be considered. Enemas and irrigation are emergency measures, often used as a last resort.

Polyethylene Glycol Plus Electrolytes with Stimulant Laxative in Paediatric Faecal Disimpaction: A Randomised Controlled Study

  • Acharyya, Bhaswati C;Bhattacharyya, Chandrayee;Mukhopadhyay, Meghdeep;Acharyya, Saumyabrata
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.2
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    • pp.230-237
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    • 2021
  • Functional constipation is common in the paediatric population all over the world. Effective disimpaction to evacuate the impacted faecal matter forms an essential initial step in the management of constipation. Though different regimens of polyethylene glycol 3350 with electrolytes (PEG+E) are accepted as the prime medication for disimpaction, response is not always satisfactory. A randomised prospective study was undertaken, in a tertiary paediatric Gastroenterology centre to find out the outcome of a 2-day disimpaction when a stimulant laxative sodium picosulphate was added to PEG3350+E (PEG+E+PS group) and comparing it with the outcome using PEG3350+E (PEG+E group) alone. Hundred and one children were randomised into two groups to receive PEG+E+PS and PEG+E. Results revealed that PEG+E+PS group proved significantly superior to PEG+E group in most of the efficacy-parameters in terms of disimpaction as well as long-term management of constipation. Though stimulant laxatives are being used for disimpaction, comparative data are lacking. This was the 1st such comparative study looking at the efficacy of these two processes of disimpaction along with long term effect on treatment.

Correlation among Heat and Cold, Life Style, Stress and Quality of Life for Adult Female with Constipation (성인 여성의 변비에 따른 한열(寒熱)증상, 생활습관, 스트레스, 삶의 질과의 관계)

  • Kim, Yunyoung;Park, Kihyun;Jang, Eunsu;Yoo, Jonghyang
    • Journal of Digital Convergence
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    • v.12 no.9
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    • pp.423-431
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    • 2014
  • Korean, and identified the correlation of a constipation with life style, heat and cold symptoms, stress and life quality of them. We also identified the relationships of the constipation with stress and life quality. A Survey was conducted from April 23, 2010 to October 25, 2010 for 464 women and the collected data was analyzed with computer software of SPSS 19.0. In the result, the constipation group appealed for cold stomach(p=.008), dyspepsia(p=.006), and tiredness(p=.001). more often than the normal group. The constipation group experienced Dreaming(p=.003), light sleeping(p=.007) and a trouble in sleeping(p=.001) more often, which impaired the quality of sleeping. Compared to the normal group, the constipation group also showed a tendency of high stress and low life quality. Based on the results, all the factors of heat and cold symptom, life style, stress and life quality should be considered when developing medications for the prevention and improvement of constipation.

Efficacy of Mixture of Lactic Acid Bacteria (LAB) and Bifidobacteria Supplement in the Management of Constipation; Demonstration of Functionality in Animal and Clinical Trials (한국형 Bifidobacterium longum SPM1205 혼합제제의 변비 개선 효과)

  • Kim, Jung-Rae;Lee, Do-Kyung;Baek, Eun-Hye;An, Hyang-Mi;Yang, Hwan-Jin;Kim, Mi-Jin;Choi, Kyung-Soon;Yun, Mi-Eun;Jung, Yi-Jung;Oh, Pok-Ja;Chung, Myung-Jun;Ha, Nam-Joo
    • Korean Journal of Microbiology
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    • v.46 no.1
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    • pp.52-62
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    • 2010
  • The aim of this study was to evaluated the efficacy of mixture of Lactic Acid Bacteria (LAB) and bifidobacteria supplement, which are contained with Lactobacillus acidophilus, Bifidobacterium longum SPM1205, and Pediococcus pentosaceus for the management of constipation in animal model and clinical trials. 5 ICR mice and 4 female constipation subjects were orally taken mixture of LAB and bifidobacteria for 2 weeks. We investigated the number of fecal LAB and harmful enzymes activities before and after mixture of LAB and bifidobacteria application. As a result, fecal LAB count was increased and harmful enzymes activities of intestinal microflora were generally decreased after mixture of LAB and bifidobacteria application. Also, 61 female subjects were randomly assigned to receive either mixture of LAB and bifidobacteria or lactose and were taken three times a day for 2 weeks. Then, we analyzed mixture of LAB and bifidobacteria effect through the questionnaires. Daily consumption of this mixture of LAB and bifidobacteria improved the constipation in constipation group (56.3%) compared with lactose application group (26.7%). Furthermore, after mixture of LAB and bifidobacteria treatment, frequency of hard stool decreased from 0.22 to 0.03. These results indicated that mixture of LAB and bifidobacteria application is effective to improve the constipation.

The Effect of Abdominal Meridian Massage in the Patients with Stroke (뇌졸중 환자를 위한 복부경락마사지의 효과)

  • Han, Sang-Sook;Yang, Yoon-Hee
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.147-159
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    • 2007
  • Purpose: This study was to examine the effects of the meridian massage on constipation and stress in the patients with stroke. Methods: The subjects of this study were 31 patients with stroke who were hospitalized at the K oriental medical center. They were determined by Rome II criteria and the Constipation Assessment Scale (CAS). The experimental group were treated meditation massage for 10minutes daily for 2 weeks. To evaluate the effect of meridian massage, the degree of constipation was measured using the frequency of defecation per week and the scores of CAS, and the degree of stress was measured using the Stress Scale. The collected data were analyzed by with the SPSS 12.0 for windows program. Results: The experimental group had significantly more increase of defecation frequency than the control group. The experimental group had significantly more decrease of CAS score than the control group. 3) In the score of stress, there was no significant difference between the experimental and the control group. Conclusion: The result of this study shows that meridian massage is an effective nursing intervention for the management of constipation of patients with stroke.

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The Effects of Stellate Ganglion Block for Constipation in the Spinal Cord Injured Patients -Report of 2 Cases- (척수손상환자의 변비에 있어서 성상신경절 차단의 효과 -2예 보고-)

  • Yang, Nae-Yun;Moon, Dong-Eon;Suh, Jae-Hyun
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.254-257
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    • 1994
  • In the patients having constipation or irritable bowel syndrome, stellate ganglion block is commonly used in many pain clinics because of its excellent effects. But in the case of patients having spinal cord injury complain constipation, its management is very difficult and there is no report about the effects of stellate ganglion block in this case. We experieced good results that stellate ganglion block was very effective in the patients having spinal cord injury complaining severe constipation and other symptoms.

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Prevalence Rates of and Related Factors to Constipation in Elementary School Students (초등학생의 변비 발생률과 관련요인)

  • Kim, Eun-Young;Jung, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.597-606
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    • 2016
  • This is descriptive research to understand the constipation rate of elementary school students due to their differences in cognition of their eating habits, hours of exercise/physical activity, stress, and school restroom environment in accordance with the matter of constipation, as well as the factors related to the constipation rate. A total of 741 students (grade3-6) from six elementary schools in Jeollanam-do were targeted; the survey was conducted from April 30th to May 12th, 2014. The frequency, percentage, ${\chi}^2$ test, independent t-test, and bivariate logistic regression analysis were conducted. The constipation rate was 23.9%, and there were factors related to the constipation rate, such as restroom preference, matter of defecation during breaks, number of meals per day, number of breakfasts skipped, size of the meal, hours of institute class, hours of internet use, stress, and cognition of school restroom environment. In particular, students with 'high' stress had a 5.44 times higher rate of constipation than students with 'low' stress. As subjective symptoms are limited in diagnosing constipation, a detailed medical examination and physical checkup should be included in the process of understanding the constipation rate, as well as in education and management to prevent elementary school students from having constipation.