Constipation

“ To know that there is only one chief cause for chronic constipation and its train of disorders, and that that cause overshadows all other causes combined, and is easily diagnosed and treated, is news long hoped and prayed for by a multitude of sufferers the world over.
Twenty years as a specialist in diseases of the lower bowels have demonstrated to the writer that chronic inflammation, and often ulceration, of the rectum and sigmoid flexure, in ninety-nine cases out of a hundred, is the cause of chronic constipation and the long army of ills resulting from it. ”

“ The constant absorption of intestinal poisons affects the system itself,—the symptoms are headache, neuralgia, loss of appetite, nervousness, insomnia, vertigo, inability to concentrate, lassitude, indigestion. The condition which we name constipation is therefore one of supreme importance. From a medical standpoint, it is the biggest problem in the whole realm of disease. It is the most significant hygienic function of life, and it is becoming more and more important, and more and more a problem. ”

“ Treatment of Constipation in Women.—To effect a movement of the bowels in a patient who is a victim of constipation is not a cure. We can indefinitely cause bowel action by drugs, etc., but the condition will remain the same or worse. When habitual constipation exists there is an underlying condition affecting the entire system which indicates that something is radically wrong. It may be necessary to change the whole routine of the patient's life. It will certainly be necessary at the very beginning to inquire into the daily diet, exercise, and surroundings. ”

“ There are people who cannot move from one town to another, much less take an extensive trip, without a fit of constipation—or a box of pills. If they only knew it, there is no water on earth which could make a person constipated. A new water, full of unusual minerals, might hasten the bowel movement, but on what possible principle could it retard it? Constipation has nothing to do with food or with water, but solicitous care about either can hardly fail to create the trouble which it tries to avoid. ”

“ Not being able to move one's bowels is only the most elementary type of constipation. A more accurate definition of constipation is "the retention of waste products in the large intestine beyond the time that is conducive to health." Properly digested food is not sticky and exits the large intestine quickly. But improperly digested food (or indigestible food) gradually coats the large intestine, making an ever-thicker lining that interferes with the intestine's functioning. Far worse, this coating steadily putrefies, creating additional highly-potent toxins. ”

“ Many women suffer from habitual constipation by reason of their drinking but little water, especially if the food they take contains little fluid; the fæcal masses become solid and coagulated, and thus their passage in the intestine toward the anal exit becomes more difficult, whereas by a sufficient quantity of liquid, such as water, this movement will be much facilitated; and that this is an important consideration is quite evident in the case of women who have a tendency to lethargic bowels. ”

“ Constipation is responsible for many common ailments; among them are headache, disinclination to work, irritable temper, and lowered resistance. If long continued, constipation becomes serious both from congestion and displacement of pelvic organs, and from absorption over a considerable time of even small amounts of the poisonous substances resulting from decomposition of food in the large intestine. The bowels can best be regulated by diet, water, exercise, and habit. The habitual use of cathartic and laxative drugs is most unwise, because they tend to aggravate the trouble. ”

“ Constipation is a prolific cause of indigestion, biliousness, flatulency, loss of appetite, self-poisoning, anemia, emaciation, uric acid, neuralgia in various parts of the system, catarrhal inflammation of the mucous membrane of one or more organs, and many other symptoms.
A diseased organ is a constant source of unconscious and conscious irritation to the sufferer. If the victim can tolerate the trouble he seldom seeks treatment. ”

“ Rapid [p. 851] excretion of water by the kidneys, lungs, and skin produces constipation by withdrawing a large proportion of the water from the fecal mass, rendering it unnaturally dry and of diminished bulk. In diabetes, constipation arises from this cause unless the patient makes up the loss by drinking an unusually large quantity of water. Constipation in nursing-women is explained by the loss of water in the secretion of milk. The profuse sweating which attends malarial fever, phthisis, and other diseases readily accounts for the constipation which often accompanies these disorders. ”

“ Constipation. The causes of this difficulty are so varied that it can seldom be regulated by diet alone. It can be helped. A large number of cases of chronic constipation are due to the failure to respond to Nature’s call at a regular time each day, thus establishing a regular habit at a certain hour. ”

“ There is a legion of secondary symptoms of proctitis, all of which medical empiricism considers and denominates causes. As constipation is such an every-day complaint of almost everybody one meets, it will not tax our imagination unduly to conceive how it may be a frequent cause of diarrhea, which is only Nature's effort to get rid of its useless and excessive burden of retained feces and gases. Constipation, semi-constipation, and irregular action of the bowels, excessive fermentation, putrefaction, self-generated or auto-infection, are the factors to be considered. ”

“ In time there are an accumulation and impaction of dry fecal masses in the rectum, sigmoid flexure, descending transverse colon, or cæcum. An obstacle is thus created which may ultimately close the tube entirely and cause intestinal obstruction.
ETIOLOGY.—1. Constipation occurs most frequently in advanced life. It is the effect of loss of peristaltic force and of a diminution of sensibility in the lower bowel, and is associated with general functional inactivity and with muscular degeneration and obesity. Infants are more subject to constipation than children of one year and over. ”

“ Constipation is an almost constant symptom of dilatation of the stomach. This is naturally to be expected when so little substance passes from the stomach into the intestine. The constipation is also to be explained in part by the absence of the usual reflex stimulus which the stomach during digestion normally exerts upon intestinal peristalsis, for the constipation is usually much relieved when the overweighted stomach is systematically washed out. ”

“ The enema, regularly and properly used, is the remedy par excellence.
Those that suffer from chronic constipation are usually deficient in the quantity and quality of intestinal secretions. Physic increases the depletion of the intestinal juices. Of the watery secretion forced into the bowels, four-fifths are reabsorbed into the system, plus poisons and filth. The system soon becomes accustomed to the irritation of drugs, and requires an ever-increasing amount. These irritate and increase the chronic inflammation of the lower bowel, often to the extent of a discharge of blood. ”

“ The direct cause of constipation is a relaxed and weakened condition of the muscular walls of the stomach and intestines. A certain degree of strength of these muscular structures is essential properly to facilitate digestion, assimilation and elimination. The lack of tone in these muscles is chiefly due in nearly all cases to what might be termed a concentrated diet. Our foods have been too much refined. ”

“ If, however, the scales are watched too closely and, because there is only a slight gain in weight or none at all, the food is rapidly increased, an acute disturbance of digestion is pretty certain to follow.
Is not constipation likely to occur if the child is on a very weak food?
It is very often seen and is due simply to the small amount of residue in the intestine. Under these circumstances, if the bowels move once every day, one should not be disturbed even when the movements are small and somewhat dry. As the food is gradually strengthened, this constipation soon passes off ”

“ The digestive system gives up to the body as much as it possibly can, not only of the food materials to be consumed, but of its own substance. Thus it weakens its own vitality, with a lessening of appetite and of digestive power. Hence, a vicious circle of change is instituted, the consequences of which are easy to see. After a time the patient is taking only the blandest foods, constipation has become an important element in the case, and the mind is constantly occupied with solicitude over the digestion and the choice of materials at meals. ”

“ The profuse sweats accompanying phthisis, acute rheumatism, intermittent fever, and unusual exercise cause constipation. Another explanation which applies to this has been offered by Good and Eberle, who ascribe constipation to the excessive action of the absorbents in the small intestine, by which the fluid portion is too rapidly and too thoroughly removed.7 Exercise by promoting activity of the functions in general may induce constipation in this way. In spermatorrhoea the stools are infrequent. An insufficient amount of water taken with food is another cause. ”

“ The thin smoker grows fat when he abandons the weed.
The normal functions of the intestines are interfered with and indigestion is set up by constipation. Every one has felt the activity in digestion which accompanies the regular habit of defecation, and the torpor and oppression which depend upon an unemptied colon. "There is a concert of action in virtue of which the whole muscular apparatus of the digestive tube sympathizes with that of the large intestine. ”

“ If we always go at the same time the bowels will remember it. Then we need have no trouble with constipation nor take any horrid medicine to whip the bowels. A regular daily action of the bowels is necessary to health. Constipation often may be relieved by drinking a glass of cold water upon rising, at intervals during the day, and upon retiring. Fruit at breakfast or figs taken after meals often will relieve a tendency to constipation. Regularity in going to the toilet is one of the most important measures in treating constipation. ”

“ Every housewife and cook knows how oils and fats stick to the sides of a pan. At least 90 per cent of the "diet of civilization" contains these sticky foods and man stuffs himself daily with awful mixtures of them. Thus the digestive tract is not only clogged up through constipation, but literally glued together with sticky mucus and feces.
Herewith the "mystery" of chronic constipation is unveiled and the story told of the fundamental causative factor of all diseases. Disease is but internal uncleanliness--this simply states a true but woeful fact. ”

“ Constipation may be absolute, without the discharge of either feces or gas. Very often the contents of the bowel below the obstruction are discharged. The abdomen is usually distended and when the large bowel is involved this is extreme. If it is high up in the small intestine, it may be very slight. At first, the abdomen is not tender, but later it becomes very sensitive and tender. The face is pale and anxious and finally collapse symptoms intervene. The eyes are sunken, the features look pinched and a cold, clammy sweat covers the skin. The pulse becomes rapid and weak. ”

“ Constipation succeeds chronic diarrhoea, and is due to atony of the muscular wall from long-continued distension, and probably from degeneration of the muscular structure. A more serious cause of constipation, and sometimes of intestinal obstruction, is found in stenosis of the bowel from the healing of the ulcers of long-standing chronic catarrh. Stricture is more common in the colon, sigmoid flexure, and rectum. ”

“ It is astonishing what a number of people there are who drink little or nothing, and especially amazing is it to find this lack of sense in people suffering from constipation. One would suppose that they above all others would see the wisdom of irrigating their bowels. But it is seldom that there is one who thinks of such a thing. A cup of coffee or tea at meal-time, in addition to the liquid contained in the food, is the extent of water consumption by ever so many teetotalers and other "totalers," especially women, until they reach, say, thirty years of age. ”

“ Bile is looked upon as one of the most powerful agents in stimulating peristaltic action, and when, from any cause, mechanical or otherwise, it is not poured into the bowel, constipation ensues. Unnatural flexures, congenital or acquired, of the large intestine are not unfrequently the source of chronic constipation. These flexures, normal or factitious, favor accumulation of feces, especially in subjects who have diminished sensibility of the bowel and a paretic state of the muscular coat. ”

“ Chronic diseases of the lungs and heart, by enfeebling the muscular movements which take part in defecation, as well as by the general feebleness and the chronic intestinal catarrh and indigestion which they create, are causes of constipation. Chronic diseases of the liver, especially cirrhosis, are also causes. Constipation accompanies obesity, for in very fat persons the abdominal walls have but little power of contraction; the [p. 642] muscle-layer is thin and flaccid. There is also in such persons in advanced life an accumulation of fat in the mesentery and around the colon. ”