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Constipation causes hemorrhoids

Health problems are very personal, it is associated with potentially significant and costly complications.

In a review with a scientific evidence, the researchers found that constipation may cause or increase the risk for more serious complications such as hemorrhoids, anal fissures, fecal incontinence, bowel and urinary tract disorders.

Dr. Nicholas J. Talley, chairman of the internal disease department of Mayo Clinic in Jacksonville, said that few people appreciate the seriousness of constipation because symptoms can vary greatly, from mild to severe. “Most people experience mild symptoms, and they do not have to worry about, although some people become redundant,” said Talley, who is also a professor of medicine and epidemiology at the Mayo’s College of Medicine. “Others suffer in silence, because they were embarrassed to talk about their bowels.”

According to this insight, approximately 12 to 19 percent of the population in North America – as many as 63 million people – suffer constipation.

Another study found that in the United States, the direct cost of treating constipation is approximately $ 235 million a year. Inpatient care is responsible for 55 percent of the cost, even though constipation is primarily in outpatient care.

People who experience two or more symptoms for at least three to six months or more are considered to have functional constipation. “Symptoms include lumpy or hard stools, feeling of incomplete expenditure, a sense of obstruction in anal, manual action to assist defecation and less than three times a week to defecate without assistance.

To help eliminate this, Talley and his colleagues conducted a literature search for relevant studies published between 1980 and 2007. Their literature have been published in the journal Clinical Gastroenterology Hepatology.

Although the role of constipation in diverticular disease and colon cancer remains unclear, case-controlled studies have shown a significant association between constipation and hemorrhoids. Interventional studies, which involved changes in diet and drug therapies to minimize constipation.

At least there is  an association between constipation and other conditions. Studies in people with rectal prolapse, rectum becomes stretched and out of the rectum, explain that relationship. More than 50 percent of people with anal fissures (split or torn tissue in the rectum) also have constipation. Fecal incontinence often occurs along with constipation, the researchers noted.

There was also a causal relationship between constipation and urinary tract disorders.

Although related, the amount of drug approved by the U.S. Food and Drug Administration to deal with chronic constipation is limited, according to a review of the supplement of the Journal of Managed Care Pharmacy.

One new drug, Amitiza (lubiprostone), is the only FDA-approved drug for the treatment of adults with chronic constipation of unknown cause.

To prevent constipation, Talley said he found that a balanced diet, exercise, regular toileting pattern and not avoiding the urge to go when nature calls can help. “Lifestyle is the key for most people,” he said.

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