Constipation (कब्ज) refers to bowel movements that are infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. The normal frequency of bowel movements in adults is between three per day and three per week. Babies often have three to four bowel movements per day while young children typically have two to three per day. Constipation brings a person in a typical situation where he/she becomes helpless. Hence, Siddha Spirituality of Swami Hardas Life System lets you know in detail about it and help learn free Siddha energy remedies for wellbeing.
Constipation Definition (कब्ज की परिभाषा)
Constipation is a symptom, not a disease. Most commonly, constipation is thought of as infrequent bowel movements, usually less than 3 stools per week. However, people may have other complaints as well including:
- Straining with bowel movements
- The excessive time needed to pass a bowel movement
- Hard stools
- Pain with bowel movements secondary to straining
- Abdominal pain
- Abdominal bloating
- The sensation of incomplete bowel evacuation
The Rome III Criteria are a set of symptoms that help standardize the diagnosis of constipation in various age groups. These criteria help physicians to better define constipation in a standardized manner.
Constipation Causes (कब्ज के कारण)
The causes of constipation can be divided into:
- Primary, and
The most common kind is primary and not life-threatening. It can also be divided by the age group affected such as children and adults.
Primary constipation (प्राथमिक कब्ज)
Primary or functional constipation is defined by ongoing symptoms for greater than six months not due to an underlying cause such as medication side effects or an underlying medical condition. It is not associated with abdominal pain, thus distinguishing it from irritable bowel syndrome. It is the most common kind of constipation and is often multifactorial.
In adults, such primary causes include dietary choices such as insufficient dietary fiber or fluid intake, or behavioral causes such as decreased physical activity. In the elderly, common causes have been attributed to insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity, side effects of medications, hypothyroidism, and obstruction by colorectal cancer. Evidence to support these factors, however, is poor.
Secondary constipation (माध्यमिक कब्ज)
Secondary causes include side effects of medications such as opiates, endocrine and metabolic disorders such as hypothyroidism, and obstruction such as from colorectal cancer. Celiac disease and non-celiac gluten sensitivity may also present with constipation. Cystocele can develop as a result of chronic constipation.
Constipation can be caused or exacerbated by a low-fiber diet, low liquid intake, or dieting. Dietary fiber helps to decrease colonic transport time, increases stool bulk but simultaneously softens stool. Therefore, diets low in fiber e.g. Mediterranean diet can help resolve constipation.
Many medications have constipation as a side effect. Some include:
- Tricyclic antidepressants
- Beta-adrenoceptor antagonists
- 5-HT3 receptor antagonists such as ondansetron, and aluminum antacids
Certain calcium channel blockers such as nifedipine and verapamil can cause severe constipation due to dysfunction of motility in the rectosigmoid colon. Supplements such as calcium and iron supplements can also have constipation as a notable side effect.
Medical conditions of constipation (कब्ज की चिकित्सा स्थिति)
Metabolic and endocrine problems which may lead to constipation include:
- Chronic kidney disease
- Diabetes mellitus
- Cystic fibrosis
Constipation is also common in individuals with muscular and myotonic dystrophy. Spinal cord lesions and neurological disorders such as Parkinson’s disease and pelvic floor dysfunction can also lead to constipation.
The psychological condition of constipation (कब्ज की मनोवैज्ञानिक स्थिति)
Voluntary withholding of the stool is a common cause of constipation. The choice to withhold can be due to factors such as:
- Fear of pain
- Fear of public restrooms
When a child holds in the stool a combination of encouragement, fluids, fiber, and laxatives may be useful to overcome the problem. Early intervention with withholding is important as this can lead to anal fissures.
Congenital condition of constipation (कब्ज की जन्मजात स्थिति)
A number of diseases present at birth can result in constipation in children. They are as a group uncommon with Hirschsprung’s disease (HD) being the most common. There are also congenital structural anomalies that can lead to constipation, including the anterior displacement of the anus, imperforate anus, strictures, and small left colon syndrome.
Constipation Diagnosis (कब्ज का निदान)
Diagnosis is typically made based on a person’s description of the symptoms. Bowel movements that are difficult to pass, very firm, or made up of small hard pellets qualify as constipation, even if they occur every day. Constipation is traditionally defined as three or fewer bowel movements per week.
Other symptoms related to constipation can include bloating, distension, abdominal pain, headaches, a feeling of fatigue and nervous exhaustion, or a sense of incomplete emptying. Although constipation may be a diagnosis, it is typically viewed as a symptom that requires evaluation to discern a cause.
Description of constipation (कब्ज का वर्णन)
Distinguish between acute (days to weeks) or chronic (months to years) onset of constipation because this information changes the differential diagnosis. This is the context of accompanied symptoms that help physicians discover the cause of constipation.
Poor dietary habits, previous abdominal surgeries, and certain medical conditions can contribute to constipation. Diseases associated with constipation include:
- Certain types of cancer
- Irritable bowel syndrome
- Low fiber intake
- Inadequate amounts of fluids
- Poor ambulation or immobility
- Medications can contribute to constipation
Examination for constipation (कब्ज के लिए जाँच)
A physical examination should involve at least an abdominal exam and a rectal exam. The abdominal exam may reveal an abdominal mass if there is a significant stool burden and may reveal abdominal discomfort. Rectal examination gives an impression of the anal sphincter tone and whether the lower rectum contains any feces or not.
The rectal examination also gives information on the consistency of the stool, the presence of hemorrhoids, blood and whether any perineal irregularities are present including skin tags, fissures, anal warts. Physical examination is done manually by a physician and is used to guide which diagnostic tests to order.
Diagnostic tests for constipation (कब्ज के लिए नैदानिक परीक्षण)
Functional constipation is common and does not warrant diagnostic testing. Imaging and laboratory tests are typically recommended for those with alarm signs or symptoms.
The laboratory tests performed depends on the suspected underlying cause of constipation. Tests may include:
- CBC (Complete Blood Count)
- Thyroid function tests
- Serum calcium
- Serum potassium, etc
Abdominal X-rays are generally only performed if bowel obstruction is suspected, may reveal extensive impacted fecal matter in the colon, and may confirm or rule out other causes of similar symptoms.
Colonic propagating pressure wave sequences (PSs) are responsible for discrete movements of the bowel contents and are vital for normal defecation.
The Rome III Criteria for functional constipation must include two or more of the following and present for the past three months, with symptoms starting for at least 6 months prior to diagnosis:
- Straining during defecation for at least 25% of bowel movements
- Lumpy or hard stools in at least 25% of defecations
- The sensation of incomplete evacuation for at least 25% of defecations
- A sensation of anorectal obstruction/blockage for at least 25% of defecations
- Manual maneuvers to facilitate at least 25% of defecations
- Fewer than 3 defecations per week
- Loose stools are rarely present without the use of laxatives
- There are insufficient criteria for irritable bowel syndrome
Constipation Treatment (कब्ज का इलाज)
A limited number of cases require urgent medical intervention or will result in severe consequences. The National Institute of Health and Care Excellence (NICE) breaks constipation in adults into two categories:
- Chronic constipation of unknown cause, and
- Constipation due to opiates
In chronic constipation of unknown causes, the main treatment involves the increased intake of water and fiber. The routine use of laxatives is discouraged, as having bowel movements may come to be dependent upon their use. Enemas can be used to provide a form of mechanical stimulation. A large volume or high enema can be given to cleanse as much of the colon as possible of feces.
However, a low enema is generally useful only for stool in the rectum, not in the intestinal tract.
Fiber supplements (फाइबर की खुराक)
Side effects of fiber supplements include:
- Malabsorption of iron
- Some medications
However, patients with opiate-induced constipation will likely not benefit from fiber supplements.
If laxatives are used, milk of magnesia or polyethylene glycol is recommended as first-line agents due to their low cost and safety. Stimulants should only be used if this is not effective. In cases of chronic constipation, polyethylene glycol appears superior to lactulose.
Prokinetics may be used to improve gastrointestinal motility. A number of new agents have shown positive outcomes in chronic constipation; these include prucalopride and lubiprostone. Cisapride is widely available in third world countries but has withdrawn in most of the west.
Physical intervention (शारीरिक हस्तक्षेप)
Constipation that resists the above measures may require physical intervention such as manual disimpaction. Regular exercise can help improve chronic constipation.
Surgical intervention (शल्य चिकित्सा संबंधी व्यवधान)
Sacral nerve stimulation has been demonstrated to be effective as a surgical intervention in a minority of cases.
Population affected (जनसंख्या प्रभावित)
With constipation accounting for approximately 5% of general pediatrician visits and 25% of pediatric gastroenterologist visits, the symptom carries a significant financial impact upon the healthcare system. While it is difficult to assess an exact age at which constipation most commonly arises, children frequently suffer from constipation in conjunction with life-changes. Examples include:
- Toilet training
- Starting or transferring to a new school
- Changes in diet
Especially in infants, changes in formula or transitioning from breast milk to formula can cause constipation.
Postpartum women (प्रसवोत्तर महिलाएं)
The six-week period after pregnancy is called the postpartum stage. During this time, women are at increased risk of being constipated. Risk factors that increase the risk of constipation in this population include:
- Damage to the levator ani muscles i.e. pelvic floor muscles, during childbirth
- Forceps-assisted delivery
- The lengthy second stage of labor
- Delivering a large child
Hemorrhoids are common in pregnancy. Anything that can cause pain with stooling can lead to constipation because patients may withhold from having a bowel movement so as to avoid pain.
The pelvic floor muscles play an important role in helping pass a bowel movement. Injury to those muscles by some of the above risk factors can result in constipation. Enemas may be administered during labor and these can also alter bowel movements in the days after giving birth.
Constipation Home remedies (कब्ज का घरेलू उपचार)
The remedies for constipation may be as close as your kitchen. Try these natural cures for quick relief:
Sesame seeds (तिल के बीज)
Sesame seeds make great home remedies for constipation, according to a study published in the International Journal for Research in Applied Science and Engineering Technology. The oily composition of sesame seeds works to moisturize the intestines, which can help if dry stools are a problem and provide constipation relief. Add the seeds to cereals or salads for crunch, or pulverize them in a coffee grinder and sprinkle on food like a seasoning.
Fiber acts like a pipe cleaner, scrubbing food and waste particles from your digestive tract and soaking up water. It adds bulk to your stool, giving the muscles of your GI tract something to grab on to, so they can keep food moving along. The Mayo Clinic suggests aiming for 20 to 35 grams of fiber a day to stay regular. Foods particularly high in fiber include:
- Bran cereals
- Fresh and dried fruits
All of these things can be home remedies for constipation. If you’re constipated and taking in additional fiber, be sure to drink more water than usual to keep your stool soft and easy to pass.
Mint or ginger tea (पुदीना या अदरक की चाय)
Mint and ginger are both proven home remedies to help alleviate a slew of digestive problems. Peppermint contains menthol, which has an antispasmodic effect that relaxes the muscles of the digestive tract. Ginger is a “warming” herb that causes the inside of the body to generate more heat; herbalists say this can help speed up sluggish digestion. Stephen Sinatra, MD, of Heart MD Institute recommends ginger in either capsule or tea form. In tea, the hot water will also stimulate digestion and provide constipation relief. Dandelion tea is also a gentle laxative and detoxifier.
Healthy fats (स्वस्थ वसा)
Olive oil, nuts, and avocados all contain healthy fats, which can help lubricate your intestines and ease constipation, according to the experts at Harvard Medical School. A salad with fiber-rich leafy greens and a simple olive oil dressing, a small handful of nuts, or a tablespoon of natural nut butter on fruit or toast are good options. Even if you’re watching your weight, healthy fats are necessary for basic body functions; they are very satiating to keep you satisfied with less.
Lemon water (निबू पानी)
The citric acid in lemon juice acts as a stimulant to your digestive system and can help flush toxins from your body, providing constipation relief. Squeeze fresh lemon juice into a glass of water every morning, or add lemon to tea; you may find that the refreshingly tart water not only acts as a natural remedy to your constipation but also that it helps you drink more water each day, which will improve your long-term digestion. And don’t be afraid to warm it up, says the American Cancer Society, sharing that warm or hot fluids can also be a helpful treatment.
High in fiber, according to Stanford Children’s Health, raisins also contain tartaric acid, which has a laxative effect. Cherries and apricots are also rich in fiber and can help kick your constipation. Eat these fruits with a bowl of yogurt for the added benefits of gut-soothing probiotics.
Castor oil (अरंडी का तेल)
This home remedy for constipation has been handed down for generations. One of the primary uses for castor oil is as a laxative, according to Cleveland Clinic; take one to two teaspoons on an empty stomach and you should see results in about eight hours. Why? A component in the oil breaks down into a substance that stimulates your large and small intestines.
Constipation & Free Siddha Energy Remedies (कब्ज और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with constipation or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to constipation with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of constipation are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for constipation as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, heart and naval for another 30 to 60 seconds, which finishes within almost 1 – 2 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, heart and naval for 3 – 6 minutes. You may need to have 4 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine may look like this:
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Increase physical activities e.g. exercise, walking, swimming, and consume sattvik diet, etc
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
- Perform Swayamsiddha Agnihotra daily, if feasible
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 2 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about constipation, definition, causes, diagnosis, medication, home remedies, and treatments. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Because, I believe in sharing knowledge with others. Would you please let me know your precious thoughts?
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