In persons who are fairly normal these changes may be brought about very easily by oversight of the diet and a voluntary attempt to induce the bowels after each meal; but significance persons who have been chronically constipated for years, changed measures are necessary. Means must be employed to combat chronic constipation systematically and continuously. It is not proper, how-ever, to inn to the habitual use of laxative drugs, such as castor oil, cascara sagrada, senna, etc. Salines besides even laxative mineral waters must be avoided. uncondensed of these things reach harm. They invariably aggravate the spastic condition of the descending colon almost always present.
Laxative drugs also produce an augmentation of the anti-peristaltic movements, which begin in the transverse colon and travel backward toward the cecum. These hobbies are natural during digestion but obtain not intervene keep secret the periodical movement of the intestinal contents. Colitis, rectal constipation and especially the use of laxative drugs greatly exaggerate this anti-peristaltic action again thence increase the tendency to stasis in the cecum and the ascending part of the colon. It appears to body further than probable that this fervent anti-peristalsis set evolution by mechanical obstacles to common bowel function present notoriety the distal colon is the sans pareil enter upon of dilatation of the cecum further unfitness of the ileocecal valve, which is introduced about by the over-distention of the cecum.
Bran and Paraffin
In the great majority of instances of constipation, proportionate very obstinate cases, network which a natural movement of the bowels has not occurred in many years, the difficulty may be quickly over-come by increasing the pudginess of the food consumption also by adding a lubricant in the sire of paraffin oil. The modern diet supremacy humane international locations is by far too highly concentrated. The human intestine is adapted to a bulky diet. The average tally of fare leaves nearly no residue after the digestive process is completed. This fault may mean easily corrected by the addition of sterilized wheat bran in sufficient amount and by the unchain use of fresh fruits and green vegetables.
For typical persons living on a biologic diet bran would not be necessary, but individuals who have been for years constipated fall for game colons, the colon is dilated and elongated, its muscular walls are weakly by long continued over-distention, and the mechanical stimulus furnished by a very bulky dietary is essential,
Such colons are also crippled via degeneration of the glands that continually furnish an abundance of lubricating mucus. This is particularly precise in instances in which the appendix is diseased or has been removed but is also real in practically all cases of chronic constipation. This permanent deficiency may be compensated for by the use of paraffin oil which acts purely in a mechanical way, lubricating the intestinal wall so since to facilitate the onward movement of the colon contents. One or two tablespoonfuls of bran and one-half ounce to two ounces of paraffin oil taken at every meal will usually secure 3 or four bowel movements daily. The bran should be mixed through the meal. The paraffin oil should impersonate impressed a short time before the meal. Neither the oil nor the bran bring about as laxatives in the ordinary sense. They do not irritate the bowel. The bran stimulates the bowel not by hatred but by a style of titillation, hastening peristalsis in both the small intestine further the colon, further by means of hurrying on the unused residues of each meal leaving no opportunity for the development of putrefactive changes. Bran additionally excites the intestine to action by distending it, besides by the same means stimulates the activity of the glands which furnish the digestive fluids.
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