significance individuals who are pretty normal those adjustments may be brought about very quickly by way of regulation of the diet and a voluntary effort to move the bowels after each meal; but money persons who presuppose been chronically constipated for years, opposed measures are necessary. capacity must appear as employed to combat chronic constipation systematically and consistently. It is not proper, how-ever, to resort to the habitual use of laxative drugs, matching as castor oil, cascara sagrada, senna, etc. Salines again even aperient mineral waters must be avoided. unexpurgated of these things do harm. They consistently aggravate the spastic condition of the descending colon nearly always present.
Laxative drugs also produce an exaggeration of the anti-peristaltic movements, which begin in the transverse colon and travel backward toward the cecum. These movements are natural during digestion but do not interfere with the periodical movement of the intestinal load. Colitis, rectal constipation and particularly the gain of laxative drugs greatly exaggerate this anti-peristaltic stir and so increase the tendency to stasis domination the cecum and the ascending part of the colon. It appears to be further than in all likelihood that this exaggerated anti-peristalsis pass on increase by specialized obstacles to normal bowel function existing in the distal colon is the capital cause of dilatation of the cecum and incompetency of the ileocecal valve, which is brought about by the over-distention of the cecum.
Bran further Paraffin
In the great majority of cases of constipation, exact very obstinate cases, moment which a natural movement of the bowels has not occurred in prevalent years, the difficulty may be quickly over-come by growing the pudginess of the delicacies intake and by adding a lubricant in the form of paraffin oil. The modern diet in civilized countries is by low too highly concentrated. The anthropomorphic intestine is adapted to a bulky diet. The average bill of fare leaves practically no residue after the digestive process is completed. This fault may put on easily corrected by the addition of sterilized wheat bran in sufficient amount and by the free welfare of more fruits and burgeoning vegetables.
For normal persons living on a biologic diet bran would now not be necessary, but persons who have been for years constipated have crippled colons, the colon is dilated and elongated, its muscular walls are weakened by long spread out over-distention, and the specialist stimulus supplied by a excessively bulky dietary is essential,
Such colons are also crippled by means of degeneration of the glands that at all times furnish an abundance of lubricating mucus. This is particularly true in instances pressure which the appendix is unhealthy or has been removed but is also precise in practically all cases of chronic constipation. This permanent deficiency may be compensated because by the use of paraffin grease which acts purely in a mechanical way, lubricating the intestinal fence so as to facilitate the onward movement of the colon contents. matchless or two tablespoonfuls of bran and one-half ounce to two oz. of paraffin oil taken at every meal will usually comfortable three or four bowel movements daily. The bran should be combined through the meal. The paraffin oil should be taken a short time before the cookery. Neither the grease nor the bran act as laxatives in the ordinary sense. They do now not irritate the bowel. The bran stimulates the bowel not by irritation but by a sort of titillation, hastening peristalsis in both the small intestine and the colon, and by hurrying on the indolent residues of each meal leaving no opportunity for the development of septic changes. Bran also excites the intestine to action via distending it, and by the same ability stimulates the activity of the glands which furnish the digestive fluids.
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