Constipation and Cure

7/27/2019 Constipation and Cure

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Constipation and cure

A day without a bowel movement is no cause for concern. The notion that a daily bowel

movement is a necessity of life is rooted in folklore, not science. However, bowel movements

should be effortless and of soft consistency. Defecation is a physiologic necessity, and need

not cause embarrassment. Furthermore, defecation is a priority. hen the sensation of the

urge to defecate is felt !the call to stool", it is important to respond promptly, and not

postpone it unnecessarily for social or other reasons.

The treatment of constipation includes dietary and lifestyle changes, fiber supplements, and

la#atives. For very difficult cases prescription medications and behavioral techni$ues such asbiofeedback may be tried. %n very rare instances surgery may be necessary for carefully

defined neuromuscular abnormalities. The first step is to determine the underlying cause of

constipation. A constipated individual may use a daily diary and worksheetto record bowel

movements, stool characteristics, and other factors to help the physician and patient work in

partnership in pursuing effective treatment.

Occasional Constipation

For occasional, short&lived, or mild constipation the best treatment is prevention. Dietary

measures usually accomplish this. Dietary fibercan prevent constipation, and may benefit

individuals with relatively minor or occasional constipation. 'egular ingestion of fruits and

vegetables, especially if uncooked, will provide dietary fiber and natural la#atives such as that

found in prunes. hole grain breads and cereals are also helpful. (any find it difficult to take

sufficient $uantities of these foods in their diet. %n this case raw wheat bran may be given as a

supplement.

For those who find that bran causes bloating or e#cessive gas, a fiber substitute such as

psyllium !a natural soluble fiber that tends to form a gel in water and act as a bulking agent"

may help. %f gas is still a problem, methylcellulose !Citrocel" or polycarbophil !e.g., FiberCon,

)$ualactin" may help. These do not undergo bacterial fermentation and so create less gas.
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The need for regular e#ercise and e#tra fluids to prevent constipation is controversial.

*evertheless, these are safe and +ustified for other health reasons. Certainly, inactivity when

ill, or dehydration provoke constipation. %t also makes sense to drink a generous glass of

water to wash the fiber down. !e sure to drink plenty of water with psyllium."

-a#ativesshould be reserved for temporary constipation due to illness, incapacity, or travel.

Talk to a doctor about selecting a la#ative.

Chronic Constipation

%f constipation becomes chronic or persistent, consultation with a physician is in order. hile

structural abnormalities or diseases of the colon or rectum can cause constipation, it is usually

of unknown cause. The doctor will double&check to make sure all constipating medicines have

been stopped, switched to an alternative, or reduced in dosage if possible. The consumption of

plenty of fluids, as well as fruits and vegetables should be encouraged.

Statistic:

%n a survey of // practicing primary care physicians, most felt constipation was difficult to manage,

and 012 felt there were needs for better treatment options.3/4

A high&fiber diet may improve gut transit, stool fre$uency, and stool consistency in persons

with mild to moderate constipation. (ost people consume only a fraction of the recommended

51&6 gm of fiber daily. 7n the other hand, some persons with constipation are already

consuming ade$uate $uantities of fiber. (any others tolerate fiber supplementation poorly,

especially if fiber intake is dramatically increased over a short time period. 8ide effects can

include bloating, gassiness, and cramping, any of which a person may feel is worse than the

constipation itself.

%ndividuals may tolerate dietary and various commercial fiber supplements differently, so new

fiber sources should be tried for a few weeks each until the most satisfactory is found. 9atients

should gradually increase dietary fiber intake until an effect is achieved or until it becomes

apparent that no further benefit is gained. ulking agents, such as psyllium, are an alternative

for persons who have difficulties consuming enough dietary fiber to treat constipation. These

products hold water, which bulks and softens the stool. %ndividuals are encouraged to increase
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the dose of fiber gradually over a couple of weeks to help minimi:e any side effects, such as

distention and bloating. A physician or registered dietitian can help sort this out.

8hould simple measures fail, the addition of a la#ative is the ne#t step. There are several

types of la#atives and, whether over&the&counter or by prescription, consultation with a

physician is advised before long&term or chronic use of them.

The doctor may recommend starting with an osmotic la#ative, which works by drawing water

into the colon. The sugars lactulose, lactitol, and sorbitol are not absorbed by the intestine.

Through osmotic forces they increase stool bulk and stimulate peristalsis !contractions of the

muscles that propel food content through the ;% tract". They are safe and perhaps are the

preferred all&purpose la#atives. *ote that these sugars sometimes cause gaseousness,

abdominal cramping, and bloating.

The drug polyethylene glycol !(ira-a#" is an osmotic la#ative that first became available after

receiving FDA approval in /000 as a prescription drug and later, in 511s nervous system, it is now

believed this concern has been overstated.

(any patent or herbal medicines contain la#atives. These are unregulated, and the dose of

any contained drug is often unknown. 8ome can cause diarrhea and are best avoided.

New Medications


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Donate Now to IFFGD Go

The prominent role of the neurotransmitter serotonin !a chemical that acts on the nervous

system to help transmit messages along the nervous system" in gut motility and sensation has

led to the development of new prescription agents such as tegaserod !?elnorm".

Tegaserod was originally approved by the FDA in 5115 for the short&term treatment of women

with irritable bowel syndrome !%8" whose primary bowel symptom is constipation. The safety

and effectiveness of tegaserod in men with %8 have not been established. Tegaserod has

been shown to be effective in relieving multiple symptoms of %8 with constipation.3@4 The

drug should not be used by persons who have or fre$uently e#perience diarrhea. %t should be

discontinued immediately and a physician called if symptoms develop of new or worsening

abdominal pain.

%n 511@ the FDA approved the use of tegaserod for treating chronic constipation in both men

and women under the age of


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%ntractable constipation means that the symptom does not respond to the treatments

described above. 9atients who have intractable constipation may be referred to a specialist

who may wish to perform transit time or other studies.

Transit time, the time it takes for stool to move through the colon, can be evaluated by any

physician by taking #&rays of the abdomen 6 days after the patient swallows a capsule

containing 5@ tiny plastic markers. (arkers are substances that allow stool to show up on #&

rays. As a rule of thumb, if more than 512 of the markers remain in the gut after 6 days, the

transit time is abnormally prolonged, and further investigation may be helpful.

%f the transit time is prolonged, patients may undergo further testing at highly speciali:ed

centers. Colonic scintigraphyis a test that uses a small amout of a radioactive substance

ingested in a meal to measure transit time= images are then recorded at intervals over a 5@G

@ hour period to measure progress of the meal through the colon. Defecographyuses #&rays

to look at the behavior of the rectum and anus during attempts to defecate. %t evaluates

completeness of rectal e#pulsion and puborectalis muscle rela#ation, and identifies structural

problems !such as rectocele"

Anorectal manometrycan be used to measure resting and s$uee:ing anal sphincter pressures,

rectal sensation and compliance, and sphincter response. ith manometry, balloons are

positioned in the rectum and anal canal. Doctors inflate the balloons and then measure the

response. Hirschsprung>s diseaseand other disorders are detected this way.

!ehavioral Treatents

owel retrainingmay help persons who have very difficult symptoms. 8uch training involves

sitting on the toilet for /6 to 51 minutes at the same time each day so the body can get into

the habit of having regular bowel movements. The ideal time is following breakfast and coffee.

8ince the normal human position for human defecation is the s$uat, elevation of the feet by

placing a footstool before the toilet may simulate that position. The doctor will recommend

discontinuing stimulant la#atives and consuming a high&fiber diet or a dietary fiber supplement

if needed. For severe constipation, enemas may be used occasionally as part of a bowel

retraining program.
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iofeedbacktherapy is sometimes helpful to treat a variety of bowel disorders including

constipation and pelvic floor dysfunction. %n this procedure, special sensors measure bodily

functions of which we are usually unaware of. A therapist helps use this information to modify

or change abnormal responses to more normal patterns.

S"r#ical Treatent

8urgery is a rare last resort for constipation when a surgically remediable cause of

constipation can be identified. Hirschsprung>s disease !below" is an unusual e#ample of a

remediable condition in adults. %n some cases, even if a local neuromuscular abnormality can

be identified, surgery makes matters worse. Therefore, surgery should be considered only

after careful evaluation by physicians and surgeons who are e#perts in this field !e.g.,

gastroenterologist, colorectal surgeon" and after all other prescribed treatments have been

ade$uately tried and failed. %t is important to discuss any recommended surgery thoroughly

with the doctors in order to be familiar with the procedure and understand the potential risks

as well as proposed benefits.

Transit time that is greatly prolonged may indicate colon inertia. Here, surgical intervention is

sometimes considered. Colon inertia may be part of a generali:ed gut neurological or muscular

disorder, in which case removal of the colon will not correct the problem.

hen the internal anal sphincter fails to rela# after rectal distention, the patient may have

Hirschsprung>s disease. This disease is usually, but not always, discovered in childhood. The

treatment is surgical removal of a segment of the colorectum.

8urgical repair can be helpful in women with large rectoceles who must support the back of

the vagina with their fingers in order to effect defecation. Complete preoperative evaluation

!preferably including defecography to demonstrate improved rectal emptying with vaginal

support" and careful patient selection are necessary to ensure optimal outcomes.

A new operation using a special surgical stapler !8TA'' procedure" may help some with

obstructed defecation that is caused by a combination of rectocele and internal intussusception

!infolding of the rectum". As with any surgery, a thorough assessment of causes and

symptoms prior to the operation is important so that those individuals best suited for the

procedure are selected. 8tudies are underway to assess safety and effectiveness, and
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additional data are needed before this operation can be advocated outside speciali:ed research

centers. ;o to this %FF;D web pageto view a list of speciali:ed centers in the B.8. studying

the 8TA'' procedure.

S"ar$

9revention of occasional constipation can usually be accomplished through dietary measures

and responding to the call to stool. Adding fiber to the diet may benefit those with occasional,

temporary, and mild constipation. Consultation with a physician is recommended when

constipation is chronic or persistent.

After a thorough medical evaluation to determine the underlying cause of the constipation

various treatment options can be considered. This often includes a review of dietary and

lifestyle factors. 7ther treatment options include medications and behavioral approaches. %n

some well defined cases surgery may be considered, but only after other appropriate and

more conservative options have been tried unsuccessfully.

Constipation is common, yet clearly there is a need for better understanding of this condition,

and for improved treatments. Bnbiased studies are needed that look at the incidence, natural

history and $uality of life in individuals with constipation. hile several novel therapeutic

agents are in different stages of development, continued and additional research is needed to

establish their safety and effectiveness, to develop new treatments, and to advance our

understanding of this chronic troublesome disorder.

%e&erences

1. 8chiller -', Dennis ), Toth ;. 9rimary care physicians consider constipation as a severe and

bothersome medical condition that negatively impacts patients lives.American Journal of

Gastroenterology00 !/1 8uppl" 856 & 5


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4. Chang -. %rritable bowel syndrome. Digestive Health Matters511@ 8pring, Jol / *o /

'dditional So"rces

Thompson, ;. Functional diarrhea, constipation, abdominal bloating, and gas. Functional GI

disorders Education Program Guide, Chapter , %FF;D, /00.

Natural Medicine for Constipation

92

By kalamitycat

NATURAL REMEDIES FOR CONSTIPATION

Constipation: A Peril of Modern Living

Our modern processed foods have cut down on the roughage that we eat and have therefore

led to a significant number of people in our society who suffer from constipation. Whereas

the pioneers mostly ate all whole grain products, we typically consume a lot of denatured

while flour products that have the fiber taken out of them. Another part of modern life that

leads to constipation can be certain medications that we take such as blood pressure pills,

pain relievers, antidepressants, tranuili!ers, statin drugs for lowering cholesterol, and manymore chemicals that we consume. Also, a sedentary lifestyle and not consuming enough

liuids can cause bowels not to work properly. "ven old age can lead to constipation as the

bowels lose their muscle tone. #ome people rely on chemical la$atives for a %uick&fi$% for

their problem, however these can cause permanent bowel damage and make the colon la!y.

'he traditional remedy that doctors usually prescribe is taking (etamucil or eating All Bran.

)owever, if your problem is severe this advice probably won*t work. Also, if you don*t drink

enough water with the fiber then it compounds constipation.

Laatives fro! Aro"nd t#e $orld

An interesting website featuring natural constipation cures is found at+

www.possumsal.homestead.comconstipation.html which has compiled a long list of

remedies from around the world. -t says that there is a special seaweed which grows off of

the "ast -ndian coast called %agar agar% can be taken as a la$ative. 'o use it you can boil it

down until it becomes a elly and then flavour it with lemon or orange uice. Agar agar can

also be eaten like a cereal with milk and sugar on it to disguise the taste. -t can also be
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added to soups or cake. (ake sure that you allow three days to a week for agar agar to be

effective. Apparently, it is the ingredient in ice cream that makes it smooth.

-n -srael people eat three or four barley muffins or biscuits to help constipation and

indigenous inhabitants of the West -ndies freuently drink Aloe /era uice which is a potent

la$ative. 'o ease cramps from drinking the uice they blend in some fennel seeds. A warning

about Aloe /era is that it shouldn*t be consumed by pregnant or menstruating women.

American pioneers when they were travelling west carried rhubarb root to ease constipation.

)owever, the 0hinese rhubarb root is the strongest la$ative. -t is called %'ahuang% which is

prepared by drying, then cutting and pulveri!ing. Another constipation remedy that

"thiopians use is chewing on pumpkin seeds. "ating fresh coconut meat is said to be good

la$atives while the 1rench use whole mustard seeds to treat nausea, indigestion, and

constipation. 0hinese doctors advise their patients to eat sweet potatoes with salt or sugar

for chronic constipation.

#ome other around& the& world constipations cures include uava, 3apaya, 0hickweed,

Buckthorn bark, and 4andelion root.

Laative Re%ipes &o" Can Ma'e at (o!e

)ome made la$atives can be as simple as stewing up some prunes and eating four or five of

them or grinding up fla$seeds in a coffee grinder and mi$ing three tablespoons of them with

some yogurt. A constipation cure recipe that reuires a little more preparation is the following

Laative Re%ipe

#immer one half cup of raisins, or half a cup mi$ture of raisins, figs, and prunes with water

and olive oil for several minutes. Add 2 tablespoons of toasted wheat germ and some 5

tablespoons of toasted natural bran. 6e$t, add some Wheatabi$, milk, and sweetener. "at

this every morning to keep constipation at bay.

A back issue of 'he 3arkinson*s #ociety*s newsletter has some interesting ways to make

la$atives tasty. 'heir site is found at+ www.aa.psg.orgoctober2775.pdfand the recipes are

as follows+

Po)er P"dding

8 cup prune uice

8 cup applesauce
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8 cup wheat bran flakes

8 cup whipped topping

8 cup of prunes canned or stewed

Blend ingredients, cover, and put in fridge. 'ake cup every morning. -t will keep for a week

in the refrigerator.

Fr"it Spread

2 pounds of raisins

2 pounds of currents

2 pounds of prunes

2 pounds of figs

2 pounds of dates

rind fruit in food processor. 0ombine with two 2: ounce containers of undiluted prune

concentrate and mi$ with electric mi$ed in large bowl. 3ut in large plastic container and

refrigerate.

Standard Re%ipe

; cup of bran

; cup of applesauce

; cup of prune uice

0ombine together and store in refrigerator. 'ake ; ounce daily, adusting dose as needed.

#ome other la$ative recipes are as follows+

Eas* Laative +a!

; cup pitted prunes

; cup pitted dates


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; cup boiling water

Boil water in a medium saucepan. 0hop fruit up finely. 6e$t add to boiling water and cook

until thickened.


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?emon uice

(i$ together and drink.

Morning Orange +"i%e,Fla Laative

Boil two tablespoons of fla$ seed in three uarts of water and let cool. #tore in the

refrigerator. "ach morning add two ounces to orange uice and mi$ with fla$ . 4rink a glass

every morning.

With all these natural remedies you should be able to get off of the chemical la$ative

bandwagon and achieve regularity. >emember, each person is uniue and what works for

one person may not work for another. With patience, however, you should be able to

conuer constipation.

Victoria Pyschkyza says:

;F months ago

-n my country, we were mi$ing water and salt and suger and we will drink it and it will make

us make poo faster. this constipition what is itC

#orry for my not smart but - am very smart in my language it is ust that your englush is not

good to be spell or to be listen.

'hank you for your times.

The Health Lady says:

E months ago

- usually have a bowl of oatmeal every morning, and -*m always sure to eat plenty veggiesand drink tons of water. Although constipation seems like a small issue it can start a heart

attack as many stop breathing while they push and constipation also aggrivates varicose

veins. 'hanks for the getting the word out about constipation.
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Annette Rozen says:

5 months ago

- found your article very interesting and informative, but as someone who as lived in -srael for

the last five years, i must say that your comment about eating barley muffins or biscuits is

simply not true.

Constipation

On this page:

Who gets constipated?

What causes constipation?

How is the cause of constipation identified?

How is constipation treated?

Can constipation be serious?

Hope through Research

Points to Remember

For ore !nformation

Constipation is defined as ha"ing a bowe# mo"ement fewer than three times per wee$.

With constipation stoo#s are usua##% hard& dr%& sma## in si'e& and difficu#t to e#iminate.

(ome peop#e who are constipated find it painfu# to ha"e a bowe# mo"ement and often

e)perience straining& b#oating& and the sensation of a fu## bowe#.

(ome peop#e thin$ the% are constipated if the% do not ha"e a bowe# mo"ement e"er% da%.

Howe"er& norma# stoo# e#imination ma% be three times a da% or three times a wee$&

depending on the person.

Constipation is a s%mptom& not a disease. *#most e"er%one e)periences constipation at

some point in their #ife& and a poor diet t%pica##% is the cause. ost constipation is

temporar% and not serious. +nderstanding its causes& pre"ention& and treatment wi## he#p

most peop#e find re#ief.
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,ower digesti"e s%stem.

Who gets constipated?

Constipation is one of the most common gastrointestina# comp#aints in the +nited (tates.

ore than 4 mi##ion *mericans ha"e fre-uent constipation& accounting for 2. mi##ion

ph%sician "isits a %ear. /hose reporting constipation most often are women and adu#ts

ages 0 and o#der. Pregnant women ma% ha"e constipation& and it is a common prob#em

fo##owing chi#dbirth or surger%.

(e#ftreatment of constipation with o"erthecounter /C #a)ati"es is b% far the most

common aid. *round 562 mi##ion is spent on #a)ati"e products each %ear in *merica.

7/op8

What causes constipation?

/o understand constipation& it he#ps to $now how the co#on& or #arge intestine& wor$s. *s

food mo"es through the co#on& the co#on absorbs water from the food whi#e it forms

waste products& or stoo#. usc#e contractions in the co#on then push the stoo# toward therectum. 9% the time stoo# reaches the rectum it is so#id& because most of the water has

been absorbed.
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Constipation occurs when the co#on absorbs too much water or if the co#on:;which is short of the 2 to 3

grams recommended b% the *merican @ietetic *ssociation. 9oth chi#dren and adu#ts

often eat too man% refined and processed foods from which the natura# fiber has been

remo"ed.

* #owfiber diet a#so p#a%s a $e% ro#e in constipation among o#der adu#ts& who ma% #ose

interest in eating and choose foods that are -uic$ to ma$e or bu%& such as fast foods& or

prepared foods& both of which are usua##% #ow in fiber. *#so& difficu#ties with chewing or

swa##owing ma% cause o#der peop#e to eat soft foods that are processed and #ow in fiber.
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>Aationa# Center for Hea#th (tatistics. @ietar% !nta$e of acronutrients& icronutrients&and ther @ietar% ConstituentsB +nited (tates& 1DDEG4. ita# and Hea#th (tatistics&(eries 11& Aumber 24. Iu#% 22.

Not Enough Liquids

Research shows that a#though increased f#uid inta$e does not necessari#% he#p re#ie"e

constipation& man% peop#e report some re#ief from their constipation if the% drin$ f#uids

such as water and Juice and a"oid deh%dration. ,i-uids add f#uid to the co#on and bu#$ to

stoo#s& ma$ing bowe# mo"ements softer and easier to pass. Peop#e who ha"e prob#ems

with constipation shou#d tr% to drin$ #i-uids e"er% da%. Howe"er& #i-uids that contain

caffeine& such as coffee and co#a drin$s wi## worsen one:;


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@uring pregnanc%& women ma% be constipated because of hormona# changes or because

the uterus compresses the intestine. *ging ma% a#so affect bowe# regu#arit%& because a

s#ower metabo#ism resu#ts in #ess intestina# acti"it% and musc#e tone. !n addition& peop#e

often become constipated when tra"e#ing& because their norma# diet and dai#% routine are

disrupted.

buse of La%ati!es

/he common be#ief that peop#e must ha"e a dai#% bowe# mo"ement has #ed to se#f

medicating with /C #a)ati"e products. *#though peop#e ma% fee# re#ief when the% use

#a)ati"es& t%pica##% the% must increase the dose o"er time because the bod% grows re#iant

on #a)ati"es in order to ha"e a bowe# mo"ement. *s a resu#t& #a)ati"es ma% become habit

forming.

&gnoring the 'rge to (a!e a )o*el "o!e+ent

Peop#e who ignore the urge to ha"e a bowe# mo"ement ma% e"entua##% stop fee#ing the

need to ha"e one& which can #ead to constipation. (ome peop#e de#a% ha"ing a bowe#

mo"ement because the% do not want to use toi#ets outside the home. thers ignore the

urge because of emotiona# stress or because the% are too bus%. Chi#dren ma% postpone

ha"ing a bowe# mo"ement because of stressfu# toi#et training or because the% do not want

to interrupt their p#a%.

,pecific Diseases

@iseases that cause constipation inc#ude neuro#ogica# disorders& metabo#ic and endocrine

disorders& and s%stemic conditions that affect organ s%stems. /hese disorders can s#ow

the mo"ement of stoo# through the co#on& rectum& or anus.

Conditions that can cause constipation are found be#ow.

Aeuro#ogica# disorders

mu#tip#e sc#erosis

Par$insonKs disease

chronic idiopathic intestina# pseudoobstruction

stro$e

spina# cord inJuries


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etabo#ic and endocrine conditions diabetes

uremia

h%perca#cemia poor g#%cemic contro#

h%poth%roidism

(%stemic disorders am%#oidosis

#upus

sc#eroderma

Proble+s *ith the #olon and $ectu+

!ntestina# obstruction& scar tissue:;=a#so ca##ed adhesions:;=di"erticu#osis& tumors&

co#orecta# stricture& Hirschsprung:;


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some e)tent& biofeedbac$ training is somewhat successfu# in retraining the musc#es to

function norma##% and impro"ing the abi#it% to ha"e a bowe# mo"ement.

Functiona# constipation that stems from prob#ems in the structure of the anus and rectum

is $nown as anorecta# d%sfunction& or anismus. /hese abnorma#ities resu#t in an inabi#it%

to re#a) the recta# and ana# musc#es that a##ow stoo# to e)it.

Peop#e with !9( ha"ing predominant#% constipation a#so ha"e pain and b#oating as part of

their s%mptoms.

7/op8

(o* is the cause of constipation identified?

/he tests the doctor performs depend on the duration and se"erit% of the constipation& the

person:;


20/73

Physical E%a+ination

* ph%sica# e)am ma% inc#ude a recta# e)am with a g#o"ed& #ubricated finger to e"a#uate

the tone of the musc#e that c#oses off the anus:;=a#so ca##ed ana# sphincter:;=and to

detect tenderness& obstruction& or b#ood. !n some cases& b#ood and th%roid tests ma% benecessar% to #oo$ for th%roid disease and serum ca#cium or to ru#e out inf#ammator%&

metabo#ic& and other disorders.

M)tensi"e testing usua##% is reser"ed for peop#e with se"ere s%mptoms& for those with

sudden changes in the number and consistenc% of bowe# mo"ements or b#ood in the stoo#&

and o#der adu#ts. *dditiona# tests that ma% be used to e"a#uate constipation inc#ude

a co#orecta# transit stud%

anorecta# function tests a defecograph%

9ecause of an increased ris$ of co#orecta# cancer in o#der adu#ts& the doctor ma% use tests

to ru#e out a diagnosis of cancer& inc#uding a

barium enema ) ra%

sigmoidoscop% or co#onoscop%

#olorectal transit study-/his test shows how we## food mo"es through the co#on. /he

patient swa##ows capsu#es containing sma## mar$ers that are "isib#e on an ) ra%. /he

mo"ement of the mar$ers through the co#on is monitored b% abdomina# ) ra%s ta$en

se"era# times 3 to 6 da%s after the capsu#e is swa##owed. /he patient eats a highfiber diet

during the course of this test.

norectal function tests-/hese tests diagnose constipation caused b% abnorma#

functioning of the anus or rectum:;=a#so ca##ed anorecta# function.

norectal +ano+etrye"a#uates ana# sphincter musc#e function. For this test& a

catheter or airfi##ed ba##oon is inserted into the anus and s#ow#% pu##ed bac$

through the sphincter musc#e to measure musc#e tone and contractions.

)alloon e%pulsion testsconsist of fi##ing a ba##oon with "ar%ing amounts of water

after it has been recta##% inserted. /hen the patient is as$ed to e)pe# the ba##oon.


21/73

/he inabi#it% to e)pe# a ba##oon fi##ed with #ess than 1 m, of water ma% indicate

a decrease in bowe# function.

Defecographyis an ) ra% of the anorecta# area that e"a#uates comp#eteness of stoo#

e#imination& identifies anorecta# abnorma#ities& and e"a#uates recta# musc#e contractions

and re#a)ation. @uring the e)am& the doctor fi##s the rectum with a soft paste that is the

same consistenc% as stoo#. /he patient sits on a toi#et positioned inside an )ra% machine&

then re#a)es and s-uee'es the anus to e)pe# the paste. /he doctor studies the ) ra%s for

anorecta# prob#ems that occurred as the paste was e)pe##ed.

)ariu+ ene+a % ray-/his e)am in"o#"es "iewing the rectum& co#on& and #ower part of

the sma## intestine to #ocate prob#ems. /his part of the digesti"e tract is $nown as the

bowe#. /his test ma% show intestina# obstruction and Hirschsprung:;


22/73

/o perform a sigmoidoscop%& the doctor uses a #ong& f#e)ib#e tube with a #ight on the end&

ca##ed a sigmoidoscope& to "iew the rectum and #ower co#on. /he patient is #ight#%

sedated before the e)am. First& the doctor e)amines the rectum with a g#o"ed& #ubricated

finger. /hen& the sigmoidoscope is inserted through the anus into the rectum and #ower

co#on. /he procedure ma% cause abdomina# pressure and a mi#d sensation of wanting to

mo"e the bowe#s. /he doctor ma% fi## the co#on with air to get a better "iew. /he air can

cause mi#d cramping.

/o perform a co#onoscop%& the doctor uses a f#e)ib#e tube with a #ight on the end& ca##ed a

co#onoscope& to "iew the entire co#on. /his tube is #onger than a sigmoidoscope. @uring

the e)am& the patient #ies on his or her side& and the doctor inserts the tube through the

anus and rectum into the co#on. !f an abnorma#it% is seen& the doctor can use the

co#onoscope to remo"e a sma## piece of tissue for e)amination biops%. /he patient ma%

fee# gass% and b#oated after the procedure.

7/op8

(o* is constipation treated?

*#though treatment depends on the cause& se"erit%& and duration of the constipation& in

most cases dietar% and #ifest%#e changes wi## he#p re#ie"e s%mptoms and he#p pre"ent

them from recurring.

Diet

* diet with enough fiber 2 to 3 grams each da% he#ps the bod% form soft& bu#$% stoo#.

* doctor or dietitian can he#p p#an an appropriate diet. Highfiber foods inc#ude beans&

who#e grains and bran cerea#s& fresh fruits& and "egetab#es such as asparagus& brusse#s

sprouts& cabbage& and carrots. For peop#e prone to constipation& #imiting foods that ha"e

#itt#e or no fiber& such as ice cream& cheese& meat& and processed foods& is a#so important.

Lifestyle #hanges

ther changes that ma% he#p treat and pre"ent constipation inc#ude drin$ing enough

water and other #i-uids& such as fruit and "egetab#e Juices and c#ear soups& so as not to


23/73

become deh%drated& engaging in dai#% e)ercise& and reser"ing enough time to ha"e a

bowe# mo"ement. !n addition& the urge to ha"e a bowe# mo"ement shou#d not be ignored.

La%ati!es

ost peop#e who are mi#d#% constipated do not need #a)ati"es. Howe"er& for those who

ha"e made diet and #ifest%#e changes and are sti## constipated& a doctor ma% recommend

#a)ati"es or enemas for a #imited time. /hese treatments can he#p retrain a chronica##%

s#uggish bowe#. For chi#dren& shortterm treatment with #a)ati"es& a#ong with retraining to

estab#ish regu#ar bowe# habits& he#ps pre"ent constipation.

* doctor shou#d determine when a patient needs a #a)ati"e and which form is best.

,a)ati"es ta$en b% mouth are a"ai#ab#e in #i-uid& tab#et& gum powder& and granu#e forms.

/he% wor$ in "arious wa%sB

)ulk.for+ing la%ati!esgenera##% are considered the safest& but the% can interfere

with absorption of some medicines. /hese #a)ati"es& a#so $nown as fiber

supp#ements& are ta$en with water. /he% absorb water in the intestine and ma$e

the stoo# softer. 9rand names inc#ude etamuci#& Fibera##& Citruce#& Nons%#& and

(erutan. /hese agents must be ta$en with water or the% can cause obstruction.

an% peop#e a#so report no re#ief after ta$ing bu#$ing agents and suffer from a

worsening in b#oating and abdomina# pain.

,ti+ulantscause rh%thmic musc#e contractions in the intestines. 9rand names

inc#ude Correcto#& @u#co#a)& Purge& and (eno$ot. (tudies suggest that

pheno#phtha#ein& an ingredient in some stimu#ant #a)ati"es& might increase a

person:;


24/73

,tool softenersmoisten the stoo# and pre"ent deh%dration. /hese #a)ati"es are

often recommended after chi#dbirth or surger%. 9rand names inc#ude Co#ace and

(urfa$. /hese products are suggested for peop#e who shou#d a"oid straining in

order to pass a bowe# mo"ement. /he pro#onged use of this c#ass of drugs ma%

resu#t in an e#ectro#%te imba#ance.

Lubricantsgrease the stoo#& enab#ing it to mo"e through the intestine more

easi#%. inera# oi# is the most common e)amp#e. 9rand names inc#ude F#eet and

O%meno#. ,ubricants t%pica##% stimu#ate a bowe# mo"ement within D hours.

,aline la%ati!esact #i$e a sponge to draw water into the co#on for easier passage

of stoo#. 9rand names inc#ude i#$ of agnesia and Ha#e%:;


25/73

accurate assessment of bod% functions. * hea#th care professiona# uses this information to

he#p the patient #earn how to retrain these musc#es.

(urgica# remo"a# of the co#on ma% be an option for peop#e with se"ere s%mptoms caused

b% co#onic inertia. Howe"er& the benefits of this surger% must be weighed against possib#e

comp#ications& which inc#ude abdomina# pain and diarrhea.

7/op8

#an constipation be serious?

(ometimes constipation can #ead to comp#ications. /hese comp#ications inc#ude

hemorrhoids& caused b% straining to ha"e a bowe# mo"ement& or ana# fissures:;=tears in

the s$in around the anus:;=caused when hard stoo# stretches the sphincter musc#e. *s a

resu#t& recta# b#eeding ma% occur& appearing as bright red strea$s on the surface of the

stoo#. /reatment for hemorrhoids ma% inc#ude warm tub baths& ice pac$s& and app#ication

of a specia# cream to the affected area. /reatment for ana# fissures ma% inc#ude stretching

the sphincter musc#e or surgica##% remo"ing the tissue or s$in in the affected area.

(ometimes straining causes a sma## amount of intestina# #ining to push out from the ana#

opening. /his condition& $nown as recta# pro#apse& ma% #ead to secretion of mucus from

the anus. +sua##% e#iminating the cause of the pro#apse& such as straining or coughing& is

the on#% treatment necessar%. (e"ere or chronic pro#apse re-uires surger% to strengthen

and tighten the ana# sphincter musc#e or to repair the pro#apsed #ining.

Constipation ma% a#so cause hard stoo# to pac$ the intestine and rectum so tight#% that the

norma# pushing action of the co#on is not enough to e)pe# the stoo#. /his condition& ca##ed

feca# impaction& occurs most often in chi#dren and o#der adu#ts. *n impaction can be

softened with minera# oi# ta$en b% mouth and b% an enema. *fter softening the

impaction& the doctor ma% brea$ up and remo"e part of the hardened stoo# b% insertingone or two fingers into the anus.

7/op8

(ope through $esearch
http://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#tophttp://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#tophttp://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#tophttp://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#top


26/73

/he @i"ision of @igesti"e @iseases and Autrition at the Aationa# !nstitute of @iabetes and

@igesti"e and Nidne% @iseases supports basic and c#inica# research into gastrointestina#

conditions& inc#uding constipation. Researchers are stud%ing the anatomica# and

ph%sio#ogica# characteristics of rectoana# moti#it% and the use of new medications and

beha"iora# techni-ues& such as biofeedbac$& to treat constipation.

7/op8

Points to $e+e+ber

Constipation affects a#most e"er%one at one time or another.

an% peop#e thin$ the% are constipated when& in fact& their bowe# mo"ements are

regu#ar.

/he most common causes of constipation are poor diet and #ac$ of e)ercise.

ther causes of constipation inc#ude medications& irritab#e bowe# s%ndrome& abuse

of #a)ati"es& and specific diseases.

* medica# histor% and ph%sica# e)am ma% be the on#% diagnostic tests needed

before the doctor suggests treatment.

!n most cases& fo##owing these simp#e tips wi## he#p re#ie"e s%mptoms and pre"ent

recurrence of constipationB

Mat a we##ba#anced& highfiber diet that inc#udes beans& bran& who#e

grains& fresh fruits& and "egetab#es. @rin$ p#ent% of #i-uids.

M)ercise regu#ar#%.

(et aside time after brea$fast or dinner for undisturbed "isits to the toi#et.

@o not ignore the urge to ha"e a bowe# mo"ement.

+nderstand that norma# bowe# habits "ar%. Whene"er a significant or pro#onged change in bowe# habits occurs& chec$

with a doctor. ost peop#e with mi#d constipation do not need #a)ati"es. Howe"er& a doctor ma%

recommend #a)ati"es for a #imited time for peop#e with chronic constipation.


27/73

/he +.(. o"ernment does not endorse or fa"or an% specific commercia# product or

compan%. /rade& proprietar%& or compan% names appearing in this document are used

on#% because the% are considered necessar% in the conte)t of the information pro"ided. !f

a product is not mentioned& the omission does not mean or imp#% that the product is

unsatisfactor%.

7/op8

For "ore &nfor+ation

&nternational Foundation for Functional 0astrointestinal Disorders

P.. 9o) 16D04

i#wau$ee& W! 3216

PhoneB 1:;QDDD:;Q04:;Q21 or 414:;Q04:;Q16

Fa)B 414:;Q04:;Q6160

Mmai#B iffgdiffgd.org

!nternetB www.iffgd.org

+erican 0astroenterological ssociation

Aationa# ffice43 @e# Ra% *"enue

9ethesda& @ 2D14

PhoneB 31:;Q04:;Q2

Fa)B 31:;Q04:;Q2

Mmai#B membergastro.org

!nternetB www.gastro.org

/he Aationa# @igesti"e @iseases !nformation C#earinghouse co##ects resource

information about digesti"e diseases for the Aationa# !nstitute of @iabetes and @igesti"e

and Nidne% @iseases A!@@N Reference Co##ection. /his database pro"ides tit#es&

abstracts& and a"ai#abi#it% information for hea#th information and hea#th education
http://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#topmailto:[email protected]://www.iffgd.org/mailto:[email protected]://www.gastro.org/http://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#topmailto:[email protected]://www.iffgd.org/mailto:[email protected]://www.gastro.org/


28/73

resources. /he A!@@N Reference Co##ection is a ser"ice of the Aationa# !nstitutes of

Hea#th.

Sou ma% "iew the resu#ts of the automatic search on constipation.

!f %ou wish to perform %our own search of the database& %ou ma% access and search the

A!@@N Reference Co##ection database on#ine.

/his pub#ication ma% contain information about medications used to treat a hea#th

condition. When this pub#ication was prepared& the A!@@N inc#uded the most current

information a"ai#ab#e. ccasiona##%& new information about medication is re#eased. For

updates or for -uestions about an% medications& p#ease contact the +.(. Food and @rug

*dministration at 1:;QDDD:;Q!AF:;QF@* 403:;Q0332& a to##free ca##& or "isit their

website at www.fda.go". Consu#t %our doctor for more information.

7/op8

National Digesti!e Diseases &nfor+ation #learinghouse

2 !nformation Wa%

9ethesda& @ 2D2:;Q36

PhoneB 1:;QD:;QD1:;Q3D

//SB 1:;QD00:;Q0:;Q1102

Fa)B 63:;Q63D:;Q42

Mmai#B nddicinfo.nidd$.nih.go"!nternetB www.digesti"e.nidd$.nih.go"

/he Aationa# @igesti"e @iseases !nformation C#earinghouse A@@!C is a ser"ice of the

Aationa# !nstitute of @iabetes and @igesti"e and Nidne% @iseases A!@@N. /he A!@@N

is part of the Aationa# !nstitutes of Hea#th of the +.(. @epartment of Hea#th and Human
http://catalog.niddk.nih.gov/resources/results.cfm?searchterms=constipation&databases=99&searchtype=basic&result=1http://catalog.niddk.nih.gov/resources/index.cfmhttp://www.fda.gov/http://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#tophttp://digestive.niddk.nih.gov/about/contact.htmhttp://www.digestive.niddk.nih.gov/http://catalog.niddk.nih.gov/resources/results.cfm?searchterms=constipation&databases=99&searchtype=basic&result=1http://catalog.niddk.nih.gov/resources/index.cfmhttp://www.fda.gov/http://c/Documents%20and%20Settings/Administrator/My%20Documents/New%20Folder5/#tophttp://digestive.niddk.nih.gov/about/contact.htmhttp://www.digestive.niddk.nih.gov/


29/73

(er"ices. Mstab#ished in 1D& the C#earinghouse pro"ides information about digesti"e

diseases to peop#e with digesti"e disorders and to their fami#ies& hea#th care professiona#s&

and the pub#ic. /he A@@!C answers in-uiries& de"e#ops and distributes pub#ications& and

wor$s c#ose#% with professiona# and patient organi'ations and o"ernment agencies to

coordinate resources about digesti"e diseases.

Pub#ications produced b% the C#earinghouse are carefu##% re"iewed b% both A!@@N

scientists and outside e)perts. /his pub#ication was origina##% re"iewed b% ichae#

Cami##eri& .@.& a%o C#inic.

/his pub#ication is not cop%righted. /he C#earinghouse encourages users of this

pub#ication to dup#icate and distribute as man% copies as desired.

Hea#Sourut report...

3 Wa%s to Reduce or M#iminate Mmbarassing as and a 9#oated (tomach Without (eeing

a @octor or a$ing *n% aJor ,ifest%#e Changes

Iust enter %our name and emai# address into the form be#ow...

Sour AameB

Sour ain Mai# B

Sour emai# address

wi## AMMR be rented&

traded or so#d. Sou can unsubscribe at an% time.


30/73

T@r. auroKs Mmai# (eries

ade a 9ig !mpression

n e...T

T! tr% to ma$e it a habit to eat we## and sta% hea#th% but there are certain simp#e things !

a#wa%s s#ip up on.

TFor e)amp#e& ! $now !Km supposed to drin$ D g#asses of water a da% and chew m% food

thorough#%. 9ut ! a#wa%s forgot.

TReading @r. auroKs informati"e and thoughtfu# emai#s rea##% dro"e home the point for

me. ! donKt $now wh%. a%be it was

because he became a fami#iar and trusted "oice and he $nows what he is ta#$ing about?

TWe##& now itKs been two wee$s and if ! donKt drin$ m% water and chew m% food we##& a

#itt#e "oice peeps up in m% head to

remind me. /his is a firstU

T@r. auro somehow made an impression on me. His emai# reports had a## sorts of other

interesting stuff too. /hings ! can

refer bac$ to again and again.T


31/73

V(u'anne R%an

ourmet Food Cata#og Writer

9oston& assachusetts

www.gourmetcop%writing.com

@r. Nar#o auro& A.@.

Has He#ped /housands

"ercome Chronic ut /roub#e...

"er the #ast se"en %ears @r. Nar#o auro has he#ped thousands of patients with their

gastrointestina# issues. He wor$s

out of his c#inic near Windsor& ntario on the border to @etroit. For more information on

his bric$ and mortar practice&

go

to www.theAaturopath.ca.

He current#% ran$s as a 3rd degree b#ac$ be#t in the martia# art *i$ido Soshin$ai.

*i$ido origina##% spar$ed his


32/73

interest in natura# hea#th. He began recei"ing he#p from a Aaturopathic @octor for some

digesti"e troub#e he was

e)periencing.

/his first introduction to natura# medicine resu#ted in him meeting other Aaturopaths

and fina##% ma$ing a

#ifechanging decision. @espite the fact he had Just comp#eted a asters degree in

Mducation& @r. auro abandoned his

teaching career& entered Aaturopathic Co##ege& emerging four %ears #ater an A@.

@r. auro #i"es in Windsor& ntario with his wife Aata#ia& son *#e$ and daughter

M##a. 9oth $ids #o"e p#a%ing go#f

with their dad when heKs not bus% at the c#inic.

/hough heKs he#ped patients with a wide "ariet% of disorders& heKs found the most

success he#ping peop#e with gut

troub#e. T! #i$e the fact itKs so eas% to see an impro"ement&T he sa%s. T!f %ouKre

constipated& on#% going once a wee$&

and %ou start going e"er%da%& %ou NAW %ouKre getting better.T


33/73

(ign up for this free emai# series b% @r. Nar#o auro& A.@. and as a bonus %ouK##

immediate#% recei"e a free cop% of his



a @octor or a$ing *n% aJor ,ifest%#e

Changes


Sour AameB

Sour ain Mai# B

Sour emai# address




34/73

/HRMM SM*R( of

!ntense ut Pain

one *fter (i) onths

* 2 %ear o#d woman came to the c#inic with acid ref#u) MR@ and inf#ammation in

her stomach gastritis.

For the pre"ious three %ears she wo$e up e"er% morning with pressure in her stomach and

se"ere nausea.

Her @ prescribed a drug that decreased the acid production in her stomach whichs#ight#% reduced her discomfort.

!nstead of suppressing s%mptoms& @r. auro focused on using herbs to hea# the stomach

and esophagea# #ining.

He a#so prescribed specific nutrient supp#ements to strengthen the "a#"e at the bottom of

her esophagus. /his $ept acid

in her stomach where it was needed.


35/73

A*/+RP*/H!C (+CCM((B *fter 0 months with @r. auro she no #onger needs her

prescription drug. For the #ast %ears sheKs

been comp#ete#% pain free.

Ha"ing /roub#e

etting Pregnant?

an% ferti#it% specia#ists ha"e seen a definite #in$ between constipation and the inabi#it%

to concei"e or carr% a bab% to

fu##term.

!t ma$es perfect sense... T!f %our co#on is o"er#oaded with to)ins&T e)p#ains @r.

auro& Tthose to)ins wi## bac$ up

into %our #i"er and then into %our b#oodstream. !tKs #ess than idea# circumstances for

ba#ancing hormones and bearing a

hea#th% chi#d.T

/hough @r. auro ma$es no guarantees that ha"ing one bowe# mo"ement a da% wi##

ensure ferti#it%& it shou#d


36/73

nonethe#ess he#p ma$e getting pregnant much easier. Sou shou#d consider regu#arit% a

natura# component of an% ferti#it%

program.

Iust !n Case SouKre Wondering

!f @r. auro is the Rea# /hing...

@r. auroKs credentia#s and e)perience bac$ up his e)pertise. He has successfu##%

comp#eted /MA %ears of uni"ersit%

studies...

9ache#or of (cience 9.(c. degree in 9io#ogica# (ciences 12

Honours 9ache#or of *rts Hons. 9.*. degree in Ps%cho#og% 14

aster of (cience in Mducation .(.Md. degree in (econdar% /eacher Mducation

1

@octor of Aaturopathic edicine A.@. degree from the Canadian Co##ege of

Aaturopathic edicine 2

Current#%& he is a member of the ntario *ssociation of Aaturopathic @octors as we## as

the Canadian *ssociation of


37/73

Aaturopathic @octors

@r. auro has been stud%ing *i$ido Soshin$ai for si)teen %ears and ho#ds the ran$ of

3rd @egree 9#ac$ 9e#t

@octor& Counse##or& /eacher and Coach a## in oneU

Sou can "isit his c#inicKs website at www.theAaturopath.ca or "erif% his identit% with

his receptionist at

1 63242. His name is a#so #isted with the 9oard of @irectors of @rug#ess /herap%

Aaturopath% website. *nd

hereKs a #in$ to his ad in WindsorKs #oca# Se##ow Pages director%.

Ses& @r. Nar#o auro& A.@. is the rea# dea#U

W*RA!AB

@o Sou Ha"e 9#ood

!in Sour (too#s?


38/73

!f %ou see b#ood in the toi#et after going or are e)periencing e)treme bowe# pain& the

information pro"ided on this site

is most #i$e#% of insufficient scope to remed% %our prob#em. /hat is not to sa% that %ou

wi## not benefit from the

information in 26 Constipation Re#ief (trategies For Women. Sou are sti## we#come to

purchase a cop%.

9ut we recommend that %ou immediate#% see$ out a -ua#ified hea#th care pro"ider.

Sou most #i$e#% need diagnostic

tests done to ensure %ou do not ha"e a serious co#on disease.

How (oft (hou#d

Sour (too#s 9e?

(ometimes& e"en if %ou are going once a da%& itKs difficu#t because %our stoo#s are too

hard and dr%.

!dea##% %ou want %our stoo#s to be about the consistenc% of a ripe banana. *n%thing

#ooser or thinner is undesirab#e.


39/73

ne of the prob#ems with #a)ati"es is that the% donKt produce this banana#i$e -ua#it%.

!nstead the% bring on diarrhea.

@iarrhea is deh%drating and dep#eting of "a#uab#e nutrients such as potassium and

sodium.

@r. auroKs 6part emai# series and his co##ection of 26 Constipation Re#ief (trategies for

Women he#p produce this idea#

consistenc% because the% he#p %ou retrain %our bowe#s to wor$ proper#%. When %our

co#on is in good hea#th& it wi##

natura##% ma$e sure %our stoo#s are neither too dr% nor too hard.

(heXd o /W WMMN(

Without a 9owe# o"ement

* after 16 %ears of constipation this 30 %ear o#d woman sought naturopathic he#p. (he

was re#iant on #a)ati"es. Her

e)treme constipation caused painfu# cramps& gas& b#oating and irritabi#it%.

Con"entiona# tests had a#read% reported e"er%thing was Tnorma#T with her bowe#s.


40/73

@r. auro disco"ered the root of the prob#em in her #i"er& A/ her bowe#s.

A*/+RP*/H!C /R*A(FR*/!AB Within on#% 2 wee$s& she was ha"ing a

bowe# mo"ement e"er% 3 da%s instead of 14.

With further support& she now has at #east one bowe# mo"ement e"er% da%& without

#a)ati"es or other drugs.

(ign up for this free emai# series b% @r. Nar#o auro& A.@. and as a bonus %ouK##immediate#% recei"e a free cop% of

his Hea#Sourut report...



Changes



41/73

Sour AameB

Sour ain Mai# B

Sour emai# address



Fee#ing (tuffed&

M"en /hough Sou

Mat ,i$e a 9ird?

*re %ou confused about how much %ou shou#d be eating? @o %ou fee# #i$e %ouKre a#read%

fu## after %our first bite of food?

!tKs no wonder&T sa%s @r. auro& Tthat so man% women suffer eating disorders. !f %ouKre

not e"acuating& itKs hard to ma$e


42/73

room for more food. !f waste canKt find its wa% down and out& itKs going to ma$e %our

stomach bu#ge outward and upward.

!n fact& %our co#on can e)pand three times its regu#ar si'e a#ong with %our stomach. /he

secret to a norma# appetite is

ma$ing sure %ou are empt%ing %our bowe#s e"er% 24 hours.T

Sou shou#d ha"e no prob#em achie"ing one or two bowe# mo"ements a da%& if %ou ma$e

the simp#e changes out#ined in 26

Constipation Re#ief (trategies for Women. /his shou#d happen in #ess than 3 da%s of

using these strategies.

!s Constipation

a Hormona# !ssue?

(ome medica# doctors wi## prescribe birth contro# drugs to he#p with constipation. /he%

be#ie"e this wi## he#p ba#ance

the hormones. ,i$e most s%nthetic hormones& birth contro# pi##s come with comp#ications.


43/73

an% women e)perience brea$through b#eeding& decreased appetite& depression&

headaches& #ow #ibido& urinar% tract

infection& s$in prob#ems& gum inf#ammation. /he% a#so ha"e an increased ris$ of

contracting "ira# diseases.

Considering a## the ris$s& is this rea##% a good wa% to Tba#ance %our hormones?T

Mspecia##% when natura# methods ma%

produce far superior and economica# resu#ts...

ftentimes hormona# imba#ance is caused b% a high consumption of white f#our and

sugar% foods. /hese same foods turn

into a g#ue#i$e substance that further c#ogs up %our bowe#s.

9% fo##owing the natura# remedies and #ifest%#e changes in 26 Constipation Re#ief

(trategies for Women& %ouK## be he#ping

to bring %our hormones into ba#ance& natura##%. ,i$ewise& getting %our bowe#s mo"ing

wi## stop to)ins from bac$ing up into

%our b#oodstream& which wi## further $noc$ %our hormones out of whac$.

* (tagnant Cesspoo#


44/73

of 30 @ifferent Poisons

Tan% medica# e)perts toda% agree that most i##ness begins in the co#on and that theco#on ma% be the sing#e most critica#

organ in the bod%. *s the co#on becomes a stagnant cesspoo#& fai#ing to mo"e the poisons

from food waste out of the bod% on

a regu#ar basis& the to)ins bac$ up.

T!t is estimated that there are 30 different poisons that come from the co#on& and as these

accumu#ate in the bowe# o"er a

period of wee$s& months or often %ears& the% spread into %our #i"er& ga##b#adder and other

organsY into %our b#oodY into

%our tissues and fina##% into %our ce##s.T

WomenKs enopause Hea#th Aews#etter& ctober 26

TWh% Aot Iust /a$e (enna

,i$e % @octor rdered?T


45/73

T* #ot of e#der#% peop#e are ta$ing senna&T e)p#ains @r. auro. T!tKs an herb that causes

%our co#on to f#ush itse#f out.

an% peop#e must drin$ it as a tea e"er%da% in order to $eep on going. /he ner"es and

musc#es in their co#on are tota##%

'apped and dependent on the stuff. !tKs a nightmare tr%ing to get them off it.T

(enna is one of the few herbs medica# doctors prescribe. +nfortunate#%& itKs harmfu# to

use on a dai#% basis. nce a wee$

as part of a co#on c#eanse is o$a%& but more fre-uent#% is impairing.

/he effects of senna can be fair#% drastic&T e)p#ains @r. auro. T/he% tend to f#ush out

too much of the hea#th% bacteria.

!tKs #i$e ha"ing diarrhea. !tKs deh%drating and dep#eting of %our e#ectro#%tes potassium

and sodium.T

! donKt $now about %ou but ! donKt want to be dependent on an herb to ma$e me go.

Worse sti##& %ou ha"e #itt#e contro# o"er

%our bowe# mo"ements. Sou go when the herb is read% to ma$e %ou go. /hereKs not

much warning.

/hatKs fine if %ouKre D and donKt #ea"e home. /hatKs not great when %ouKre on %our wa% to

soccer practice to pic$ up the

$ids.


46/73

(enna is a#so dangerous for peop#e with high b#ood pressure& $idne% prob#ems or edema.

Hea#ing and strengthening %our co#on so it can function on its own& as described in 26

Constipation Re#ief (trategies For

Women& is the wa% to go.

@r. Iensen on

+nder*cti"e Co#ons

/he #ate @r. 9ernard Iensen was one of the foremost *merican authorities on the subJect

of digestion& co#on hea#th and

ho#istic we##ness in the twentieth centur%. !n his te)tboo$& /issue C#eansing /hrough

9owe# anagement& he sa%s...

T! be#ie"e that when the bowe# is underacti"e& to)ic wastes are more #i$e#% to beabsorbed through the bowe# wa## and into

the b#oodstream& from which the% become deposited into the tissues.


47/73

T!f an% e#imination s%stem is underacti"e& more wastes are retained in the bod%. *s

to)ins accumu#ate in the tissues&

increasing degrees of ce## destruction ta$e p#ace. /he digestion becomes poor and

partia##% digested materia# adds to the

prob#em because the bod% cannot ma$e good tissue out of ha#fdigested nutrients.T

,a)ati"es *re

* 562 i##ion a Sear 9usiness

"er 4 mi##ion *mericans& each %ear& are affected b% constipation& according to the /heAationa# !nstitute of Hea#th. /hat

wor$s out to about 2. mi##ion doctor "isits and 562 mi##ion in o"erthecounter

#a)ati"es. /he maJorit% of those "isits

and purchases are b% women.

*s %ou can see& thereKs a #ot of mone% in $eeping peop#e constipated and re#iant on

#a)ati"es. Ao wonder @r. auroKs 26

Constipation Re#ief (trategies are not more we## $nown.


48/73

T4Z of *## Cancers

riginate in the Co#onT

@igesti"e disorders account for the #argest amount of #ost time from wor$Y the% are the

number one cause of disabi#it%

absenceY the% comprise onesi)th of a## hospita# admissions. !t is ac$now#edged b%con"entiona# medicine that at #east

4 percent of a## cancers originate in the gastrointestina# tract. an% a#ternati"e

practitioners wou#d sa% the number is

much higher.T

V WomenKs enopause Hea#th Center Aews#etter & ctober 26

@eath 9egins in the Co#on

T*nd %et& as the o#d e)pression goes& death begins in the co#on. @onKt be#ie"e it? *s$ an%

coroner. *utopsies often re"ea#


49/73

co#ons that are p#ugged up to D percent with waste materia#.T

V artin Ouc$er&

egetarian /imes&

arch& 1D

Aationa# eographic

on /o)ic 9ui#dup

T7/o)ic waste that bui#t up in the co#on turns into8 a sinister wor#d of monstrous creatures

that feed on #i"ing f#eshB

parasites...T

T!n fact& parasites ha"e $i##ed more humans than a## the wars in histor%.T

Find out how to $ic$ parasites out of %our co#on in (trateg% 2& on page 20& of 26

Constipation Re#ief (trategies For Women.


50/73

Constipation

,in$ed to @epression

!n"estigators in the +nited Ningdom conducted a stud% on 34 women with chronic

constipation. /he in"estigators found a

direct demonstrab#e #in$ between certain aspects of centra# brain acti"it% an)iet%&

depression& fee#ing KunfeminineK

and gut d%sfunction.

Vut& *ugust 21


51/73

Home [ Cata#ogue [ (uccess (tories [ F*\ [ 9io [ *rtic#es [ Contact [

,in$s [ *ffi#iate

Sour AameB

Sour ain Mai# B




3 Wa%s to Reduce or M#iminate Mmbarassing as and a 9#oated (tomach Without (eeinga @octor or a$ing *n% aJor ,ifest%#e

Changes


Sour AameB

Sour ain Mai# B


52/73

Sour emai# address



T@r. auroKs Mmai# (eries

ade a 9ig !mpression

n e...T

T! tr% to ma$e it a habit to eat we## and sta% hea#th% but there are certain simp#e things !

a#wa%s s#ip up on.

TFor e)amp#e& ! $now !Km supposed to drin$ D g#asses of water a da% and chew m% food

thorough#%. 9ut ! a#wa%s forgot.

TReading @r. auroKs informati"e and thoughtfu# emai#s rea##% dro"e home the point for

me. ! donKt $now wh%. a%be it was

because he became a fami#iar and trusted "oice and he $nows what he is ta#$ing about?


53/73

TWe##& now itKs been two wee$s and if ! donKt drin$ m% water and chew m% food we##& a

#itt#e "oice peeps up in m% head to

remind me. /his is a firstU

T@r. auro somehow made an impression on me. His emai# reports had a## sorts of other

interesting stuff too. /hings ! can

refer bac$ to again and again.T

V(u'anne R%an

ourmet Food Cata#og Writer

9oston& assachusetts

www.gourmetcop%writing.com

@r. Nar#o auro& A.@.

Has He#ped /housands

"ercome Chronic ut /roub#e...

"er the #ast se"en %ears @r. Nar#o auro has he#ped thousands of patients with their

gastrointestina# issues. He wor$s


54/73

out of his c#inic near Windsor& ntario on the border to @etroit. For more information on

his bric$ and mortar practice&

go

to www.theAaturopath.ca.

He current#% ran$s as a 3rd degree b#ac$ be#t in the martia# art *i$ido Soshin$ai.

*i$ido origina##% spar$ed his

interest in natura# hea#th. He began recei"ing he#p from a Aaturopathic @octor for some

digesti"e troub#e he was

e)periencing.

/his first introduction to natura# medicine resu#ted in him meeting other Aaturopaths

and fina##% ma$ing a

#ifechanging decision. @espite the fact he had Just comp#eted a asters degree in

Mducation& @r. auro abandoned his

teaching career& entered Aaturopathic Co##ege& emerging four %ears #ater an A@.

@r. auro #i"es in Windsor& ntario with his wife Aata#ia& son *#e$ and daughter

M##a. 9oth $ids #o"e p#a%ing go#f

with their dad when heKs not bus% at the c#inic.


55/73

/hough heKs he#ped patients with a wide "ariet% of disorders& heKs found the most

success he#ping peop#e with gut

troub#e. T! #i$e the fact itKs so eas% to see an impro"ement&T he sa%s. T!f %ouKre

constipated& on#% going once a wee$&

and %ou start going e"er%da%& %ou NAW %ouKre getting better.T






Changes


Sour AameB

Sour ain Mai# B


56/73

Sour emai# address



/HRMM SM*R( of

!ntense ut Pain

one *fter (i) onths

* 2 %ear o#d woman came to the c#inic with acid ref#u) MR@ and inf#ammation in

her stomach gastritis.

For the pre"ious three %ears she wo$e up e"er% morning with pressure in her stomach and

se"ere nausea.

Her @ prescribed a drug that decreased the acid production in her stomach which

s#ight#% reduced her discomfort.


57/73

!nstead of suppressing s%mptoms& @r. auro focused on using herbs to hea# the stomach

and esophagea# #ining.

He a#so prescribed specific nutrient supp#ements to strengthen the "a#"e at the bottom of

her esophagus. /his $ept acid

in her stomach where it was needed.

A*/+RP*/H!C (+CCM((B *fter 0 months with @r. auro she no #onger needs her

prescription drug. For the #ast %ears sheKs

been comp#ete#% pain free.

Ha"ing /roub#e

etting Pregnant?

an% ferti#it% specia#ists ha"e seen a definite #in$ between constipation and the inabi#it%

to concei"e or carr% a bab% to

fu##term.


58/73

!t ma$es perfect sense... T!f %our co#on is o"er#oaded with to)ins&T e)p#ains @r.

auro& Tthose to)ins wi## bac$ up

into %our #i"er and then into %our b#oodstream. !tKs #ess than idea# circumstances for

ba#ancing hormones and bearing a

hea#th% chi#d.T

/hough @r. auro ma$es no guarantees that ha"ing one bowe# mo"ement a da% wi##

ensure ferti#it%& it shou#d

nonethe#ess he#p ma$e getting pregnant much easier. Sou shou#d consider regu#arit% a

natura# component of an% ferti#it%

program.

Iust !n Case SouKre Wondering

!f @r. auro is the Rea# /hing...

@r. auroKs credentia#s and e)perience bac$ up his e)pertise. He has successfu##%

comp#eted /MA %ears of uni"ersit%

studies...


59/73

9ache#or of (cience 9.(c. degree in 9io#ogica# (ciences 12

Honours 9ache#or of *rts Hons. 9.*. degree in Ps%cho#og% 14

aster of (cience in Mducation .(.Md. degree in (econdar% /eacher Mducation

1

@octor of Aaturopathic edicine A.@. degree from the Canadian Co##ege of

Aaturopathic edicine 2

Current#%& he is a member of the ntario *ssociation of Aaturopathic @octors as we## as

the Canadian *ssociation of

Aaturopathic @octors

@r. auro has been stud%ing *i$ido Soshin$ai for si)teen %ears and ho#ds the ran$ of

3rd @egree 9#ac$ 9e#t

@octor& Counse##or& /eacher and Coach a## in oneU

Sou can "isit his c#inicKs website at www.theAaturopath.ca or "erif% his identit% with

his receptionist at

1 63242. His name is a#so #isted with the 9oard of @irectors of @rug#ess /herap%

Aaturopath% website. *nd

hereKs a #in$ to his ad in WindsorKs #oca# Se##ow Pages director%.

Ses& @r. Nar#o auro& A.@. is the rea# dea#U


60/73

W*RA!AB

@o Sou Ha"e 9#ood

!in Sour (too#s?

!f %ou see b#ood in the toi#et after going or are e)periencing e)treme bowe# pain& the

information pro"ided on this site

is most #i$e#% of insufficient scope to remed% %our prob#em. /hat is not to sa% that %ou

wi## not benefit from the

information in 26 Constipation Re#ief (trategies For Women. Sou are sti## we#come topurchase a cop%.

9ut we recommend that %ou immediate#% see$ out a -ua#ified hea#th care pro"ider.

Sou most #i$e#% need diagnostic

tests done to ensure %ou do not ha"e a serious co#on disease.


61/73

How (oft (hou#d

Sour (too#s 9e?

(ometimes& e"en if %ou are going once a da%& itKs difficu#t because %our stoo#s are too

hard and dr%.

!dea##% %ou want %our stoo#s to be about the consistenc% of a ripe banana. *n%thing#ooser or thinner is undesirab#e.

ne of the prob#ems with #a)ati"es is that the% donKt produce this banana#i$e -ua#it%.

!nstead the% bring on diarrhea.

@iarrhea is deh%drating and dep#eting of "a#uab#e nutrients such as potassium and

sodium.

@r. auroKs 6part emai# series and his co##ection of 26 Constipation Re#ief (trategies for

Women he#p produce this idea#

consistenc% because the% he#p %ou retrain %our bowe#s to wor$ proper#%. When %our

co#on is in good hea#th& it wi##

natura##% ma$e sure %our stoo#s are neither too dr% nor too hard.


62/73

(heXd o /W WMMN(

Without a 9owe# o"ement

* after 16 %ears of constipation this 30 %ear o#d woman sought naturopathic he#p. (he

was re#iant on #a)ati"es. Her

e)treme constipation caused painfu# cramps& gas& b#oating and irritabi#it%.

Con"entiona# tests had a#read% reported e"er%thing was Tnorma#T with her bowe#s.

@r. auro disco"ered the root of the prob#em in her #i"er& A/ her bowe#s.

A*/+RP*/H!C /R*A(FR*/!AB Within on#% 2 wee$s& she was ha"ing a

bowe# mo"ement e"er% 3 da%s instead of 14.

With further support& she now has at #east one bowe# mo"ement e"er% da%& without

#a)ati"es or other drugs.


63/73


immediate#% recei"e a free cop% of

his Hea#Sourut report...



Changes


Sour AameB

Sour ain Mai# B

Sour emai# address




64/73

Fee#ing (tuffed&

M"en /hough Sou

Mat ,i$e a 9ird?

*re %ou confused about how much %ou shou#d be eating? @o %ou fee# #i$e %ouKre a#read%

fu## after %our first bite of food?

!tKs no wonder&T sa%s @r. auro& Tthat so man% women suffer eating disorders. !f %ouKrenot e"acuating& itKs hard to ma$e

room for more food. !f waste canKt find its wa% down and out& itKs going to ma$e %our

stomach bu#ge outward and upward.

!n fact& %our co#on can e)pand three times its regu#ar si'e a#ong with %our stomach. /he

secret to a norma# appetite is

ma$ing sure %ou are empt%ing %our bowe#s e"er% 24 hours.T

Sou shou#d ha"e no prob#em achie"ing one or two bowe# mo"ements a da%& if %ou ma$e

the simp#e changes out#ined in 26

Constipation Re#ief (trategies for Women./his shou#d happen in #ess than 3 da%s of

using these strategies.


65/73

!s Constipation

a Hormona# !ssue?

(ome medica# doctors wi## prescribe birth contro# drugs to he#p with constipation. /he%

be#ie"e this wi## he#p ba#ance

the hormones. ,i$e most s%nthetic hormones& birth contro# pi##s come with comp#ications.

an% women e)perience brea$through b#eeding& decreased appetite& depression&

headaches& #ow #ibido& urinar% tract

infection& s$in prob#ems& gum inf#ammation. /he% a#so ha"e an increased ris$ of

contracting "ira# diseases.

Considering a## the ris$s& is this rea##% a good wa% to Tba#ance %our hormones?T

Mspecia##% when natura# methods ma%

produce far superior and economica# resu#ts...

ftentimes hormona# imba#ance is caused b% a high consumption of white f#our and

sugar% foods. /hese same foods turn

into a g#ue#i$e substance that further c#ogs up %our bowe#s.


66/73

9% fo##owing the natura# remedies and #ifest%#e changes in 26 Constipation Re#ief

(trategies for Women& %ouK## be he#ping

to bring %our hormones into ba#ance& natura##%. ,i$ewise& getting %our bowe#s mo"ing

wi## stop to)ins from bac$ing up into

%our b#oodstream& which wi## further $noc$ %our hormones out of whac$.

* (tagnant Cesspoo#

of 30 @ifferent Poisons

Tan% medica# e)perts toda% agree that most i##ness begins in the co#on and that the

co#on ma% be the sing#e most critica#

organ in the bod%. *s the co#on becomes a stagnant cesspoo#& fai#ing to mo"e the poisons

from food waste out of the bod% on

a regu#ar basis& the to)ins bac$ up.

T!t is estimated that there are 30 different poisons that come from the co#on& and as these

accumu#ate in the bowe# o"er a

period of wee$s& months or often %ears& the% spread into %our #i"er& ga##b#adder and other

organsY into %our b#oodY into

%our tissues and fina##% into %our ce##s.T


67/73

WomenKs enopause Hea#th Aews#etter& ctober 26

TWh% Aot Iust /a$e (enna

,i$e % @octor rdered?T

T* #ot of e#der#% peop#e are ta$ing senna&T e)p#ains @r. auro. T!tKs an herb that causes

%our co#on to f#ush itse#f out.

an% peop#e must drin$ it as a tea e"er%da% in order to $eep on going. /he ner"es and

musc#es in their co#on are tota##%

'apped and dependent on the stuff. !tKs a nightmare tr%ing to get them off it.T

(enna is one of the few herbs medica# doctors prescribe. +nfortunate#%& itKs harmfu# to

use on a dai#% basis. nce a wee$

as part of a co#on c#eanse is o$a%& but more fre-uent#% is impairing.

/he effects of senna can be fair#% drastic&T e)p#ains @r. auro. T/he% tend to f#ush out

too much of the hea#th% bacteria.

!tKs #i$e ha"ing diarrhea. !tKs deh%drating and dep#eting of %our e#ectro#%tes potassium

and sodium.T


68/73

! donKt $now about %ou but ! donKt want to be dependent on an herb to ma$e me go.

Worse sti##& %ou ha"e #itt#e contro# o"er

%our bowe# mo"ements. Sou go when the herb is read% to ma$e %ou go. /hereKs not

much warning.

/hatKs fine if %ouKre D and donKt #ea"e home. /hatKs not great when %ouKre on %our wa% to

soccer practice to pic$ up the

$ids.

(enna is a#so dangerous for peop#e with high b#ood pressure& $idne% prob#ems or edema.

Hea#ing and strengthening %our co#on so it can function on its own& as described in 26

Constipation Re#ief (trategies For

Women& is the wa% to go.

@r. Iensen on

+nder*cti"e Co#ons


69/73

/he #ate @r. 9ernard Iensen was one of the foremost *merican authorities on the subJect

of digestion& co#on hea#th and

ho#istic we##ness in the twentieth centur%. !n his te)tboo$& /issue C#eansing /hrough

9owe# anagement& he sa%s...

T! be#ie"e that when the bowe# is underacti"e& to)ic wastes are more #i$e#% to be

absorbed through the bowe# wa## and into

the b#oodstream& from which the% become deposited into the tissues.

T!f an% e#imination s%stem is underacti"e& more wastes are retained in the bod%. *s

to)ins accumu#ate in the tissues&

increasing degrees of ce## destruction ta$e p#ace. /he digestion becomes poor and

partia##% digested materia# adds to the

prob#em because the bod% cannot ma$e good tissue out of ha#fdigested nutrients.T

,a)ati"es *re

* 562 i##ion a Sear 9usiness


70/73

"er 4 mi##ion *mericans& each %ear& are affected b% constipation& according to the /he

Aationa# !nstitute of Hea#th. /hat

wor$s out to about 2. mi##ion doctor "isits and 562 mi##ion in o"erthecounter

#a)ati"es. /he maJorit% of those "isits

and purchases are b% women.

*s %ou can see& thereKs a #ot of mone% in $eeping peop#e constipated and re#iant on

#a)ati"es. Ao wonder @r. auroKs 26

Constipation Re#ief (trategies are not more we## $nown.

T4Z of *## Cancers

riginate in the Co#onT

@igesti"e disorders account for the #argest amount of #ost time from wor$Y the% are the

number one cause of disabi#it%

absenceY the% comprise onesi)th of a## hospita# admissions. !t is ac$now#edged b%

con"entiona# medicine that at #east

4 percent of a## cancers originate in the gastrointestina# tract. an% a#ternati"e

practitioners wou#d sa% the number is

much higher.T


71/73

V WomenKs enopause Hea#th Center Aews#etter & ctober 26

@eath 9egins in the Co#on

T*nd %et& as the o#d e)pression goes& death begins in the co#on. @onKt be#ie"e it? *s$ an%

coroner. *utopsies often re"ea#

co#ons that are p#ugged up to D percent with waste materia#.T

V artin Ouc$er&

egetarian /imes&

arch& 1D

Aationa# eographic

on /o)ic 9ui#dup


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T7/o)ic waste that bui#t up in the co#on turns into8 a sinister wor#d of monstrous creatures

that feed on #i"ing f#eshB

parasites...T

T!n fact& parasites ha"e $i##ed more humans than a## the wars in histor%.T

Find out how to $ic$ parasites out of %our co#on in (trateg% 2& on page 20& of 26

Constipation Re#ief (trategies For Women.

Constipation

,in$ed to @epression

!n"estigators in the +nited Ningdom conducted a stud% on 34 women with chronic

constipation. /he in"estigators found a

direct demonstrab#e #in$ between certain aspects of centra# brain acti"it% an)iet%&

depression& fee#ing KunfeminineK


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and gut d%sfunction.

Vut& *ugust 21