Different Classes Of Relief For Constipation

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Numerous statistical figures have quoted that the impact of constipation to be as low as 2% to as high as 30%. A large recent 2006 survey conducted by the famous pharmaceutical company Boehringer Ingelheim pinpoints the number to be at 12% worldwide. Even at 2% though, most people would agree that constipation seems to be a problem afflicting a broad segment of the population.

One of the problems associated with statistical surveying of constipation is that it’s a poorly defined condition. This translates into an impact on diagnosis and treatment. For example, one physician might believe that having a bowel movement every three days is ok, but another physician would be alarmed at the low frequency. The source of the inconsistent opinions is that bowel movement frequency is itself highly variable from person to person. This difficulty in definition is compounded by differences in patient-reported symptoms such as difficulty or pain in passing stool, or excessive time spend on the toilet.

The causes of constipation are also numerous. Certain poorly understood but well-defined chronic conditions such as irritable bowel syndrome can lead to constipation. As there is no treatment for the underlying condition, alleviation of symptoms is the only therapeutic route. Physiological and anatomical defects can also give rise to constipation. These include muscle or nerve damage from or sports-related injuries. Finally, a very broad class of patients have no identifiable cause: these patients have what is termed idiopathic constipation.

Often first line therapy for people diagnosed with chronic idiopathic constipation is introduction of high fiber into diet. Recent studies show that fiber and fluids are effective in only a small fraction of patients. Because of the ease and accessibility of high fiber treatment, it is quite popular with physicians and patients. Response is expected within two weeks, at which time both parties may decide whether the diagnosis and therapy were successful.

Other types of natural treatments include both lubricant laxatives and herbal supplements such as senna. Herbal and natural supplements are not always safe. The FDA has banned some natural supplements, namely aloe vera and cascara recently, for failure on the part of manufacturers to provide sufficient safety data. However, some other over-the-counter treatments remain available.

There are also a number of prescription-only constipation medications available. Some of these act as laxatives, whereas others are special compounds that modulate the functional properties of the gastrointestinal tract. In recent times, exciting therapies such as biofeedback have also risen to prominence. Expect treatments for constipation to advanced greatly in the next few years.

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