Constipation
is one of the most common health problems. What can you do to prevent blockage?
Eat a lot of fiber. Drinking plenty of water is also important - that way your
bowel movements can start more easily.
Constipation
Causes and Treatment.
The bowel
movement pattern differs from person to person. This can vary from three times
a day to three times a week. Another stimulus to defecation can not even take
up to a week!
We speak of
constipation (also called constipation or constipation) when the personal stool
frequency does not exceed twice a week and you have to push hard to get the
hard stools out of the body. This can be accompanied by pain on pressing and a
bloated, painful abdomen.
What Causes
Constipation?
When the
stool passes through the large intestine (the colon) more slowly than usual,
more water is withdrawn from it than in a normal situation. This causes the
stool to dry out more and become harder. The body has to squeeze more firmly to
push this compact plug out. Pain during difficult defecation occurs.
Anything
that causes a slower passage of stool through the colon will help cause constipation.
These causes range from incorrect diet and lifestyle to completely different
causes such as medication use, pregnancy, immobility, certain diseases, stress,
...
By incorrect
dietary habits we mean a shortage of fiber through the diet and drinking too
little.
Incorrect
lifestyle habits are a lack of physical activity (eg a sedentary profession,
...).
By
medication use we mean certain medicines that can cause constipation. Examples
of this are strong painkillers (codeine-containing painkillers, narcotic
analgesics, ...), strong (codeine-containing) cough syrups, antipsychotics,
certain antidepressants, certain antacids, iron preparations, antihistamines
(anti-allergy agents), ...
Constipation
is common during pregnancy (1 in 3 women will be affected).
Immobility
is more common with age. Even when one is bedridden or is limited in movement
(eg due to illness).
Certain
diseases include Parkinson's disease, multiple sclerosis, depression, a growth
in the large intestine, diabetes, an underactive thyroid, ...
Finally,
stress can also cause constipation.
How to deal
with constipation?
If you can
still improve your diet and lifestyle, you can prevent constipation in most
cases by taking the following measures:
Eat enough
fiber-rich food (= 25-30g dietary fiber per day for an adult). Foods rich in
fiber: fruits, vegetables, whole grain breads and cereals, legumes, nuts and
seeds.
Drink
enough. This means: 1.5-2 liters of fluid per day for an adult, 1-1.5 liters of
fluid per day for a child from 10 kg body weight, babies: 150 ml / kg body
weight per day.
Get enough
exercise. After all, exercising for half an hour every day (walking, cycling,
climbing stairs, ...) promotes intestinal peristalsis.
Establish
good toilet habits for yourself and your children. Take enough time to go to
the toilet and do not hold up a bowel movement. Delaying bowel movements only
adds to the problem.
If the above
measures do not give sufficient results with a temporary constipation (<14 days)
or if your nutritional and lifestyle habits are fine, you can use temporary
medication in that case. Osmotic laxatives are preferred over contact
laxatives. If the blockage is still present after 3 days of oral treatment, you
can use a rectal alternative.
Osmotic
laxatives based on synthetic disaccharides (eg based on lactulose, lactitol,
sorbitol) increase the amount of fluid in the intestine. This makes the stool
softer, and the amount of mass increases. This will improve intestinal
peristalsis and push forward bowel movements. These preparations are preferably
taken in the morning with breakfast, with plenty of water. The laxative effect
usually follows within 1 day (sometimes several days are needed). A single
drawback is that flatulence and bloating may occur early in the treatment.
Macrogol-based
osmotic laxatives (e.g. macrogol 3350, macrogol 4000) act via osmosis, and are
preferably taken at the same time as the synthetic disaccharide osmotic
laxatives. Again, the laxative effect usually follows within 1 day (sometimes a
few days are needed).
8 foods that can cause constipation,
Constipation
is a common problem and usually causes you to have less than three bowel
movements a week (1). 27 percent of adults suffer from it, with associated
symptoms such as bloating and flatulence. The older you get or the less you
move, the more likely you are to suffer from it. Some foods can relieve or
lower the risk of constipation, while others make it worse. This article takes
a look at eight foods that cause constipation.
1. Unripe
bananas
While ripe
bananas can help prevent constipation, unripe bananas can have the opposite
effect. That's because unripe bananas contain more resistant starch, a compound
that is harder for the body to digest (4). During the ripening process,
resistant starch is converted into natural sugars that are much easier to
digest. Unripe bananas are also higher in tannins, substances that slow the
rate at which food moves through the intestines (5). Most people eat bananas
when they are far from ripe. However, if you want to relieve or prevent
constipation, try eating ripe bananas instead of unripe bananas. Ripe bananas
are completely yellow with some brown spots. They must be easy to peel.
SUMMARY
Unripe bananas are higher in tannins and resistant starch than ripe bananas.
This can make them more likely to cause constipation.
2. Alcohol
Alcohol is
often cited as a common cause of constipation. When you drink alcohol in large
quantities, moisture is expelled in the urine, which leads to dehydration. Poor
hydration from drinking too little water or losing too much of it through
urination is often linked to an increased risk of constipation (6, 7). However,
no studies have found a direct link between alcohol consumption and
constipation. In fact, some people get diarrhea after a night of drinking (8).
The effects may differ from person to person. People who do not want to be at
risk of dehydration and possibly constipation from alcohol could make up for
every glass of alcohol with a non-alcoholic drink.
Bottom Line:
Alcohol can have a drying effect and thus increase the risk of constipation,
especially with large amounts. The effects can vary from person to person and
more studies are needed to draw firm conclusions.
3.
Gluten-containing food
Gluten is a
protein and is found in grains such as wheat, barley, rye, spelled, kamut and
triticale. Some people can become constipated when they eat gluten (9). Other
people are intolerant to it. This is a condition called celiac disease. When
someone with celiac disease eats gluten, their immune system attacks the
intestines, causing serious damage. Therefore, celiac patients must follow a
gluten-free diet (10). In most countries about 0.5-1 percent of people have
celiac disease, but many of these may not be aware of this. Chronic
constipation is a very common symptom. Fortunately, avoiding gluten can help
heal the intestines (10, 11, 12). Gluten sensitivity and irritable bowel
syndrome are two other cases where a person can react badly to gluten. People
with these medical conditions are not intolerant but sensitive to gluten. In
addition, research has shown that many people without these conditions can also
develop constipation after eating gluten (13, 14). If you suspect gluten is
also causing your constipation, see your doctor to find out if you have celiac
disease before cutting gluten from your diet. This is important because you
must eat gluten for the celiac test. If you don't have celiac disease, you can
experiment with different types of gluten to find out what effects they have on
you.
SUMMARY
People with celiac disease, gluten sensitivity and irritable bowel syndrome can
become constipated more quickly by eating gluten.
4. Processed
grains
Processed
grains and grain products such as white bread, white rice, and white pasta are
less nutritious and more likely to clog than whole grains. This is because the
bran and germ have been removed from the grain. The bran in particular contains
a lot of fiber, a nutrient that adds bulk to your stool and ensures better
bowel movements. Many studies have linked high fiber intake to a lower risk of
constipation. In fact, a recent study found that every extra gram of fiber per
day lowers the risk of constipation by 1.8 percent (5, 15). Therefore, people
with constipation may benefit from gradually replacing processed grains with
whole grains. While extra fiber is beneficial for most people, it can have the
opposite effect in some. For them, it may actually make constipation worse,
rather than relieve it (16, 17). If you are constipated and already eat a lot
of fiber-rich whole grains, even more fiber will hardly help. In some cases, it
just gets worse (17). If this is the case for you, try to lower your fiber
intake slightly every day to see if this helps.
Bottom Line:
Processed grains and grain products, such as white rice, white pasta, and white
bread, are lower in fiber than whole grains, which can make them worse
constipation. In contrast, eating less fiber can provide relief for some
people.
5. Milk and
dairy products
Dairy seems
to be another common culprit of constipation for some. Babies, toddlers and
children are especially at risk, possibly due to the sensitivity to the
proteins in cow's milk (18). A review of studies over a 26-year period found that
some children with chronic constipation showed improvements after they stopped
taking cow's milk (19). In a recent study, children aged 1 to 12 years with
chronic constipation drank cow's milk for a period of time. After that, the
cow's milk was replaced by soy milk. Nine of the 13 children in the study
experienced relief when the cow's milk was replaced with soy milk (20). There
are many adults with similar experiences. However, there is little scientific
support, as most studies of these effects have focused on children and not
adults. It's good to know that those with lactose intolerance can get diarrhea
from dairy, instead of constipation.
Bottom Line:
Dairy products can cause constipation in some. This is especially the case in
people who are sensitive to the proteins in cow's milk.
6. Red meat
Red meat can
make constipation worse for three reasons. First, it is low in fiber, which
adds bulk to your stool so that it moves more easily. Second, red meat can also
indirectly lower fiber intake, as it is eaten instead of more fiber-rich
options. This is especially true when you fill yourself up with a large serving
of meat with meals, leaving less room for fiber-rich vegetables, legumes and
whole grains. This scenario can lead to an overall lower fiber intake,
increasing the risk of constipation (15). Third, red meat contains more fat
compared to poultry and fish, which means it takes longer to digest. In some
cases, this increases the risk of constipation even more (21). If you're
constipated, you can replace red meat with protein and fiber-rich alternatives
such as beans, lentils, and peas.
SUMMARY Red
meat is usually high in fat and low in fiber, a combination that can increase
your risk of constipation. Eating a lot of red meat instead of other fiber-rich
foods can increase the risk of this further.
7. Fried
foods or fast foods
Eating deep
fried foods or fast foods frequently or frequently can also increase the risk
of constipation. That's because they're usually high in fat and low in fiber, a
combination that slows digestion much like red meat (21). Fast foods such as
fries, cookies, chocolate and ice cream can take the place of more fiber-rich
snacks, such as fruits and vegetables. This can increase your risk of
constipation by eating less fiber (15). Many people believe that chocolate is
the main cause of their constipation (22). Furthermore, fried foods and fast
foods are often high in salt, which draws water from your stool and makes it
more difficult to get to the body's way out (23). Your body removes more salt
from your intestines to compensate for the extra salt in your blood. It is the
body's action to normalize salt concentration, but unfortunately can lead to
constipation.
SUMMARY
Fried foods and fast foods are low in fiber and high in fat and salt. This can
slow down your digestion and increase the risk of constipation.
8. Persimmon
The
persimmon is a popular fruit from South Asia that can stop some people. There
are several varieties, but most are sweet or tart. The tart varieties, in
particular, are high in tannins, substances that reduce intestinal secretion
and contractions and slow down bowel movements (5). Therefore, avoid or limit
the consumption of this fruit, especially the tart variety.
Bottom Line: Persimmons contain tannins, substances that can promote constipation by slowing bowel movements. This can be especially the case with the bitter variety.
We have
listed 10 foods for you that contain a lot of fiber and hopefully help to
reduce your intestinal complaints.
1. Legumes
This group
of vegetables that includes beans, lentils, and peas has many health benefits.
Not only do they contain a lot of fiber, but also proteins, vitamins and
minerals. So try to add a handful of cooked legumes a day to your diet - build
it up slowly to avoid flatulence.
2. Broccoli
You've
probably noticed that broccoli is good for almost everything. That's probably
because this green vegetable contains many essential vitamins, proteins and
fiber. Eating enough vegetables is important for your digestion. Add about 100
grams of broccoli per day to your lunch or dinner for 5.5 grams of extra fiber.
3. Oatmeal
(and other whole grain products)
Another
reason to eat more grains: oatmeal is full of soluble fiber, which makes food
processing easier for your gut. Oatmeal also contains insoluble fiber, which
keeps everything in your intestines moving. These fibers together form a good combination
to ensure that you can go to the toilet without too many problems. It is best
to eat 3 servings of whole grains per day, especially "intact" and
unprocessed grains such as oatmeal and brown rice.
4. Spinach
Spinach is
also high in fiber - 100 grams of cooked spinach contains 4 grams - and it also
contains magnesium, a mineral that can promote bowel movements. You often find
magnesium in laxatives, but by including it in your diet in this way, it has a
less drastic effect.
5. Nuts
Nuts are
high in protein and healthy fats, in addition to the fiber they contain - a
small handful of nuts such as pistachios, peanuts, almonds, or walnuts a day
will give you a little fiber boost. Stir them into your yogurt, salad or eat
them as a nibble in the afternoon.
6. Chia seed
or linseed
Using chia
seeds and flax seeds is an easy way to add more fiber to your diet. Two
tablespoons of chia seeds already contain 5 grams of fiber, two tablespoons of
flax seeds contain 4. You can sprinkle the seed over your smoothie or use it as
a topping for your salad.
7. Berries
Berries
always feature in the superfood line because they are high in antioxidants, but
they also contain many essential nutrients. 50 grams of blueberries or
raspberries contains 4 grams of fiber. You can vary a lot with these fruits, so
stir them into your oatmeal, sprinkle them on your pancakes or use them in a
smoothie.
8. Pears
The benefits
of pears are seriously underestimated! They contain many antioxidants and
vitamins. Also, this fruit is one with a lot of fiber, so eating one pear a day
(with the peel!) Could stop you from having toilet problems.
9. Apples
An apple a
day, keeps the doctor away - right? Right! A small apple with skin contains
just over 3.5 grams of fiber. The skins of many fruits contain insoluble fiber,
a natural laxative. Bring on those apples!
10. Dried
fruit
Dried
fruits, such as plums, are a good option if you have a congestion down there.
They contain a lot of fiber - a handful contains about six grams - and are also
rich in sorbitol and fructan, natural sugars that have a laxative effect. Don't
like plums? Then try dried apricots.
You better
avoid these ...
Of course
there are still foods that you should not eat if you suffer from constipation.
For example, foods high in calcium, such as milk, cheese, and unripe bananas
are often triggers for constipation. Calcium has a binding effect that makes
your stool harder, while unripe bananas contain a lot of resistant starch (RS)
- starch that is difficult to digest.
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