Constipation Polyclinic
Constipation Polyclinic
In the Constipation Clinic of Anadolu Health Center, patients suffering from constipation are evaluated in a multidisciplinary manner under the coordination of Gastroenterology Clinic with the support of Radiology, Biochemistry, Microbiology departments and other related clinics.
In the Constipation Outpatient Clinic, we make use of our existing facilities and capacity in an effective manner and enable our patients to be guided and treated in the light of current information.
Constipation Polyclinic
Which methods are used in our outpatient clinic?
In our outpatient clinic, your age, symptoms, signs and individual characteristics are evaluated and a decision is made about the tests to be performed. Examination and testing methods may not be necessary for all patients.
Equipment used for the assessment, diagnosis and treatment of constipation, methods used include:
Anorectal manometer (evaluation of muscle function of anus and large intestine)
Colon transit time (rate of progression of large bowel contents)
Endoscopic procedures (Sigmoidoscopy, Colonoscopy)
Defecography (radiological evaluation of defecation function)
Balloon Throw Test
Stomach emptying time
Constipation Polyclinic
Who has a role in the constipation polyclinic?
Gastroenterology Clinic is the coordinator of our constipation polyclinic. Taking into consideration the special conditions of our patients, when more detailed examination and treatments are needed, we provide services to our patients with a wide team consisting of Diet and Nutrition, Psychiatry, Internal Medicine, Endocrinology, Nephrology, General Surgery, Gynecology and Obstetrics and Urology departments.
Constipation Polyclinic
What is constipation?
Constipation is one of the most common bowel disorders; It is a very important clinical problem due to the uncertainties about its definition, difficulties in diagnosis, treatment and prevention and differences in approach and application.
Constipation can be defined as difficulty in defecation. In this definition, four main concepts come together or separately: stool is too hard, too little, forcibly removed and its frequency decreases. In general, constipation may be mentioned if the number of defecations per week is less than three.
What causes constipation?
Constipation may occur as a result of digestive system diseases in general, as well as abnormalities in dietary habits and some drugs may develop as a side effect.
The main causes of constipation can be listed as follows:
Lifestyle (such as lack of exercise) and dietary habits disorders
Stenosis or obstruction in the colon or rectum
Abnormalities of nerves around the colon or rectum
Functional disorders of muscles involved in defecation
Hormonal diseases and changes (diabetes, thyroid diseases, etc.)
Constipation Polyclinic
What are the risk factors for constipation?
Advanced age, gender (female), inadequate fluid consumption, dietary fiber-poor diet, lack of physical activity, and the use of certain medications (sedatives, narcotics, hypertension drugs, etc.) are the main risk factors for chronic constipation.
When should you go to the doctor for constipation?
Constipation is a problem with resolution and is often a functional condition. If you are defecating less than 3 times a week, in small amounts, very hard and hard, you should consider getting help with your constipation.
If your defecation habits have just begun or are abnormal changes,
If you have not been defecated for more than three days,
If your illness lasted more than three weeks, sometimes
If you have severe pain,
If you have symptoms such as bleeding, weakness, fatigue, weight loss or fever, you should consult a doctor.
How is diagnosis and evaluation done in constipation?
Your doctor; age, symptoms, findings and individual characteristics of the tests to be done will be shared with you. There are many examination methods and tests that can be used for this purpose, but not all patients may be required.
Rectal examination: Visual and finger examination of the anus and the last part of the large intestine. Provides very useful information and tips on diagnosis.
Sigmoidoscopy or colonoscopy: A flexible, fiberoptic device with a camera at the end and the layer covering the inner surface of the large intestine. This device is used to enter the rectum to examine the relevant parts of the large intestine (up to the section where it joins the small intestine). These tissues are investigated for unexpected growth or disease.
Radiological examinations: Direct radiographs, tomography or magnetic resonance methods allow indirect examination of your digestive system.
Colonic transit time: It is the measurement of the speed of advancing and discharging the contents of the large intestine. Provides important information for understanding the cause of constipation.
Manometry studies: Manometry; It is a method used to examine the muscle activities, functions, and capacities of the last part of the large intestine and the anus. In this way, it is possible to see if the muscles are working properly in this part of the large intestine. This test also examines the detection functions of the rectal mucosa and muscles.
Is it possible to prevent constipation?
Dietary measures (vegetable and fruit-rich nutrition, fiber-rich nutrition) and consuming large amounts of fluids may be useful to prevent constipation. It is very important that the toilet need not be postponed. At certain times of the day, it is important that a certain period of time is reserved for the toilet need.
How to treat constipation?
The options for treatment of constipation are determined by the cause of constipation. In general, the first recommended measure is to increase the amount of fiber and water consumed. Fiber-rich nutrition and taking plenty of fluids, going to the toilet at certain times of the day, sufficient physical activity is important in terms of prevention of constipation. In case these measures are not sufficient or at the end of the tests, treatment approaches consisting of various diets and medications and exercises are emphasized.
Biofeedback, which improves the functioning of the intestines and the functions of the surrounding skeletal muscles, is also utilized.
Constipation Polyclinic
Pay attention to these before coming to your doctor!
Before you come to your doctor, you will be able to guide your doctor in terms of a better understanding of your condition and the planned tests and treatment approach.
During your interview, your doctor may focus on:
When did your constipation complaints start?
Do your symptoms and complaints occur occasionally or continuously?
What is the severity of your complaints? Are there any factors that increase or decrease these complaints?
Are your complaints abdominal pain and nausea / vomiting?
Did you lose weight despite your recent lack of effort?
What is the amount of water and liquid you consume daily?
Have you seen blood in your stool, toilet seat, toilet or toilet paper, even during or after defecation, even once during these complaints?
Are you pushing during defecation?
Does your family have a serious digestive disorder (such as colon cancer)?
Do you have any medical illnesses that have been diagnosed and treated?
Do you have any recent treatment, have you started or changed?
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