Constipation
SYN: chronic constipation
HYD
from Hydrothermic Remedies...
Treatment:
For Atonic Colon (most common):-
- Small cool tap water Enema from a bulb syringe - hold 1min Make cooler every day.
 - Fomentations and Cold Towel Rub to abdomen
 - Massage for Constipation
 - Cold Sitz Bath 24°C 5min daily just before bowel movement
 - Alternate Sitz
 - Abdominal Heating Compress
 - Therapeutic Diet with lots of fibre
 - Drink plenty of water
 - Regular outdoor exercise
 - Deep breathing exercises
 
For Spastic Colon:-
- Small Lukewarm or Warm Enema from bulb syringe
 - Hot Compress to abdomen
 - Hot Tub Bath 42°C 15min
 
JHK
from Dr JH Kellogg's Prescriptions...
General Method:
Study each case and find the cause then treat
Most Common Methods:
- Graduated Enema 21°C, or Coloclyster daily
 - cold Abdominal Douche Fan Douche or broken jet 20 sec
 - Wet Girdle
 - Massage for Constipation
 - Cold Rubbing Sitz
 - Regular bowel movements
 - Low fat, high fibre Aseptic Diet
 - If necessary carefully Graduated Tonic Cold
 - Laxative diet and Cold Water Drinking
 
Problems and Commonest Causes:
- Indigestion
 - Decreased Peristalsis
 - Inactive Intestinal Glands
 - Faecal Accumulation (often from Dilated Colon)
 - Dilated Colon
 - Weak Abdominal Muscles
 - Enteroptosis
 - Haemorrhoids
 - Rectal Pain or Abdominal Pain
 - Rectal Spasm
 - Insensitive Rectum
 - Congestive Headache
 
Contra-indications:
- Sweating Treatments
 - Overuse of Fomentations
 - Overuse of Warm Enema (if used should be Tonic at end 18-24°C)
 
JHK
from Dr JH Kellogg's Hydriatic Techniques...
Problems:
Treatments:
- Dana's Areas 2 and 12
 - Fruit Diet
 
Fluxion - if caused by Visceral Anaemias
Tonic Peristaltic in chronic cases
- Cold Enema
 - short cold Enteric Douche
 - cold Caliper Douche
 - Alternate Douche to lumbar and abdominal areas
 - Tonic Shallow Bath with cold pours over abdomen
 - Cold Sitz Bath
 - Abdominal Heating Compress
 
If due to Enteroptosis or Dilated Colon
- cold Abdominal Douche
 - very cold Perineal Douche
 - Wet Girdle
 - Abdominal Heating Compress
 - cold spinal Percussion Douche if due to Reflex Irritations
 
Due to Decreased Peristalsis in loss of normal nerve sensibility
- cold Anal Douche
 - Alternate Rectal Lavage
 - any of the cold douches above followed by - Percussion
 
Due to dry faeces - cold Coloclyster
GKA
from Dr GK Abbott's Prescriptions...
see Dyspepsia
Problems:
In:
Two types of chronic constipation:
- spastic constipation
 - atonic constipation
 
usually there is a mixture of the two - find the predominant especially in determining the type of massage used
In all cases:
- Aseptic Diet - no eating between meals - no unusual amounts of fibre
 - Sleep - regular time for rising and going to bed
 - Exercise - at least 30min daily - to slight perspiration
 - Fluids - at least 2 litres a day
 - Toilet visit after each meal - stay up to 15min if needed, without straining. Ignore calls to stool at other times.
 
No laxative allowed but if no BM for 3 days :
- small warm Enema at end of usual toilet visit
 
Atonic constipation - often due to habitual use of enemas:
- Peristaltic - especially Alternate Sitz, Revulsive Sitz
 - Wet Girdle at night
 - Special abdominal massage and vibration
 
Daily
- Hot Foot Bath combined with:
 - Fomentations to abdomen or
 - Spinal Alternate Applications or
 - Scotch Compress to abdomen
 
finished with
- Cold Mitten Friction
 - general simultaneous hot and cold Spray
 - Salt Glow and Spray in more vigorous patients and Cold Rubbing Sitz 27°C, 5min
 - Alternate Douche (fan) to abdomen and (percussion) to lower spine with Sinusoidal Current - stabile electrode on lower spine, labile over colon
 - Graduated Enema in milder cases
 - Alternate Rectal Irrigation
 
Spastic constipation - high-strung, nervous patients
- high calorie, high vitamin, semi-smooth diet with brewers yeast 4grams
 - Breakfast in bed
 - Bed rest 2-3pm daily
 - Hydrotherapy:
   
- Fomentations to feet and abdomen
	   
- Soap Shampoo then warm to neutral Spray
 - Centripetal Peripheral Rub
 
 - Fomentations to feet and spine
   
- Alcohol Sponge
 - Massage to spine and extremities
 
 - Hot Foot Bath and Electric Light Bath 8min
   
- Spray
 - Centripetal Peripheral Rub each evening just before retiring:
 
 - small warm saline Enema followed by v.small oil retention 
   
- Enema with Hot Foot Bath and abdominal Fomentations and Alcohol Sponge
 
 
 - Fomentations to feet and abdomen
	   
 - Breathing exercises and mild gym. daily
 - 30mls of mineral oil every night
 - If no BM after morning toilet visit - hot flaxseed Enema
 - Encourage relaxation, courage and optimism
 
Diseases of:
Digestion
- Acute Gastritis
 - Amoebic Dysentery
 - Apepsia
 - Appendicitis
 - Biliary Inflammations
 - Catarrhal Jaundice
 - Catarrhs
 - Cholelithiasis
 - Cholecystitis
 - Chronic Colitis
 - Chronic Diarrhoea
 - Chronic Dysentery
 - Chronic Gastritis
 - Cirrhosis
 - Colitis
 - Constipation
 - Dental Diseases
 - Diabetes
 - Diarrhoea - Chronic
 - Dysentery
 - Emaciation
 - Enteroptosis
 - Gall
 - Gallstones
 - Gastrectasia
 - Gastric Atony
 - Gastric Dilation
 - Gastritis
 - Gastritis - Chronic
 - Gastric Ulcer
 - Gastroenteritis
 - Gastrorrhea
 - Gum Diseases
 - Haemorrhoids
 - Hepatitis
 - Hyperpepsia
 - Hypopepsia
 - Irritable Bowel Syndrome
 - Kidney Stones
 - Lithemia
 - Nervous Dyspepsia
 - Obesity
 - Pancreatitis
 - Peptic Ulcer
 - Peritonitis
 - Piles
 - Prolapsed Intestines
 - Sclerosis of the Liver
 - Stomach Dilation
 - Subacute Pancreatitis
 - Ulcerative Colitis
 - Uraemia
 
