Constipation

Clinic

• Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass.
• The stool is often hard and dry.
• Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. The normal frequency of bowel movements in adults is between three per day and three per week. Babies often have three to four bowel movements per day while young children typically have two to three per day.

Causes	Entities	Related disease
Slow movement of stool within the colon Irritable bowel syndrome Pelvic floor disorders Functional constipation Autonomic Neuropathy	Proctitis Ileus Hemorrhoid Fissure	Dyspepsia Flatulence Diarrhea Hypothyroidism Diabetes Parkinson's disease Celiac disease Non-celiac gluten sensitivity Colon cancer Diverticulitis Inflammatory bowel disease

First class Remedies

Bry	Stool is very hard and dry that passes in lumps Stool is dry as if burnt, and is passed with much difficulty. Abdominal distension(Maybe) Headache due to constipation	C30 BD or TDS
Nux-v	Frequent urge to pass stool but the stool is insufficient and unsatisfactory Even after passing stool many times a day, there is a never “got done” feeling. Abdomen pain due to constipation. Sedentary lifestyle Piles + Constipation. An Irritable / Active baby who was fed meat early. Due to Fast-food (By the child or mother) Ineffective urging, peristaltic movement disorder (IBS) Best dose is Nux-v30C BD or TDS	Reverse peristaltic movement: The more he pushes, the worse the condition becomes Painful constipation Children - CONSTIPATION, children ALUM, BRY, CALC, LYC, OP Children - CONSTIPATION, children - constipation, infants : ALUM., BRY, CALC, NAT-M , OP Children - CONSTIPATION, children - constipation, infants - active, irritable infants, or those who have been prematurely fed on meat Children - CONSTIPATION, children - constipation, infants - artificial food, after   Children - CONSTIPATION, children - constipation, infants - desire, with apparent frequent, and effort to stool - caused by stimulating food taken by mother or nurse RECTUM - CONSTIPATION - difficult stool - painful stool - children; in
Alum	No urge to pass stool for many days. The action of the intestine is extremely slow and sluggish. C30, Daily or BD.	Stool is passed only when there is a large accumulation of fecal matter in the intestine. Excessive straining to pass stool even with soft stool Constipation in children, infants, bottle-fed babies and elderly persons.
Op	Stool is hard, dry and passed in ball-like form. Lack of stool urging (opposite to Nux-v) (Like Alum) C30 Daily or BD.	Constipation due to taking laxatives for a long time. Neonatal constipation Post op Constipation
Alumen	Stool is extremely hard like a stone. C30, BD or TDS.	Passing of stool is very Difficult / Painful and attended with some blood in it.

Second class Remedies

		Similar Remedies
Sul	Constipation of Sul, Bry and Alum is due to the inactivity / slowness / paralysis of Rectum/ Anus.	Bry, Alum
Nit-ac	Due to fissure and involvement of the rectal mucus membrane. A spasmodic constipation with painful rectal prolapse, dry and irregular stools.
Graph	Due to extreme dryness of the intestinal mucosa and stool accumulation	Bry
Lyc	Children constipation Emaciation, Decresed appetite
Nat-m	Infant constipation (Op, Alum, Calc, Bry) Due to emotional problems The child feels defecation, but during defecation, the stool returns back (Caust)
Caust	The child feels defecation, but during defecation, the stool returns back (Nat-m) Children - CONSTIPATION, children - holding back stool, from: Nat-m
Verat	Good remedy for antidoting Constipation after administration of Nux-v or Lyc Children - CONSTIPATION, children - nux vomica or lycopodium, after Verat.
Ant-c	Hard and lumpy stools Children - CONSTIPATION, children - stool in hard lumps
Mag-m	Infant constipation caused by teething Children - CONSTIPATION, children - constipation, infants - dentition, during
Dol	Constipation in children with parasites RECTUM - WORMS - complaints of worms - accompanied by - constipation - children; in

Banerji protocols
First line	Lyc C200 + Plb C200, BD, in hard stool
Second line	Merc C200 + Chel C30 BD
Third line	Nux-v C30 BD

Tissue Salt Remedies

• KM: Constipation + white Coated tongue and pale face
• NP: Constipation + Occasional diarrhea in children. KP is a reliable laxative
• FP: Constipation + Anemia + Pale Face + Flushing Heat + Heart Palpitations + Hemorrhoids
• SIL: As if his rectum has lost its strength. Sweaty feet or paralyzed hands
• NM: Constipation / Bowel Dryness in Obese people + Sleepiness + Sourness + Allergic Conjunctivitis