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8/19/2019 Constipation Ppt
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Healing Hands ClinicDr. Ashwin Porwal
Consultant Colorectal Surgeon,M.B.B.S, D.N.B. (Surgery),
Dip. Proctology (Italy),Dip. Laparoscopy (EIS! I"C#D, $rance
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CONSTIPATION
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CONSTIPATION
• Person Has %nco&'ortale " In're*uent Bo+lMoe&ents "esults $ro& Sluggis- Peristalsis -at #llo+Etra /ater Be "e&oed $ro& $eces May "esult $ro&Insu0cient $ier In Diet
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How Do You Know If You Suer FromConstipation .
• /-at #re t-e Sy&pto&s1•
2ou &ay -ae3• $e+ o+el &oe&ents• roule -aing a o+el &oe&ent (straining)• Hard or s&all stools• # sense t-at eeryt-ing didn4t co&e out• S+ollen ado&en or ado&inal pain• 5o&iting
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!h" Does It Happen• So&e causes o' constipation include3• #ntacid &edicines containing calciu& or alu&inu&• C-anges in your usual diet or actiities•
Colon cancer• Eating a lot o' dairy products.• Eating disorders• Irritale o+el syndro&e• Neurological conditions suc- as Par6inson7s disease
or &ultiple sclerosis
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!h" Does It Happen
• Not eing actie• Not enoug- +ater or 8er in your diet•
eruse o' laaties (er ti&e, t-is +ea6ens t-e o+el&uscles)• Pregnancy• Prole&s +it- t-e neres and &uscles in t-e digestie
syste&• "esisting t-e urge to -ae a o+el &oe&ent, +-ic- so&e
people do ecause o' -e&orr-oids• So&e &edications (especially strong pain drugs suc- as
narcotics, antidepressants, or iron pills)• Stress• %nder actie t-yroid (-ypot-yroidis&)
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Treatment
• Constipation is one o' t-ose topics 'e+ people li6e todiscuss. But i' you su:er 'ro& constipation you 6no+ it
can e pain'ul and 'rustrating and inter'eres greatly+it- your daily li'e.• "esearc- s-o+s up to ;< percent o' indiiduals +it-
constipation report -aing t-e condition 'or 8e years or&ore. No+ t-ere is a good reason to tal6 aout c-ronicconstipation. -ere is a surgical alternatie t-at &ay eale to -elp +o&en +-o -ae een unale to 8ndsolutions in t-e past 'or a type o' c-ronic constipationcalled O#stru$te% Defe$ation S"n%rome &ODS'
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•I' you -ae troule +it- your o+el &oe&ents 'or &ore t-an t+o
+ee6s, you s-ould see your doctor. He or s-e &ay as6 'or t-ese teststo 8nd t-e cause o' your constipation3
•Blood tests to c-ec6 on -or&one leels
•Bariu& studies to loo6 'or any loc6ages in your colon. $or t-is test,
you7ll do+n a special drin6 and t-en get an =!ray.
•Colonoscopy or ot-er tests to loo6 'or loc6ages in your colon
Ho+ Do Doctors Diagnose It1
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Consultation and reat&ent Serice > Healin( Han%s Clini$ whi$h starte% as a small set
up in the heart of Pune) to%a" has its presen$e inChin$hwa% ) Cha*an) +aipur.
• Foun%e% #" In%ia,s lea%in( $olore$tal sur(eon) DrAshwin Porwal)Healin( Han%s Clini$ is the -rstPro$tolo(" Clini$ euippe% with /0IDefe$o(raph" in the $ountr". It is IS certi8ed and a&e&er o' EC# (Eurasian Colorectal ec-nologies#ssociation) and ESCP (European Society 'Coloproctology).
• #ccolades represent &erit and t-e clinic +as recentlycon'erred +it-2Center of 34$ellen$e for Piles5 #" Dr.Antonio 6on(o &Ital"') pioneer o' t-estapler surgery (MIPH) 'or Piles. -e clinic -as also een
7 4
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"elie' $ro& Constipation, ne More Step #-ead..A
• S#"" Surgery!#n #c-ie&ent ' Dr.#s-+in Por+al• #nal a &ano&etry is a test per'or&ed to ealuate
patients +it- constipation or 'ecal incontinence. -ereare &any causes o' constipation. So&e inole sluggis-&oe&ent t-roug- t-e +-ole colon, +-ereas ot-ersinole t-e anal sp-incter &uscles. In so&e patients
+it- constipation, t-e anal sp-incter &uscles do notrela appropriately +-en earing do+n or pus-ing to-ae a o+el &oe&ent. -is anor&al &uscle 'unction&ay cause a 'unctional type o' ostruction. Muscles t-atdo not rela +it- earing do+n can e retrained +it-
io'eedac6 tec-ni*ues using anal &ano&etry. It alsoacts as a source o' io'eedac6 in +-ic- you can&onitor yourseles +-ile doing pelic oorre-ailitation. #norectal &ano&etry is a sa'e, lo+ ris6procedure and is unli6ely to cause any pain.
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P ) S
) P E "# I 5 E
I N S " % C
I ) N SA
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• Dr. #s-+in Por+al re&ar6s /it- t-is innoatie optionpatients can no+ assure t-e&seles o' a 'aster recoeryand guaranteed cure 'ro& Constipation.Healing Hands Clinic -as o:ered suc- treat&ent to alltypes o' patients 'ro& all oer India 'e+ 'ro& ot-ercountries as +ell.
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Healin( Han%sClini$
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