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What are the hazards of constipation in the elderly?

Dr. Dr. Naina Lalani, MD,  - Internal Medicine specialist at 700 S Flower StLos Angeles, CA 90017
Dr. Naina Lalani, MD

700 S Flower StLos Angeles, CA 90017 Internal Medicine

Expert Medical Information

1. Constipation leads to dry and hard stools, which can directly cause or worsen anorectal conditions such as proctitis, anal fissures, and hemorrhoids. 2. When stool is retained during constipation, it produces a large amount of harmful substances. The absorption of these substances can disrupt gastrointestinal nerve function, leading to symptoms like loss of appetite, abdominal bloating and pain, nausea, a bitter taste in the mouth, and excessive flatulence. 3. Hard stool during constipation can compress the intestinal mucosa, causing ischemia and leading to the formation of ulcers in the intestinal cavity. 4. Chronic constipation can result in prolonged retention of carcinogenic substances in the intestines, potentially increasing the risk of colorectal cancer. 5. Constipation can trigger cardiovascular and cerebrovascular diseases, even posing life-threatening risks for the elderly. In middle-aged and older adults, straining during constipation increases abdominal pressure, holding breath can elevate blood pressure and intracranial pressure, and vagal inhibition of the heart can lead to cardiovascular events such as angina or myocardial infarction. 6. Long-term constipation increases the risk of intestinal obstruction.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.