At first, take the non-operation treatments:
(1) Increase liquids and fiber in diet;
(2) Keep and develope a good defecation habit;
(3) Take the stimulating gastrointestinal dynamic medicine reasonably;
(4) Biofeedback;
(5) Psychotherapy;
(6) The traditional Chinese medicine.
The doctor can take the operation into consideration if there was
little curative effect of the non-operation, and various examinations
had been taken to show that there were obvious pathological dissection
or the exactly parts of dysfunction, moreover, took the flexible
methods of the operation under the consideration of compliance.
The operation was mainly to deal with the lesions which resulted
from the constipation, then to the secondary causes.
Besides the organic causes and other causes which resulted in the
constipation, the chronic intractable constipation can be classified
into two categories by the special examinations:
(1)Colonic transit dysfunction: Hirschsprung's disease; secondary
megacolon; spastic colon; part long tedious colon; colonic atony;
slow-transit of the colon.
(2)Functional outlet obstruction: rectocele; intussusception of
rectum or rectal prolapse; internal sphincter atony; spastic pelvic
floor syndrome; puborectalis hypertrophy and pelvic floor prolapse;
endometriosis of rectum; perineal descent; anorectal stenosis; and
spastic anal pain.
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