EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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Abstract

GERIATRIC CONSTIPATION AND ITS MANAGEMET

Dr. Suneet Roy*, Dr. Avadhesh Kumar and Dr. Jitendra Kumar

ABSTRACT

According to Acharya Sushruta, mandagni is the main cause of Vibandha or constipation. It is to be noted that Dusti of Apan vayu and Pureesha causes Vibandha. And create symptoms like pain in Abdomen, gas formation, pain in anus while passing stool, headache, acidity, palpitation and in chronic cases, Piles and Fistula. Vibandha is a disease entity which usually occurs due to Vata Prakopaka Ahara-Vihara and non compliance of Asthavidha Ahara Ayatana and Dwadasha Ashana Pravichara. Prolonged table work, excessive consumption of aerated drinks and fast foods have become a part of present-day life style, which causes decreased secretion of digestive enzymes, and peristaltic movement leading to improper digestion and stagnation of semi-digested food and leads to Vibandha or Constipation. Constipation is a problem that affects all ages. However, it is a common problem in older adults and is often a concern to elders. Elders may falsely believe that constipation is a “natural” part of aging. but it‟s a disorder that is not caused by aging itself. Age-related anatomic changes within the lower gastrointestinal tract may contribute to delayed transit time and decreased stool water content, due to intestinal wall atrophy, reduced blood supply, and intrinsic neuronal changes and age-related neurodegenerative changes in the enteric nervous system (ENS), reductions in Internal Anal Sphincter (IAS) pressure and pelvic muscle strength, as well as changes in rectal sensitivity and anal function. In colons of people older than age 65, a 37% loss of enteric neurons was found when compared with younger people. Rectal sensation plays a critical role in normal defecation and it changes with aging. Elderly patients required significantly larger volumes of rectal distention to stimulate the normal urge to defecate. Fecal impaction should be treated with mineral oil or warm water enemas. Most patients are initially treated with lifestyle modifications, such as scheduled toileting after meals, increased fluid and dietary fiber intake. The next step in the treatment of constipation is the use of an osmotic laxative followed by a stool softener. They need special dietary attention because gastrointestinal function may be altered with advanced age, individual tolerances, their energy intake, and maintenance of a balanced diet with adequate fibre and fluid. There is also a decrease in microflora and metabolic activity. Long-term use of laxatives can lead to fewer bowel movements and maldigestion of food and nutrients.

Keywords: constipation, vibandh, geriatric, ayurvedic dietic.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia