Was Sie über Verstopfung bei Diabetikern wissen müssen.

Was Sie über Verstopfung bei Diabetikern wissen müssen.

Index

  • What you need to know about constipation in diabetics
    1. What is transit constipation?
    2. Learn more about the etiology of constipation
    3. Preventing constipation to avoid discomfort
    4. Foods to be preferred in case of constipation

What you need to know about constipation in diabetics

Constipation occurs when a person has fewer than three bowel movements a week. They have difficulty evacuating stool and the stool is hard and dry. Generally, there are two types of constipation: transit constipation and terminal constipation. Diabetic constipation is usually transit constipation. But it can also be due to a disorder of rectal evacuation. Similarly, it can be chronic or occasional depending on the individual. It is a symptom that can be treated very well. If necessary, it can lead to various complications.

What is transit constipation?

Intestinal transit refers to the passage of food from the stomach through the duodenum into the intestine. The body assimilates the food during transit and at the end, there are still the parts that will be evacuated through the stool. Constipation in diabetics is often called transit constipation. It results in an intestinal transit that takes time for different reasons:

  • A change of habit
  • Stress
  • A sedentary lifestyle
  • Medicines
  • Low-fibre foods
  • A hormonal condition in women during menopause or pregnancy

This slowness causes the stool to remain in the colon for a long time. In this case, the best solution is to avoid this slowness. The adoption of a good eating habit helps to combat constipation in diabetics.

Learn more about the etiology of constipation

Etiology refers to the study of the causes and factors of a disease. As far as constipation is concerned, it is important to know them in order to better understand this symptom. Constipation in diabetics can occur as a result of dysfunctions in the body. There are many reasons for constipation.

  • Causes digestives
    Constipation can occur as a result of :
    • Anomalies
      Chronic pseudo intestinal obstruction following tumours, an acquired or congenital megacolon following non-tumour stenoses, extrinsic compressions.
    • Ano-rectal anomalies :
      Anal fissures that appear as a result of a tumour, complicated haemorrhoids due to rectitis and recto sigmoiditis, an anterior ectopic anus as a result of stenosis, other surgical sequelae.
  • Neurological causes
    • In the peripheral nervous system
      Constipation is due to :
      • a ganglioneuromatosis following a dysautonomy such as diabetes, paraneoplastic syndrome or amyloidosis. This explains the diabetic's constipation.
    • In the central nervous system it is due to:
      • post-traumatic paraplegia following Parkinson's disease
      • meningocele following a brain tumour
      • a ponytail lesion following a stroke
      • multiple sclerosis
    • Psychogenic constipation it is due to :
      • Neuroses following a depressive state
      • Emotional conflict due to dementia
      • Obsessive neuroses

Preventing constipation to avoid discomfort

Complying with hygienic and dietary measures helps prevent constipation. This applies to the constipation of diabetics. Good hydration is essential for this with at least one to two litres of fluid per day. Otherwise, foods rich in minerals, especially magnesium, have a laxative effect. Intestinal transit is stimulated by physical activities that strain the abdominal muscles. Introducing as much fibre as possible into the daily diet helps a lot. Fibre stimulates the growth of the bacterial flora. In some cases, medicines that promote constipation should be discontinued:

  • Analgesics
  • Anticholinergics
  • Antidepressants and antipsychotics
  • Anti-hypertensives
  • The anti-Parkinsonians
  • Anti-diarrhoeal drugs
  • Anticonvulsants
  • Antihistamines
  • Antispasmodics
  • Diuretics
  • Cationic agents

However, the doctor's opinion is required before making this decision. Otherwise, lifting the feet at the height of the toilet bowl in the toilet improves the position and facilitates the evacuation of faeces.

Foods to be preferred in case of constipation

It is possible to overcome constipation in diabetics with the right foods. Dietary fibre is at the top of the list. They help to soften the stool and increase its volume. They are found in vegetables, citrus fruits, fruits, legumes and cereals. The amount required is 25 to 30g per day. Anti-constipation foods are:

  • Wheat cereals and bran
  • Whole grains
  • Seeds and nuts
  • Oat cereals
  • Citrus fruits, prunes and mangoes
  • Fortified cereals
  • Asparagus
  • Barley

In the case of constipation in diabetics, the best thing to do is to adhere to a healthy lifestyle and an adequate diet.