Constipation

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Constipation
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• 2. Nerve damage
• Female may be constipated due to nerve damage
  caused by stretch injuries as result of
• - Vaginal delivery episiotomy
• - Multiple deliveries
• - Large size baby

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• 3. Pain
• Pain during defecation could lead to avoidance,
  and this cause constipation. Causes of painful
  defecation are
• - Hard stool
• - Fissures
• - Hemorrhoids
• - Preanal abscess
• -Anal fistula (abnormal opening at or near the
  anus e. g. opening into the rectum)
• - Rectal prolapse
• - Herpes simplex
• - Pelvic-floor myalgia

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Fistula
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Anal Fissures
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Enemas
Vertical Enema
Rubber Enema Syringe
Glass Enema Syringe
Traditional classic forms used in Hospitals
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• Also available in ! Market as
• Commercially pre-prepared enema with
• pre-lubricated tips and instructional pictures on
  ! box to facilitate use are

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Colostomates or ileostomates should be referred
to the physician.
Constipation in a patient following recent
abdominal surgery may indicate paralytic ileus
(lack of peristalsis).
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