Constipation - disturbance of function of the intestine, expressed in augmentation of intervals between certificates of a defecation in comparison with individual norm go in regularly insufficient devastation of an intestine. A constipation consider a chronic delay of a devastation of an intestine more than at 48 o'clock, accompanied as difficulty of the certificate of a defecation, feeling of an incomplete devastation with small quantity (less than 100 gram) a feces of the raised hardness.

Etiology. Functional constipations arise at insufficient entering with nutrition of a fat, water (alimentary constipations) and at insufficient physical activity, including at postoperative patients, after a myocardial infarction, at mainly sedentary way of life. The organic lesion of an intestine serves as the reason of constipations at an occlusion of a lumen thick and a rectum (for example, at narrowing an intestine by a tumour, cicatrixes, a mechanical prelum of a rectum from the outside), disturbance of function of a muscular layer of a wall of a colon (for example, at an irritable colon, a systemic scleroderma), morbidities of a defecation (proctal cracks, a clottage of external hemorrhoidal units, a proctitis).

Signs, current. The long delay of a defecation is characteristic. At atonic constipations fecal masses plentiful, issued, in the form of sausages; quite often initial portion very dense, greater, than in norm, diameter, final - half issued. The defecation is carried out with greater work, very morbid; owing to anguishes of a mucosa of the proctal channel on a surface of fecal masses there can be streaks of a fresh blood. At an irritable colon of an excrement get the form of the sheep feces. Constipations are often accompanied by a meteorism, feeling of pressure, expansion, a spastic abdominal pain. Long constipations are quite often accompanied by weariness, a flaccidity, depression of working capacity, headaches, irritability, depression of appetite, palpitation, a sweating. The X-ray inspection taps retardation of promotion of fecal masses on an intestine.