What to do if the stool is too hard to pass

When severe constipation occurs, the stool is often too hard, causing difficulty in defecation, which can make people feel particularly painful. When such serious symptoms occur, equipment-assisted methods can be used to promote defecation, especially for some elderly people. This is also a common method. In addition, some suppositories can also be used. Kasiro is also a better treatment method.

What to do if the stool is too hard to pass

1. Equipment assistance

If the stool is hard and stagnant in the rectum near the anus, or if the patient is elderly and weak, or has poor or absent bowel movement motivation, colon hydrotherapy or cleansing enema can be used.

2. Biofeedback therapy

It can be used for patients with constipation due to rectal, anal and pelvic floor muscle dysfunction, and has good long-term therapeutic effect. Biofeedback therapy uses specialized equipment to collect information on one's own physiological activities, process it, and amplify it, then display it using familiar visual or auditory signals to establish a feedback connection between the cerebral cortex and these organs. Through continuous positive and negative attempts, patients can learn to control physiological activities at will, correct physiological activities that deviate from the normal range, and achieve the goal of "changing themselves." Biofeedback therapy can train patients to relax their pelvic floor muscles during defecation, so that the abdominal muscles and pelvic floor muscles can move in a coordinated manner during defecation. For patients with abnormal defecation thresholds, attention should be paid to rebuilding the defecation reflex and adjusting the perception of defecation. There are no specific regulations for the training plan. The training intensity is high, but it is safe and effective. For patients with pelvic floor dysfunction, biofeedback therapy should be preferred over surgery.

3. Cognitive therapy

Patients with severe constipation often have symptoms of psychological factors or disorders such as anxiety or even depression. They should be given cognitive therapy to help them eliminate tension and, if necessary, anti-depression and anti-anxiety treatments, and a psychologist should be asked to assist in diagnosis and treatment.

4. Surgery

All of the above treatments are ineffective for severe and intractable constipation. If it is colon transport dysfunction type constipation and the condition is severe, surgical treatment can be considered, but the long-term effects of surgery are still controversial, and case selection must be cautious. Among the huge group of diseases such as constipation, only a very small number of cases actually require surgical treatment.