rregularity in going
to the toilet, therefore, the first measure to be taken in the treatment
is regularity in going to the toilet. Choose a convenient hour, usually
right after breakfast, and always go to the toilet at that time no
matter if there is a desire or not. At first there may be no natural
movement but if you persist, your efforts will be rewarded. For the
first few days it is well to take an enema of warm, soapy water at this
time. Every day take exercise that will strengthen the muscles of the
abdomen. Bending forward and touching the toes with the fingers without
bending the knees is one valuable exercise. This should be done ten or
twelve times morning and evening. A daily brisk walk in the fresh air is
another good exercise. Fruit or figs eaten with the meals or a glass of
water taken before breakfast and upon retiring often proves very
beneficial in relieving a tendency to constipation. There is an old
saying, "An apple or two before going to bed, and the doctor will go
begging for his bread." This really is a practical idea and more nearly
true than many old sayings.
Cathartics or laxatives should not be taken except for an occasional
dose or during illness upon the advice of a physician. So common is the
practice of taking daily laxatives that it has become a "national
curse"! People do not realize that they are slaves to this habit, so
they continue to take their daily doses of "teas" or "waters." In many
cases a patient will tell his physician that his bowels are "all right,"
that they move every day. Further questionings reveal the fact that he
is in the habit of taking some laxative frequently. The bowels are not
"all right" if any laxative is required.
Massage of the abdomen usually is very beneficial in treating
constipation. It acts by stimulating the muscles and should be given at
set times in the day but never until two hours after any meal. The
various vibrators act in the same manner as massage. In any massage of
the abdomen the thighs should be flexed, as this relaxes the abdominal
muscles.
Enemas or injections of warm water may be taken occasionally and then
are beneficial, but if long continued are injurious by reason of their
irritating effect. At times, when the stomach and intestines have been
over-loaded with irritating material, an enema is one of the quickest
measures for relief. In obstinate constipation two or three ounces of
warm olive oil injected slowly into the rectum a
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