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Constipation
Published in Charles Theisler, Adjuvant Medical Care, 2023
Dietary Modifications: Fiber is the laxative most doctors recommend for normal and slow-transit constipation. The most important aspect of the therapy for constipation is dietary modification to increase the amount of fiber consumed. Gradually increase daily fiber intake to 20–25 gm, either through dietary changes or through fiber supplements. Fruits, vegetables, and cereals have the highest fiber content. When added to the diet, wheat bran, whole grain bread (e.g., whole-wheat bread), cereals, and pastas, also draw water into the intestinal tract and speeds transit to help treat constipation.1
Nutritional and Medicinal Benefits of Ficus carica
Published in Mehwish Iqbal, Complementary and Alternative Medicinal Approaches for Enhancing Immunity, 2023
Ficus carica is extensively produced for its fruit. Globally more than one million tonnes of fruits of Ficus carica are cultivated every year, with Turkey and Egypt growing almost half of the global supply. As a source of food, figs are chosen as a gift from God in the holy book of the Bible (Wilson & Wilson, 2013). The fruit of Ficus carica is often accessible in huge quantities and is extremely nutritious. They are a suitable source of nutrients, minerals, vitamins and fibre; (Vinson, 1999; Vinson et al., 2005). Ficus carica is among the best sources of fibre and calcium; in accordance with the data from the United States Department of Agriculture, dried figs are enriched with calcium, potassium, magnesium, fibre, copper, manganese and vitamin K, relative to the requirements of humans. On the basis of weight, figs consist of more calcium (around 132.5 milligrams per 100 grams) than strawberries (14.01 milligrams per 100 grams), dates (25.0 milligrams per 100 grams), bananas (3.88 milligrams per 100 grams), raisins (40.0 milligrams per 100 grams), prunes (18.0 milligrams per 100 grams), apples (7.14 milligrams per 100 grams), oranges (40.25 milligrams per 100 grams) and grapes (10.86 milligrams per 100 grams). Recent research has demonstrated that the inclusion of fibre supplements in food material could assist in the loss of weight. Hence, Ficus carica and its fibre components may be beneficial in reducing weight since figs give more fibre, i.e. 12.21 grams per 100 grams, than all the aforementioned typical fruits (Vinson, 1999).
Gastrointestinal Disease
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Justine Turner, Sally Schwartz
Low dietary fiber intake is most consistently associated with risk of developing constipation. Insoluble fiber can potentially promote increased bowel transit time (see Table 16.3). However, increasing dietary fiber does not appear to treat constipation. Theoretically bulking stools in constipated children could contribute to more retention and discomfort, if no other treatment is provided. Conversely, as laxatives act to promote more liquid stool, adding fiber might help normalize stool consistency during such treatment. If diet did prevent constipation, it is important to recognize efficacy is hampered by ongoing difficulties in establishing healthy intakes of fruits, vegetables, and whole grains in young children. Furthermore, when applying dietary interventions for constipation prevention and treatment, they are most effective with proper education or counseling from a dietitian, which is not always practical. Hence, there is some justification for using fiber supplements to normalize dietary fiber intake.
A systematic review of the literature reporting on randomised controlled trials comparing treatments for faecal incontinence in adults
Published in Acta Chirurgica Belgica, 2019
Nikhil Lal, Constantinos Simillis, Alistair Slesser, Christos Kontovounisios, Shahnawaz Rasheed, Paris P. Tekkis, Emile Tan
Surgical treatments were associated with higher rates of serious AEs compared to non-surgical interventions (Table 2). Non-surgical treatments noted non-serious AEs such as constipation, abdominal pain, diarrhea, light-headedness, drowsiness, etc. [23,26,82]. Dietary fiber supplements were associated with gastro-intestinal symptoms and allergic reactions [23]. Bulking agents observed serious AEs such as rectal abscess and prostatic abscess [37]. Meanwhile, a non-serious AE related to bulking agents was bruising [41]. Up to 3% of patients reported allergic dermatitis with phenylephrine [27]. Neuromodulation was commonly associated with AEs such as site pain, bleeding and paresthesia [45,51]. Yoshioka et al. reported serious AEs such as wound sepsis, hematoma and faecal impaction with TPFR and gluteus maximus transposition (GMT) [74]. O’Brien et al. noted AEs such as failure of perineal wound healing and inability to evacuate without assistance with artificial bowel sphincter (ABS) [71].
Educational needs in the diagnosis and management of pediatric functional constipation: a US survey of specialist and primary care clinicians
Published in Postgraduate Medicine, 2018
Justin Barnes, Brandon Coleman, Sharon Hwang, Aleksandra Stolic, Athos Bousvaros, Samuel Nurko, Gregory D. Salinas
For initial management of the 3-year-old patient, 85% of specialists and 63% of pediatricians/PCPs would include PEG in the treatment regimen (Table 4). PEG and lactulose are included in the NASPGHAN guidelines as preferred initial treatment options. Nearly all respondents included lifestyle changes, such as increased hydration a improved diet, into their treatment plan but only three (1%) of specialist clinicians and seven (3%) of pediatrician/PCPs would treat this patient with lifestyle changes only. Many other supplements and recommendations were selected by respondents, most commonly fiber supplements, probiotics, and senna laxatives. Pediatrician/PCPs were significantly less likely to choose PEG and were more in favor of fiber supplementation and mineral oil than the specialists.
Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature
Published in Disability and Rehabilitation, 2021
Hiu Yan Yeung, Priya Iyer, Julie Pryor, Margaret Nicholson
Another case-series study [8] (n = 38) investigated a bowel management programme, which included a high fibre diet with water soluble fibre supplement (psyllium) with an average dose of 8.9 g a day. It found improvements in difficult intestinal evacuation, abdominal distension, rectal bleeding and faecal incontinence; however, the decrease in abdominal pain and flatulence was not significant. The study also showed high risk of bias and graded as very low quality.