Such a simple, and such a hard case.

 Chronic hard stool in teenagers is a not rare case, and reasons theirs are not just of meal destroy, dry meal, or diets, which are teenagers enjoying, but an of misunderstanding or simple poor knowledge for physiologic peculiarities acts for.

Recently on teenager a girl on 13 y.old visited me with a mum, and girl appetite is bad, weak, and looking younger ,than all girls at school.Am  checked her, that of course she looked bad, not healthy, pale skin, and she is not shared with me about her destroys. And after she can share ,that felt ache in left low belly part, a few days having stool delay, not feeling that urges to defecations, just going to WC  ,than stool is a not happened within a long time. And if worsening feeling , she's having  headache, and for process an emptying needing doing with pushing, loading till blue, and faeces looking, like lumps, sheep s faeces, and after stool, feeling a not full emptying, as i want still, but nothing emptying.

And in checking belly palpation in projection for sygmoid colon/.last side for colon, where ending a feces forming are defined a not normal, hard consistence, faces masses.

And am understood, that for her and mum I must  to  share a few physiologic, anatomic peculiarities for digestion system, which is responsible for a process a forming (faeces) and emptying straight colon. This  is of importance, that prescribing enemas and laxative to help is not possible.

Proctogenic  hard stool are happening of functional pathology, a straight colon. If patient will not detail checked this ,  as in reason for these destroys, which lead to constipations, hard condition and faeces intoxication, restore timely and full emptying for straight colon is not real.

A meal mass from a stomach enters in 6 metre thin bowel. Within 4 hours he is splitting, nourishing substances are sucking up. Not   digested are toxic remands as vegetable fibres, served are their microbes, old cells for mucus membranes, water etc  transfers in thick bowel, size of which /length/ 2 metres.

She is sucking up water, cellulose fermenting with a forming organic acids are 500 ml a size for gases, forming faeces masses and timely theirs next secreting. In healthy peoples are process for mobility is on thick colon and forming faeces having 24 hours. Straight colon is length 20 cm is a last region for digestion system, Colon is not straight, and calling ,that in healthy peoples bowel in not contains faeces. A natural is foreseen a following mechanism for emptying colon. Faeces masses are ended formed in sigmoid colon by portions entering in top-ampular part of straight colon. And here in healthy person, or teenager growing up are receptors irritating, reacting on pressure rising and changing chemical structure in this colon. From receptors a signal  by  nerves, a spine brain transferring in defecation centre for cortex of head brain. And signal here is clear ,that you are needing going to WC and sit on the pot.With a promotion a faeces portion in a middle-ampular ,   and low-ampular  part for straight colon, a signal staying a strong, and persistently needing for solitude for defecation doing. And by practise on work with these groups showing, that in  conscious and repeated restraining for emptying on stool,are receptors, reacting on a stool entering in straight colon are stopping reacting. They are habit to faeces presence , and in a centre for cortex of head brain and probably to stop responding on signals from colon.

A such pathology happening in growing up girls, are which very shyness  and vulnerability, and this is happening by these orders.

As on a morning with a physical activity beginning or after breakfast you are feeling a wish for defecation, you are staying at toilet, but on this moment your mum as care for you asking, that you're needing doing this faster, that you are late. Or other knocking in a door, as need to for wc visit, that she want to do it too. And you are stopping doing this,as if defecation not happened or a emptying colon is a not full and these are every morning happening. And in adult these are too happening. As on the morning hour displaying  a wish to defecation, but you time is poor, and you are too fasting, as after will be visit  wc, somehow. And this is later leading to accumulation for faeces masses in colon, and signal absence about a needing to emptying, and to dehydration with a forming sheep s faeces or faeces stones, hard intoxication.

And you need to attention very seriously that to signal for defecation, that for example.,.is compare nothing with ..all physiologic needing are doing timely, that we are timely to eat trying, going in bed, deep breath in physical loading, and emptying urinary bladder. Thus    need to restore an urge to defecation, other are a reasonable way is not having, laxatives are once on this moment emptying colon. And not just for always, as in practices for proctologists and surgeries are situations having  ,when for the emptying a colon are using non-natural poses as on a four, on the side.

Sometimes patients ate share ,that after laxative they are had stool, but on a real time, of a remedy affecting a diluting colon s containing is flows, like brook, between are faeces stones and secreting, simulating a normal process for defecation.

And for all patients am describing ,that nature provided a gastrointestinal reflex. Or when a meal , or food entering in stomach , magnification  shortening for thick bowel, and faeces portion entering in straight bowel, signalizes, that you are needing visiting a WC. As on the pot sitting a very benefit doing belly dance, massage for peritoneum wall doing, press legs to the belly or sit on the four for rising pressure in a belly and achieving a natural emptying. And attention here,you need  to have enough time ,that nobody to affect on you ,and not hurry you , as of knocks in a door, cries. And first lessons by a manufacturing normal defecation acts are  can be a not effective.Not  worry, repeat this from a day  to day ,thus a normal physiological process for defecation urge and emptying for colon will be restoring .

 By I.Vorontsov, M.D.C.