Constipation

Constipation has almost reached epidemic proportions in the West, and the main reason appears to a deficient diet. Therefore the simplest measures involve increasing the intake of fresh fruits, salads and vegetables and ensuring an adequate fluid intake. Pulses, lentils, rice, pasta, cereals like wheatabix and shredded wheat are all rich in fibre, Prune juice and bioyogurt are also helpful.

Laxatives may be tried under medical supervision, more resistant cases may require enemas. If all else fails, an anal dilation under anaesthesia may work wonders. Rarely, the diagnosis of Hirschsprung's disease may be considered in cases of very severe constipation starting in the first few months of life. Here, the innervation of the rectum may be abnormal, treatment involves a major surgery.