Yu geht trobul tu foh go na toilet dis dez? Lɛ wi tɔk bɔt kɔnstipɛshɔn!

Sɔntɛnde yu kin gɛt fɔ spɛn bɔku tɛm na tɔylɛt? Yu fil se yu bɛlɛ dɔn dray? Ɔ yu kin fil lɛk se sɔntin dɔn stɔp na yu bɛlɛ ivin afta yu dɔn go na tɔylɛt? Dis na prɔblɛm wae bɔrku pipul kin gɛt ɛn dat kin mek sɔm kayn pwɛl hat sik. Bɔt no rizin nɔ de fɔ mek wi shem ɔ fred fɔ tɔk bɔt am. Tide, wi go tɔk ditayli bɔt dis kɔndishɔn we dɛn kɔl kɔnstipɛshɔn, ɔ `(Kɔnstipɛshɔn)`.

Wetin na kɔnstipɛshɔn?

Fɔ tɔk am simpul wan, if yu fil se yu nid fɔ go na di bafa we nɔ rich tri tɛm insay di wik, na dɔktɔ dɛn kin kɔl am kɔnstipɛshɔn. Bɔt di tɛm we pɔsin kin go na di bafa kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin go bɔku tɛm insay di de, ɛn ɔda wan dɛn kin go wan ɔ tu tɛm nɔmɔ insay di wik. Ilɛk wetin na yu nɔmal patɛn, i spɛshal to yu, ɛn na nɔmal tin. Di prɔblɛm kin kam we yu kɔmɔt nia da nɔmal patɛn de. Ilɛk wetin yu de tɔylɛt, wan tin klia: di mɔ we yu de wet fɔ go na di bafa, na di mɔ i kin at fɔ pas stɔl. Bɔku impɔtant sayn dɛn de we kin ɛp yu fɔ no se yu gɛt kɔnstipɛshɔn:

• Yu stɔl dray ɛn i at lɛk rɔk.
• A kin fil pen we a de go tɔylɛt, ɛn i nɔ kin izi fɔ pul dɔti.
• Ivin afta a dɔn go na di bafa, a kin fil lɛk se mi bɛlɛ nɔ ɛmti ɔl.

Infakt, dis sik we dɛn kɔl kɔnstipɛshɔn kin rili bɔku. Nɔto yu nɔmɔ, bɔku bɔku pipul dɛn ɔlsay na di wɔl de sɔfa wit dis prɔblɛm. So, i impɔtant fɔ tek dis as nɔmal tin ɛn tek di step dɛn we yu nid.

Aw dis kɔnstipɛshɔn kin apin?

I rili simpul. Kɔnstipɛshɔn kin apin we yu kɔlon (ɔ big intestinal) absɔb tumɔs wata frɔm yu stɔl. Dis kin mek yu stɔl dray, at, ɛn i nɔ kin izi fɔ pas. Fɔ ɛksplen am smɔl, as di it we wi de it de pas na wi dijestiv sistɛm, wi intestinal dɛn de tek di tin dɛn we de mek wi it smɔl smɔl. di west prodakt dεm we lεf frכm di it we dεn digεst na dεn de fכm stכl. Dis dɔti de pas frɔm di smɔl intestin to di big intestin. Di big intestin de absɔb wata frɔm dis dɔti ɛn mek i sɔlid. If yu gɛt kɔnstipɛt, yu it kin tek lɔng tɛm fɔ muv tru yu dijestiv sistɛm pas aw i fɔ muv. Dis kin gi yu big intestin mɔ tɛm fɔ tek wata. Di rizɔlt? Yu stɔl kin dray, i kin at, ɛn i nɔ kin izi fɔ pas.

Wetin na di tin dɛn we kin mek pɔsin gɛt kɔnstipɛshɔn?

Kɔnstipɛshɔn kin gɛt bɔku tin dɛn we kin mek pɔsin gɛt prɔblɛm. Sɔm tin dɛn na wi layf, di mɛrɛsin dɛn we wi kin tek, ɛn sɔm tin dɛn we kin apin to wi kin afɛkt am.

Di tin dɛn we de mek pɔsin liv in layf

Sɔm pan di tin dɛn we wi kin du ɛvride kin bi wan men tin we kin mek wi gɛt kɔnstipɛshɔn. Si if dɛn tin ya apin to yu bak:

• Fɔ it it we nɔ gɛt bɔku fayv : If di it dɛn we wi de it nɔ gɛt bɛtɛ fayv, di stɔl nɔ go fɔm fayn ɛn i nɔ go pas izi wan.
• Di wata we yu nɔ de it (dehydration): We di bɔdi nɔ gɛt bɛtɛ wata, di stɔl kin dray.
• Nɔ ɛksesaiz: We di fyzikal aktiviti dεn dכn, di intestinal fכnshכn dεm bak de dכn.
• Chenj na di abit dɛm wae yu de du ɛvride: Dis sik kin kam wae yu de travul, it, drink, ɔr slip tɛm chenj.
• Fɔ it bɔku tin lɛk milk ɛn chiz: Sɔm pipul dɛn kin gɛt kɔnstipɛshɔn we dɛn it bɔku pan dɛn tin ya.
• Stress : Nɔr sɔprayz, strɛs kin afɛkt dis bak.
• Fɔ ol bak we yu nid fɔ go na di bafa: Dis na mistek we bɔku pipul dɛn kin mek. I impɔtant fɔ du am we nid de.

Di mɛrɛsin dɛn we dɛn kin yuz

Sɔm mɛrɛsin dɛn we yu kin tek kin mek bak yu gɛt kɔnstipɛshɔn.

• Sɔm strɔng pen kil , fɔ ɛgzampul di wan dɛn we gɛt `(Codeine)`, `( Oxycodone - lɛk Oxycontin®)` ɛn `( Hydromorphone - lɛk Dilaudid®)`.
• Nɔn-stɛroyd anti- inflammatory drɔgs (NSAID) , lɛk Ibuprofen (Advil®, Motrin®) ɛn Naproxen (Aleve®).
• Antidipreshan , lɛk `(Fluoxetine - lɛk Prozac®)` ɔ `(Amitriptyline - lɛk Elavil®)`.
• sכm antasid dεm, spεshal wan dεm we gεt kalsiכm כ aluminiכm (lεk `Tums®`), dεn kin gi fכ gastritis .
• Ayɛn pils dɛn.
• Alɛji mɛrɛsin (Antihistamines) , fɔ ɛgzampul `(lɛk Diphenhydramine - Benadryl®)`.
• Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn , fɔ ɛgzampul `(Calcium channel blockers)` ɛn `(Beta-blockers)`.
• Mɛrɛsin fɔ sɔm mental sik dɛm , lɛk `(Clozapine - Clozaril®)` ɛn `(Olanzapine - Zyprexa®)`.
• Antiseizure mεdikeshכn dεm , fכ egzampl `(Phenytoin)` εn `(Gabapentin)`.
• Sɔm mɛrɛsin fɔ vɔmit , lɛk Ondansetron - Zofran®.

Bɔrku mɛrɛsin lɛk dis kin mek pɔrsin gɛt kɔnstipɛshɔn. If yu gɛt ɛni kwɛstyɔn bɔt di mɛrɛsin we yu de tek ɔ bɔt dis sik, aks yu dɔktɔ ɔ fama.

Ɔda tin dɛn we kin apin to pɔsin we sik

Kɔnstipɛshɔn kin kam bak bikɔs ɔf sɔm kayn mɛrɛsin.

• Di kɔndishɔn dɛn we de na di ɛndokrin.
• Kansa we de na di kɔlɔrɛkt.
• Irritable Bowel Syndrome (IBS) we gɛt di sik we dɛn kɔl iritabl bɔdi.
• Divεrtikulayt (infεkshכn pan sכm sכm paus dεm na di big intestin).
• wik we di mכsul dεm na di pεlvik fכl (outlet dysfunction constipation). Dɛn mɔsul dɛn ya kin ɛp fɔ pul di stɔl.
• Obstructed defecation syndrome (na wan sik we de mek pɔsin nɔ ebul fɔ pul di dɔti).
• intestinal pseudo-obstruction (tεmporari sεsεshכn fכ di bכwel fכnshכn).
• Nyurolɔjik disɔda , lɛk we yu gɛt injury na yu spɛnal kɔd, yu gɛt mɔltipɛl sklɛrosis, Pakinsin sik, ɛn strok.
• Les bכwel sεndrכm (wikεd kכntrikshכn dεm na di big intestin).
• Intestinal ɔbstrukshɔn.
• di strכkchכral difεkt dεm na di dijestiv sistεm (e.g., `(Fistula)`, `(Colonic atresia)`).
• mכltipכl כgan sik dεm , fכ egzampl `(Amyloidosis)`, `(Lupus)` εn `(Scleroderma)`.
• We uman gɛt bɛlɛ.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt kɔnstipɛshɔn?

Pɔsin wae gɛt kɔnstipɛshɔn kin gɛt sɔm kayn sik lɛk:

• Fɔ go na di bafa we nɔ rich tri tɛm insay di wik.
• Di stɔl dray, i at, ɛn i gɛt bɔku bɔku wata.
• I nɔ kin izi fɔ pul di dɔti ɛn i kin fil pen.
• I kin tan lɛk se yu bɛlɛ de at ɛn yu de slip.
• A kin fil lɛk se a de fil lɛk se mi bɛlɛ ful-ɔp.
• Ivin afta a dɔn go na di bafa, a kin fil lɛk se mi bɛlɛ nɔ ɛmti ɔl.

Udat dɛn kin gɛt kɔnstipɛshɔn? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Ɛnibɔdi we ol ɛni ej kin gɛt kɔnstipɛshɔn wan wan tɛm. Bɔt sɔm pipul dɛn kin gɛt dis sik ɔltɛm (`chronic constipation`). Di tin dɛn we kin afɛkt dis na:

• Ej: Pipul dεm we pas 65 ia kin jεnarali nכ kin du bכku bכku wan pas yכng pipul dεm, dεn mεtabolism dεn kin slo sכmtεm bak, εn di kכntrikshכn trεnk fכ di mכsul dεm na di dijestiv sistεm kin rεdכks bak.
• Fɔ bi uman, mɔ we yu gɛt bɛlɛ ɛn afta yu bɔn pikin: We yu de chenj di ɔmon dɛn, dat kin mek yu gɛt kɔnstipɛshɔn. we uman bεlε, di pikin we de insay di bεlε kin push pan di intestinal dεm εn slo di stכl we de pas.
• Fɔ it tin dɛn we nɔ gɛt bɔku fayv.
• Yuz sɔm mɛrɛsin dɛn.
• di prεsεns fכ sכm nyurolכjik sik dεm (sik dεm na di bren εn spεnal kכd) εn sik dεm na di dijestiv sistεm.

Kɔnstipɛshɔn kin mek ɔda wɛlbɔdi prɔblɛm dɛn?

Yɛs, if dɛn nɔ pas di stɔl fayn ɛn di rayt tɛm, sɔm prɔblɛm dɛn kin apin.

• di vein dεm we de na di rεktum de swεla εn inflameshn (εmoroyd).
• Anal fis (krak krak na di skin na di an) we yu de tray fɔ pas had stɔl.
• infεkshכn na di stכl insay sכm sכm paus dεm (divεrtikula) we de fכm na di wכl fכ di big intestinal (divεrtikulayt).
• big akyumyuleshכn fכ fכs na di rεktum εn di an (Fecal impaction).
• If yu strɛs we yu de go na di bafa , dat kin pwɛl di mɔsul dɛn na di bɛlɛ. dis mכsul dεm de εp bak fכ kכntrכl di blad fכ wok. we yu strεn fכ lכng tεm i kin mek bak di urine lik frכm di blad (strεs urinary incontinence).

Impɔtant: Bɔku tɛm, we yu kɔnstipɛshɔn nɔ kin mek pɔyzin bɔku na yu bɔdi ɛn mek yu sik. Yu kɔlon na strɔkchɔ we kin ol dɔti ɛn i kin bɔku. כltu, pas yu gεt siriכs kכndyushכn na di kכlon (lεk ``Toxic Megacolon''), tכxin dεm nכ de lik tru in wכl dεm.

Wetin kin apin we yu tɔk to dɔktɔ bɔt dis?

Fɔ tɔk to dɔktɔ ɔ ɛni ɔda pɔsin bɔt di we aw yu de tɔylɛt (ɔ we yu nɔ de tɔylɛt!) kin rili tranga. Bɔt mɛmba se yu dɔktɔ de fɔ ɛp yu. Dɛn na pipul dɛn we dɛn dɔn tren fɔ mɛn pipul dɛn, ɛn dɛn dɔn tɔk to di wan dɛn we sik bɔt ɛvri wɛlbɔdi tɔpik we yu kin tink bɔt. Di dɔktɔ go aks yu kwɛstyɔn dɛn fɔs bɔt yu mɛrɛsin istri, aw yu de tɔylɛt, aw yu de liv yu layf, ɛn aw yu de du tin ɛvride .

Kwɛstyɔn dɛn bɔt mɛrɛsin istri:

• Us sik yu gɛt naw ɛn yu dɔn gɛt trade?
• Yu dɔn lɔs ɔ gɛt mɔ wet dis biɛn tɛm?
• Yu dɔn gɛt ɛni ɔpreshɔn pan yu dijestiv sistɛm bifo?
• Us mɛrɛsin ɛn sɔpɔtmɛnt dɛn yu kin tek fɔ mek yu nɔ gɛt kɔnstipɛshɔn ɔ ɔda sik dɛn?
• Ɛnibɔdi na yu famili gɛt histri fɔ gɛt kɔnstipɛshɔn, sik dɛn we de na di dijestiv sistɛm, ɔ kansa na di kɔlon?
• Yu don geht ``(Colonoscopy)''?

Kwɛstyɔn dɛn bɔt aw fɔ yuz tɔylɛt:

• Aw ɔltɛm yu kin go na tɔylɛt?
• Aw yu poop tan lɛk? (kɔlɔ, kɔnsistɛns)
• Yu dɔn si blɔd ɔ rɛd strɛch na yu stɔl?
• Yu dɔn ɛva si blɔd na di tɔylɛt sit ɔ na di tɔylɛt pepa afta yu dɔn was am?

Kwɛstyɔn dɛn bɔt di we aw pɔsin de liv in layf ɛn di abit dɛn:

• Wetin yu kin it pan wan tipik de?
• Ɔmɔs frut ɛn vɛjitebul yu de it?
• Aw bɔku wata yu de drink?
• Aw yu de du ɛksɛsayz?

Apat frɔm dat, di dɔktɔ go du wan ɛgzam pan in bɔdi. Dis go inklud fɔ tek yu tɛmpracha, yu puls, ɛn yu blɔd prɛshɔn. I go lisin to yu bɛlɛ sawnd wit stetɔskɔp. I go palpate yu bɛlɛ bak fɔ chɛk fɔ ɛni pen, swel, ɔ lumps.

Mɛmba se yu dɔktɔ kin du rɛktal ɛgzam bak. Dis na kwik tɛst we yu kin fil wit finga fɔ chɛk fɔ ɛni lumps ɔ ɔda prɔblɛm.

Us tɛst dɛn kin du fɔ no wetin mek pɔsin gɛt kɔnstipɛshɔn?

Sɔntɛm yu dɔktɔ nɔ go du ɛni tɛst, ɔ dɛn kin ɔda fɔ du difrɛn tɛst ɛn prosidur dɛn. Dis go dipen pan yu sik, yu mɛdikal histri, ɔl yu wɛl bɔdi, ɛn wetin di dɔktɔ tink se na di kɔz. Bɔku tɛm, dɛn nɔ kin nid fɔ du ɔda tɛst fɔ no if pɔsin gɛt di sik. Bɔt yu dɔktɔ kin disayd fɔ du mɔ tɛst dɛn dipen pan di sayn dɛn we yu gɛt.

• Lab test: Blɔd ɛn urine tɛst kin no bɔt tin dɛn lɛk haypothayroydism, anemia, ɛn dayabitis. Dɛn kin tɛst wan stɔl sɛmpul fɔ si if i gɛt sayn dɛn fɔ infekshɔn, inflamɛns, ɛn kansa.
• Imej tɛst: Yu dɔktɔ kin ɔda fɔ mek dɛn tek CT skan, MRI skan, ɔ fɔ luk fɔ ɔda prɔblɛm dɛn we kin mek yu gɛt kɔnstipɛshɔn. Bɔt, dɛn nɔ kin ɔda dɛn tin ya.
• Kolonoskopi: di dכkta kin du ``Colonoscopy`` כ ``Sigmoidoscopy`` - dis involv fכ put tכb wit kεmεra (``skop``) insay di rεktum fכ luk insay di big intestin. insay dis tεm, dεn kin tek wan tisu sεmpl (``Biopsy``) fכ chεk fכ kεnsar כ כda prכblεm, εn dεn kin pul εni polip, if i de.
• Kolorektal transit stכdi dεm: Insay dεn tεst dεm ya, yu de tek sכm sכm rεdyuaktiv sכbstans, εither as pil כ wit it, dεn de mכnitor di tεm εn di we aw di sכbstans de muv tru yu intestin.
• Ɔda tɛst dɛn we yu kin du fɔ mek yu bɔdi wok fayn: Yu dɔktɔ kin ɔda fɔ mek dɛn du tɛst fɔ si aw yu an ɛn yu rɛktum kin ol ɛn pul di stɔl. Dɛn tin ya na spɛshal ɛkstrem rayt tɛst we dɛn kɔl difekografi (dɛn kin yuz am fɔ luk fɔ di say we di say we yu de kɔmɔt nɔ de wok fayn ɛn we yu gɛt kɔnstipɛshɔn), ɛn tɛst dɛn we gɛt fɔ du wit fɔ put smɔl balyɔn insay yu an (wan tɛst fɔ pul di balyɔn kɔmɔt ɛn di anorektal manometry).

Aw fɔ gɛt rilif frɔm kɔnstipɛshɔn?

Bɔrku pan di kes dɛm wae gɛt smɔl to mɔdaret kɔnstipɛshɔn kin de na os. Fɔ kia fɔ yusɛf kin bigin wit fɔ mɛmba wetin yu de it ɛn drink ɛn fɔ mek di chenj dɛn we yu nid. Tin dɛn we yu kin du na os fɔ mek yu fil fri kwik kwik wan:

• Drink tu to 4 ekstra glas wata wan de. Nɔ drink tin dɛn we gɛt kafinɛ ɛn rɔm, we kin mek yu bɔdi nɔ gɛt wata. Dɔn bak, stɔp fɔ drink frut ɛn drink dɛn we gɛt bɔku swit.
• Nɔ it mit we dɛn dɔn prosɛs, it dɛn we gɛt fat, ɛn tin dɛn we dɛn dɔn mek wit kabɔhaydrɛt lɛk wayt bred, pasta, ɛn pɔt. It mit dɛn we nɔ gɛt bɛtɛ fat lɛk chukchuk ɛn dairy prodakt dɛn we nɔ gɛt bɔku fat.
• Put frut, vɛjitebul, ligɛm, ɔl gren, ɛn ɔda it dɛn we gɛt fayv insay yu it ɛvride. Ridyus di it dɛn we gɛt bɔku fat lɛk mit, eg, ɛn chiz.
• It prun, bran siriɔs, ɛn frut dɛn we gɛt fayv lɛk ɔrɛnj, painapul, strawberry, mango, avokado, ɛn papaya.
• Kip yu it dayari ɛn no us it dɛn kin mek yu gɛt kɔnstipɛshɔn.
• Ɛksasayz. Ivin sɔntin we simpul lɛk fɔ waka kin ɛp.
• Yu fɔ mɛmba aw yu de sidɔm na tɔylɛt. If yu es yu leg smɔl, ledɔm bak, ɔ sidɔm krɔs leg, dat kin mek i izi fɔ pas stɔl.
• Tray fɔ tek fayv sɔpɔtmɛnt (lɛk Metamucil®, MiraLAX®, Citrucel®, ɔ Benefiber®) frɔm famasi. I bɛtɛ fɔ bigin smɔl we yu de bigin dɛn tin ya.
• If nid de, tek wan tin we de mek yu stɔl ɔ we de mek yu bɔdi nɔ gɛt bɛtɛ stɔl (lɛk Docusate) na famasi. Minral oil enemas ɛn stimulant laxatives na opshɔn bak. Bɔku kayn mɛrɛsin dɛn de we de mek pɔsin nɔ fil fayn. Aks yu fama ɔ dɔktɔ fɔ ɛp fɔ pik di rayt wan fɔ yu. Nɔ yuz laxative fɔ pas tu wiks if yu nɔ go to dɔktɔ. If yu yuz laxatives pasmak, dat kin mek yu sik dɛn wɔs.
• Nɔ yuz tin dɛn lɛk nyuspepa ɔ fon we yu de tray fɔ go tɔylɛt.
• Nɔ ol bak we yu fil se yu nid fɔ go na di bafa. If yu du dat, i kin blok di signal frɔm yu kɔlon to yu bren (i kin tɛl yu fɔ defecate).

Tek tɛm wit mɛrɛsin ɛn sɔpɔtmɛnt dɛn.

Apat frɔm di tin dɛn we yu fɔ du fɔ kia fɔ yusɛf, yu dɔktɔ go luk bak pan di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek (if yu tek ɛni wan). Sɔm pan dɛn tin ya kin mek pɔsin gɛt kɔnstipɛshɔn. If na so, yu dɔktɔ go tɛl yu fɔ chenj di mɛrɛsin, chenj to ɔda mɛrɛsin, ɔ stɔp fɔ tek di mɛrɛsin. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ sɔpɔtmɛnt dɛn we yu nɔ tɔk to yu dɔktɔ fɔs.

Prɛskrishɔn mɛrɛsin fɔ kɔnstipɛshɔn

Bɔku kayn mɛrɛsin dɛn de we dɔktɔ dɛn kin gi fɔ mɛn pɔsin we gɛt kɔnstipɛshɔn:

• `(Lubiprɔstɔn (Amitiza®))`
• `(Prukaloprayd (Prudac®, Motegriti®))`
• `(Plɛkanatayd (Trulans®))`
• `(Laktuloz (Sɛfulak®, Kristalɔz®))`
• `(Linaklɔtayd (Linzess®))`

Bay di rizɔlt fɔ yu tɛst, yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu.

Ɔpreshɔn

Nɔto ɔltɛm dɛn kin nid fɔ du ɔpreshɔn fɔ mɛn pɔsin we gɛt kɔnstipɛshɔn. Bɔt if yu kɔnstipɛshɔn na bikɔs ɔf wan strɔkchɔral prɔblɛm na yu kɔlon, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Fɔ ɛgzampul:

• Intestinal ɔbstrukshɔn.
• Strikchɔ na di intestinal.
• Anal fissure na di bɔdi.
• di rεktal prolaps na di protrushכn fכ pat pan di rεktum insay di vagina.

Sɔm kɔndishɔn wae kin mek pɔrsin nɔr de woke fayn fayn wan, dɛn kin trit am wit ɔpreshɔn. Dɛn kin jɔs tɔk bɔt dis afta dɛn dɔn du tɛst. Dɔn bak, if dɛn du kɔlon skɔpi sho se yu gɛt kansa na yu kɔlon, rɛktum, ɔ yu an, yu go nid fɔ du ɔpreshɔn.

Aw yu go mek yu nɔ gɛt kɔnstipɛshɔn?

Dɛn kin yuz di sem mɛrɛsin dɛn we dɛn kin yuz na os fɔ mɛn kɔnstipɛshɔn bak fɔ mek i nɔ bi prɔblɛm we nɔ de dɔn:

• It balans it we gɛt bɔku fayv. Frut, vɛjitebul, ligɛm, nɛt, ɛn bred ɛn siriɔs tin dɛn we dɛn mek wit ɔl gren na fayn tin dɛn we gɛt fayv. Fayba ɛn wata de ɛp fɔ muv stɔl tru yu kɔlon. Bɔku pan di frut dɛn gɛt fayv na dɛn skin. Frut dεm we yu kin it wit di sid dεm (lεk strawberry) gεt bכku fayv. Bran na gud tin bak fɔ gɛt fayv. It bran cereal, ɔ ad bran to it lɛk sup ɛn yogɔt. Pipul wae gɛt kɔnstipɛshɔn fɔ it bitwin 18 ɛn 30 gram fayv ɛvride. (If yu gɛt divɛrtikulayt, yu dɔktɔ kin advays yu fɔ avɔyd frut dɛn we gɛt sid.)
• Drink 8 8-ɔns glas wata fɔ wan de. (Notis: Sɔm pipul dɛn kin gɛt kɔnstipɛshɔn we dɛn de drink milk.) Drink we gɛt kafinɛ lɛk kɔfi, ti, ɛn sɔft drink kin mek yu nɔ gɛt wata na yu bɔdi. Yu kin want fɔ stɔp fɔ drink dɛn tin ya te yu tɔylɛt abit kam bak to nɔmal.
• Ɛksesaiz ɔltɛm. I nɔ nid fɔ bi bɔku, ivin fɔ jɔs waka kin ɛp bɔku.
• Dɛn kin yuz sɔpɔtmɛnt lɛk magnɛsiɔm fɔ kɔnstipɛshɔn. (Nɔto ɔlman fɔ tek magnɛsiɔm. Aks yu dɔktɔ bifo yu tek am.)
• We yu nid fɔ go na di bafa, du am. Nɔ delay.

Ustɛm a fɔ go to dɔktɔ?

If na so i bi, yu fɔ rili go to dɔktɔ:

• If kɔnstipɛshɔn na nyu prɔblɛm fɔ yu.
• If yu si blɔd na yu stɔl.
• If yu lɔs yu wet we yu nɔ bin want.
• If yu gɛt bad bad pen we yu de go na tɔylɛt.
• If yu kɔnstipɛshɔn las fɔ pas tri wik.
• If yu gɛt simptom dɛm fɔ `ɔtlɛt disfɔkshɔn kɔnstipɛshɔn`.

Us kwɛstyɔn dɛn yu fɔ aks dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a gɛt kɔnstipɛt?
• Wetin a kin du/tek fɔ gɛt instant rilif frɔm kɔnstipɛshɔn?
• Us tritmɛnt dɛn na os yu kin advays?
• Wetin a fɔ it ɛn drink fɔ mek a nɔ gɛt kɔnstipɛshɔn?
• Aw ɔda tin a go mek a nɔ gɛt kɔnstipɛshɔn?

Mɛmba se, tɔk opin ɛn ɔnɛs to yu dɔktɔ bɔt yu tɔylɛt abit ɛn ɛni wɔri ɔ kwɛstyɔn we yu gɛt. Fɔ go tɔylɛt na sɔntin we wi ɔl nid fɔ du. Kɔnstipɛshɔn kin bi sɔntin we pɔsin kin gɛt fɔ sɔm tɛm, prɔblɛm we kin de fɔ lɔng tɛm, ɔ we kin sho se pɔsin gɛt mɔ siriɔs sik. So na fɔ sef. Si dɔktɔ, mɔ if yu notis se yu dɔn chenj di we aw yu de tɔylɛt, ɔ if yu fil se yu bɔdi de kɔntrol yu layf.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

So, kɔnstipɛshɔn na wan sik wae kin afɛkt bɔrku pipul dɛm, bɔt bɔrku tɛm dɛn kin ebul fɔ mɛn am na os. Di men tin dɛn na fɔ drink bɔku wata, it tin dɛn we gɛt bɔku fayv, fɔ du ɛksɛsayz, ɛn nɔ fɔ delay fɔ go na di bafa. Sɔntɛnde, i kin kam bikɔs ɔf mɛrɛsin wae wi kin tek ɔr ɔda mɛrɛsin. So, if yu gɛt dis prɔblɛm we de kɔntinyu, ɔ if yu gɛt ɛni denja sayn lɛk fɔ blɔd, fɔ tru, go to dɔktɔ ɛn gɛt advays. Natin nɔ de fɔ shem ɔ fred, bikɔs na yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl!

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` Kɔnstipɛshɔn, kɔnstipɛshɔn, dray stɔl, i nɔ izi fɔ go na tɔylɛt, fayv, dijeshɔn, wɛlbɔdi