How to manage abdominal pain caused by constipation-type bowel dysfunction

Generally, the main treatments for abdominal pain caused by constipation-type bowel dysfunction include dietary adjustments, lifestyle improvements, medication, physical therapy, and traditional Chinese medicine (TCM). A detailed analysis is as follows:

1. Dietary Adjustments

Dietary modifications can promote intestinal motility and alleviate constipation and abdominal pain. Increase daily intake of dietary fiber by consuming more foods such as celery, spinach, apples, and dragon fruit. Dietary fiber absorbs water in the intestines, softens stools, and stimulates intestinal motility, thereby reducing pressure on the intestines from stool accumulation and relieving pain.

2. Lifestyle Improvements

Maintaining regular lifestyle habits helps restore bowel function and reduce abdominal pain. Establish a routine for defecation at fixed times each day to develop a healthy bowel reflex, avoiding prolonged suppression of the urge to defecate which may lead to stool retention. Engage in moderate physical activity such as walking or yoga for about 30 minutes each time, which can enhance intestinal motility, improve constipation, and relieve pain caused by intestinal spasms.

3. Medication

Medications can specifically target constipation and abdominal pain. Patients may follow medical advice to use drugs such as lactulose oral solution, polyethylene glycol 4000 powder, and pinaverium bromide tablets. Lactulose oral solution and polyethylene glycol 4000 powder soften stools and promote defecation, reducing intestinal blockage. Pinaverium bromide tablets help relieve intestinal smooth muscle spasms, directly alleviating symptoms of abdominal pain. These medications should be used strictly as directed by a physician.

4. Physical Therapy

Physical methods can soothe the intestines and relieve discomfort. Common approaches include abdominal massage and heat application. For abdominal massage, gently massage in a clockwise circular motion around the navel for 10-15 minutes each time, promoting intestinal motility and aiding defecation while reducing pain. Heat application involves placing a hot water bottle or warm towel on the abdomen, maintaining a comfortable temperature, for about 20 minutes each session, which relaxes intestinal muscles and alleviates spastic pain.

5. Traditional Chinese Medicine (TCM)

According to TCM, abdominal pain caused by constipation-type bowel dysfunction is associated with intestinal heat and fluid deficiency, and qi stagnation. Treatment often involves using Chinese herbs that moisten the intestines and relieve pain, such as Cannabis Seed Intestine Moistening Pills (Ma Ren Run Chang Wan) and Immature Bitter Orange Guiding Stagnation Pills (Zhi Shi Dao Zhi Wan). Acupuncture can stimulate points such as Tianshu (ST25) and Zusanli (ST36), regulating intestinal blood flow and Qi, promoting defecation, and relieving pain. Acupuncture should be performed by a qualified physician.

In addition, monitor symptom changes during treatment. If abdominal pain persists or worsens, or is accompanied by rectal bleeding or vomiting, seek medical attention promptly. Avoid consuming spicy and greasy foods to reduce intestinal irritation, and maintain emotional stability to prevent anxiety from affecting the recovery of intestinal function.