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Bowel retraining

A program of bowel retraining, Kegel exercises, or biofeedback therapy may be used by people with: Fecal incontinence Nerve problems (such as from multiple sclerosis or other conditions) Severe constipation The bowel program has several steps that help with regular bowel movements. Within a few weeks of beginning a bowel program, most people can have regular bowel movements. Before starting a bowel training program, get a thorough physical examination. Your health care provider can find the cause of the fecal incontinence and treat any correctable disorders, such as a fecal impaction or infectious diarrhea. The doctor will use your history of bowel habits and lifestyle as a guide for setting new bowel movement patterns. DIET The following dietary changes can help promote regular, soft, bulky stools: Add high-fiber foods to your diet, including whole-wheat grains, fresh vegetables, and beans. Use products containing psyllium, such as Metamucil, to add bulk to the stools. Try to drink 2 - 3 liters of fluid a day (unless you have a medical condition, such as kidney or heart disease, that requires you to restrict your fluid intake). BOWEL TRAINING You can use digital stimulation to trigger a bowel movement: Insert a lubricated finger into the anus and make a circular motion until the sphincter relaxes. This may take a few minutes. After you have done the stimulation, assume a normal posture for a bowel movement. If you are able to walk, sit on the toilet or bedside commode. If you are confined to the bed, use a bedpan. Get into as close to a sitting position as possible, or use a left side lying position if you are unable to sit. Try to get as much privacy as possible. Some people find that reading while sitting on the toilet helps them relax enough to have a bowel movement. If digital stimulation does not produce a bowel movement within 20 minutes, repeat the procedure. Try to contract the muscles of the abdomen and bear down while releasing the stool. Some people find it helpful to bend forward while bearing down. This increases the abdominal pressure and helps empty the bowel. Perform digital stimulation every day until you establish a pattern of regular bowel movements. You can also stimulate bowel movements by using a suppository (glycerin or Dulcolax) or a small enema. Some people drink warm prune juice or fruit nectar to stimulate bowel movements. Consistency is crucial for the success of a bowel retraining program. Establish a set time for daily bowel movements. Choose a time that is convenient for you, keeping in mind your daily schedule. The best time for a bowel movement is 20 - 40 minutes after a meal, because feeding stimulates bowel activity. Within a few weeks, most people are able to establish a regular routine of bowel movements. KEGEL EXERCISES Strengthening the tone of the rectal muscles may help achieve some degree of bowel control in people who have an incompetent rectal sphincter. Kegel exercises strengthen pelvic and rectal muscle tone. These exercises were first developed to control incontinence in women after childbirth. To be successful with Kegel exercises, use the proper technique and stick to a regular exercise program. BIOFEEDBACK Biofeedback gives you sound or visual feedback about a bodily function, such as muscle activity. In people with fecal incontinence, biofeedback is used to strengthen the rectal sphincter. A rectal plug is used to monitor the strength of the rectal muscles. A monitoring electrode may be placed on the abdomen. The rectal plug is then attached to a computer monitor, which displays a graph showing rectal muscle contractions and abdominal contractions. You are taught how to squeeze the rectal muscle around the rectal plug. The computer display guides you to make sure you are using the correct technique. You should see an improvement in your symptoms after three sessions.

Lamotrigine

LAMOTRIGINE (lamotrigine), an AED of the phenyltriazine class, is chemically unrelated to existing AEDs. Its chemical name is 3,5-diamino-6-(2,3-dichlorophenyl)-as-triazine, its molecular formula is C9H7N5Cl2, and its molecular weight is 256.09. Lamotrigine is a white to pale cream-colored powder and has a pKa of 5.7. Lamotrigine is very slightly soluble in water (0.17 mg/mL at 25°C) and slightly soluble in 0.1 M HCl (4.1 mg/mL at 25°C). The structural formula is:Lamotrigine Tablets are supplied for oral administration as 25 mg (white), 100 mg (light peach), 150 mg (cream), and 200 mg (light blue) tablets. Each tablet contains the labeled amount of lamotrigine and the following inactive ingredients: croscarmellose sodium, crospovidone, FD&C Blue #2 Aluminum Lake (200 mg strength only), FD&C Yellow No. 6 Lake (100 mg strength only), lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and yellow iron oxide (150 mg strength only). LAMOTRIGINE is an antiepileptic drug (AED) indicated for: 1.1 Epilepsy 1.2 Bipolar Disorder 2 DOSAGE AND ADMINISTRATION 2.1 General Dosing Considerations 2.2 Epilepsy &ndash, Adjunctive Therapy 2.3 Epilepsy &ndash, Conversion From Adjunctive Therapy to Monotherapy 2.4 Bipolar Disorder 3 DOSAGE FORMS AND STRENGTHS 3.1 Tablets 3.4 Potential Medication Errors 4 CONTRAINDICATIONS 5 WARNINGS AND PRECAUTIONS 5.1 Serious Skin Rashes 5.2 Hypersensitivity Reactions 5.3 Acute Multiorgan Failure 5.4 Blood Dyscrasias 5.5 Suicidal Behavior and Ideation 5.6 Use in Patients With Bipolar Disorder 5.7 Potential Medication Errors 5.8 Concomitant Use With Oral Contraceptives 5.9 Withdrawal Seizures 5.10 Status Epilepticus 5.11 Sudden Unexplained Death in Epilepsy (SUDEP) 5.12 Addition of LAMOTRIGINE to a Multidrug Regimen That Includes Valproate 5.13 Binding in the Eye and Other Melanin-Containing Tissues 5.14 Laboratory Tests 6 ADVERSE REACTIONS 6.1 Clinical Trials 6.2 Other Adverse Reactions Observed in All Clinical Trials...

Strength Training

Strength training refers to exercise that requires your muscles to exert a force against some form of resistance, such as free weights. ...

Physical Activity: Strength Training for Older Adults ...

This strength-training program was developed by experts at Tufts University and the Centers for Disease Control and Prevention (CDC). ...

Health & Fitness: Get Strong

Call it “weight” or “strength” training, it's just as important as aerobic exercise. Learn more about the importance of muscle. ...

Tendonitis

Exercising the affected area will strengthen the muscles around the tendon and prevent a further episode. Visit a physiotherapist for advice on the best stretching and strengthening exercises to do.

Growing Stronger - Strength Training for Older Adults

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Weight Lifting (Resistance Training) Types, Programs, Tips and ...

Mar 19, 2011 ... 6 weight-training techniques that will help you get results. ... strength training (lifting weights to get stronger), and weight lifting ...