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Evaluation of constipation and physiology of defecation
Aims and Objectives: To understand the physiology of defecation by Ayurvedic and modern science perspective and to evaluate a patient of constipation to devise a good modality of effective management of constipation. Material and methods: Ayurvedic and modern scientific aspects of defecation and constipation have been analyzed. Constipation in general denotes the inadequate evacuation of the bowel. It may be associated with no bowel movement to even multiple bowel movements. A normal individual may have evacuation of bowel in two or three days without any physiological changes; whereas, another one may have physiological problems even in multiple evacuation per day. Discussion: Normal rectum doesn’t have the faecal matter inside it, as soon as faecal matter enters in rectum, there is desire to defecate. In cases of incomplete evacuation of bowel, traces of faeces to a fecolith may be present in the rectum. The sensation to stool thus plays an important role in the act of defecation, so also the constipation. In Ayurveda classics, constipation has been enumerated a symptom of many diseases. Conclusion: Apana vayu plays an important role in the act of evacuation of bowel; hence, it signifies the neurological aspects of defecation and constipation. Basti is termed as a model management of pacification or regulation of this vayu and it is also a good modality to control the constipation in natural way. Keywords: Guda, Defecation, excretion of faeces, constipation, physiology of defecation.