Milk in some cases is inclined to produce constipation when used in connection with the ordinary diet. An exclusive and full diet of milk, is rarely constipating except during the first few days of the diet, but when milk is added to the ordinary foods, it frequently has a tendency in this direction. Buttermilk or fermented milk can often be used to advantage if sweet milk should prove constipating to the patient.
Muscular weakness and defective circulation are prominent causes of constipation in many cases. This accounts for this disorder being found so frequently among sedentary workers. Inactivity, the cause of many ills, is particularly prominent in contributing to this trouble. Therefore muscular exercise is perhaps a most effective means of permanently remedying constipation. Exercise has a direct mechanical influence upon the entire alimentary canal. The contraction of the abdominal muscles and the bending or other movements of the trunk of the body produce a certain amount of movement in and pressure upon the digestive organs in a direct mechanical way. Walking, for instance, is of extraordinary value in remedying this difficulty because of its stimulating influence upon the entire functional system, and the slight jar of each step without doubt has a direct mechanical effect. Walking furthermore is a tremendous factor in the building of vitality and this helps indirectly in remedying constipation.
But there are also various special exercises that particularly affect the alimentary canal. Bending forward and backward and from side to side and also various twisting movements of the trunk have a special influence in this direction. They actually massage the internal organs, and this means a great deal where there is any digestive weakness or lack of activity in the bowels. What I term inner-strength exercises, or as they may also be called, pressure movements, are also of considerable value. An example of this type of exercise will be found in placing the right forearm across the stomach, grasping the right wrist with the left hand, and then with the strength of both arms pressing vigorously inward upon the stomach for a moment. Now relax and repeat. Bringing up the right knee and left knee alternately, with strong pressure, using vigorously the strength of the arms against the abdominal region, is also a good example of this type of exercise, which has proven very effective in numerous cases. Other exercises of this kind ( see Chapter XV) can be applied to all parts of the upper body with great advantage to the inner organs, since such movements are of remarkable value in stimulating alimentary activity.
In line with exercise of this kind, massage and percussion treatment of the abdominal region is likewise effective. The massage should be deep and may be administered by the closed fist. A wide circular movement is advantageous for this purpose, the hand being moved in the direction of the hands of a clock, that is to say, up the right side, across, down the left side and continuing around in that manner. Rolling a baseball around in the same manner, pressing deeply though without strain, will afford an excellent form of massage for this particular purpose. The percussion treatment that I have suggested consists in alternate tapping or striking this region of the body with both hands. A chopping movement, using the outside edge of the hands, is very effective, and if you are very vigorous, the closed fist may be used. Striking repeatedly and alternately with the two fists, go over the entire region of the stomach and abdomen. This can be done gently or vigorously, according to your condition, and it is an invaluable and effective means of stimulating peristalsis and functional vigor. Mechanical vibration may also be suggested.
Cathartics are always to be condemned. The ordinary cathartic or laxative acts by reason of its irritating qualities. As a rule it abstracts the water from the intestinal walls, and the adjacent tissues, and the ultimate effect is to leave one in worse condition than before. Those who have been accustomed to the drug treatment of constipation, usually find the condition growing continuously more stubborn. Larger and larger doses of the cathartic must be taken to secure results until the function is practically paralyzed. There could be no greater mistake. If some laxative is required and sand cannot be used, the best remedy is ordinary table salt. Stir up a level teaspoonful in a glass of water and drink it. This has a mild laxative action. Or take daily two to four tablespoonfuls of ordinary bran in a glass of water. This bran may also be stirred into soups and cereals or mixed with whole-wheat flour when making bread. Olive oil also should be used freely.
As an emergency treatment, however, the enema is most satisfactory, and when employed it is best to do it thoroughly. I do not advocate the regular and continuous use of this measure. One should not come to depend upon it. A natural action is desirable, and this can invariably be brought about by a proper diet, as above suggested, by exercise and by a sufficient amount of water. The enema or colon- flushing should be used only when absolutely necessary, though in case of acute disease, where rapid purification is essential, the enema is imperatively demanded, and no household should be without an outfit for giving this treatment.
To some the continuous use of the colon-flushing treatment is inclined to be debilitating and in rare cases complaints have been made that it dilates the colon and weakens its muscular structures. This is occasionally true in the case of the hot enema. A fairly cool enema is less objectionable, while a cold enema has a decided tonic effect in contracting and strengthening the peristaltic muscles. The cold enema is less effective as a cleansing agent, as it does not have the relaxing effect of the hot enema. In most cases an enema of neutral temperature, or at about that of the body, may be suggested, though if one has been using this treatment very much it would be better to use either a cool or cold enema, if strong enough, in order to secure its contracting and tonic effect. If the cold water causes cramps one should modify the temperature.
Usually it is best to use plain water for the enema. In a case of illness where quick and radical results are required, a hot soap-suds enema may be suggested, but you should remember that this always has the effect of removing the natural oils and is inclined to leave the colon in an irritated condition. A saline solution is to be especially commended where there is a serious catarrhal condition of the intestines, or where there is much inflammation or irritation, such as might be manifested in extreme cases by bloody stools. For a normal saline solution use one teaspoonful of ordinary salt to a quart of water, or four teaspoonfuls to a four-quart enema. Glycerin is frequently suggested, but it is not to be generally recommended. If one follows these methods persistently, constipation, even in its most aggravated forms, can be overcome. In some instances almost any one of the suggestions offered will bring about the results desired, but in a chronic case one should depend not on one but on a combination of all of these various remedial measures. The improvement in the condition of your skin, in the purity of your blood, and in the degree of energy that you will enjoy will more than repay you for your efforts in following the various suggestions made for cleansing, strengthening, and vitalizing the alimentary canal.
[CHAPTER XV: Pressure Movements for Building Inner Strength]
Several years ago I discovered a unique and very effective means of strengthening the heart, lungs, stomach and other internal organs. I arranged a system of lessons, consisting of various pressure movements, which I termed an Inner Strength Course. As my experience with this course had been limited, I refrained at the time from presenting its fundamental theories to the general public. I issued the course in a series of four lessons, and the strength of each applicant was ascertained through questions before the course was sent to him. The experience with several hundred students, however, has so thoroughly confirmed the value of this method of internal vitality building that I am now in a position where I can present the ideas upon which it is based to the general public. The usual price of this course was five dollars, and several thousand courses were sold at this price, each student naturally receiving a certain amount of personal attention. The same ideas, however, are presented in this chapter, with the warning that those who use the pressure exercises recommended must take care to avoid pressing upon the internal organs beyond their resisting power.