Page 28 - Seniors Today October 2020
P. 28

Fitness
















         Exercise and



         bowel health





         Find yourself reaching for the
         laxative? There are exercises
         which can help tackle bowel issues,
         explains Dr A R Vanitha Senthil

                                                                                                                          You can do these exercises while sitting anywhere
                                                                                                                          as tightly as you can, as if you’re really         apart. Slowly tighten and pull up the
         It has been estimated that nearly 40 percent       adults are partially cause by inactivity. They                worried that you are about to leak. You            sphincter muscles as tightly as you can
         of the elderly get affected by age-related         can be eased and alleviated with exercise.                    should be able to feel the muscles to move.        for at least 5 seconds and relax for 4
         gastrointestinal health problems each year,        Exercises can strengthen the rectal muscles                   Your buttocks, tummy and legs should not           seconds. Repeat for 5 times. This is for the
         resulting in frequent instances of bowel           which may help with bowel control in people                   move at all.                                       strengthening of muscles.
         disorders and discomfort.                          who have an incompetent rectal sphincter.                      You should be aware of the skin around             Next, pull the muscles up to about ½ of
          As people get into their 60s and 70s,             Like any muscles in the body, the more you                    the back passage tightening and being              their maximum squeeze. See how long you
         one of the most common things they                 use and exercise them, the stronger the                       pulled up away from your chair. Really try         can hold this for and relax for about 10
         experience is change in bowel habits. They         sphincter muscles will be.                                    to feel this. You are now exercising your          seconds. Repeat twice. This will work for
         could have difficult, painful or irregular          There are specific exercises that focus on                   anal sphincter. The important point to be          endurance of muscles.
         bowel movements. Or there could be bowel           the anal sphincter muscle.Practising these                    noted is you need not hold up yourbreath            Pull up the muscles as quick and tight
         obstruction or faecal incontinence.                exercises on a regular basis can improve                      when you tighten you’re muscles.                   as possible, then relax and pull up again.
                                                            control over bowel function and reduce                         Now imagine that the sphincter muscle             Continue till you get tired. Repeat until you
          Bowel disorders could manifest themselves as-     episodes of leakage and soiling.                              is a lift. When you squeeze as tightly as          get tired.This will work on the reaction of
         Constipation – when bowel movements                                                                              possible, your lift goes up to the 4th floor.      the muscles.
         become less frequent or stools become              Sphincter muscle exercises - I                                But you cannot hold it there for very long,         If you find that the muscles “let go” too
         difficult to pass or there is incomplete           Sit comfortably with your knees slightly                      and it will not get you safely to the toilet       quickly and that you cannot hold for a
         evacuation of stool.                               apart.                                                        as it will get tired very quickly. So now          count of 5, just hold them as long as you
         Irritable bowel syndrome (IBS) – a                  Now imagine that you are trying to stop                      squeeze more gently, take your lift only up        can. Use this as your base line. Try not to -
         fairly common disorderthat is signalled by         yourself passing wind from the bowel. To do                   to the 2nd floor.                                  Squeeze your buttocks together
         abdominal pain, cramping diarrhoea, gas,           this you must squeeze the muscles around                                                                         Bring your knees together
         bloating, constipation.                            the back passage.                                             Sphincter muscle exercises - II                    Hold your breath
          Many bowel movement problems in elderly            Try squeezing and lifting that muscle                        Sit, stand or lie with your knees slightly          Lift your shoulders, eyebrows or toes


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