Constipation

Constipation is a common problem in day-to-day practice. As there are wide variations in normal bowel habits, there is no standard definition. Altered colonic transit and disorders of the anorectal mechanism are the essential abnormalities in patients who experience this symptom. While there are several organic causes, functional disorders are by far the commonest cause of constipation. Clinical assessment should include a careful history, eliciting information on lifestyle, diet and personality. Extensive investigations are seldom warranted. Reassurance and long term treatment with a wide range of laxatives provide symptomatic relief.