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Related Experiment Videos

Challenging problems presenting as constipation.

M E Stark1

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic Jacksonville, Florida 32224, USA.

The American Journal of Gastroenterology
|March 23, 1999
PubMed
Summary
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Managing constipation can be complex due to diagnostic challenges, underlying disorders, and psychiatric issues. This review offers strategies to improve treatment outcomes for patients with difficult constipation.

Area of Science:

  • Gastroenterology
  • Neurology
  • Psychiatry

Background:

  • Constipation presents significant management challenges in clinical practice.
  • These challenges include communication barriers, diagnostic complexities, suboptimal therapies, and complicating psychiatric conditions.

Purpose of the Study:

  • To review the multifaceted challenges encountered in managing patients with constipation.
  • To present evidence-based management approaches to enhance treatment success.

Main Methods:

  • Literature review of diagnostic evaluation for new constipation patients.
  • Analysis of syndromes with uncertain pathophysiology (e.g., irritable bowel syndrome, slow transit constipation, pelvic floor dysfunction).
  • Examination of constipation in neurologic disorders (e.g., spinal cord injury, Parkinson's disease, multiple sclerosis) and psychiatric comorbidities.

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Main Results:

  • Diagnostic evaluation requires a systematic approach.
  • Functional bowel disorders and neurologic conditions complicate management.
  • Psychiatric issues significantly impact patient care and treatment adherence.

Conclusions:

  • Addressing communication, diagnostic, therapeutic, and psychiatric challenges is crucial.
  • A comprehensive management strategy tailored to individual patient needs improves outcomes.
  • Further research into the interplay between gut function and mental health is warranted.