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Approach to patients with refractory constipation.

S A Wofford1, G N Verne

  • 1Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Department of Medicine, Veterans Administration Medical Center, Research Service (151), 1601 SW Archer Road, Gainesville, FL 32608, USA.

Current Gastroenterology Reports
|September 22, 2000
PubMed
Summary
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Constipation is common, especially in older adults. Most cases improve with dietary changes, but persistent or severe constipation requires further medical evaluation and tailored treatments.

Area of Science:

  • Gastroenterology
  • Geriatrics
  • Internal Medicine

Background:

  • Constipation is a prevalent condition, particularly affecting elderly individuals.
  • It frequently prompts medical consultations and medication use.
  • Often, no specific underlying cause for constipation is identified.

Purpose of the Study:

  • To review the common causes and management strategies for constipation.
  • To highlight the importance of identifying alarm symptoms.
  • To discuss treatment options for refractory constipation.

Main Methods:

  • Review of existing literature on constipation management.
  • Analysis of conservative and advanced therapeutic approaches.
  • Emphasis on clinical presentation and diagnostic criteria.

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Main Results:

  • Conservative measures like increased fiber and fluid intake are effective for most patients.
  • Alarm symptoms necessitate further investigation to rule out serious conditions.
  • A range of medical, behavioral, and surgical options exist for difficult-to-treat cases.

Conclusions:

  • Constipation management should be individualized based on severity and patient factors.
  • Early identification of alarm symptoms is crucial for timely intervention.
  • Comprehensive treatment strategies can effectively manage refractory constipation.