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Constipation: a physiological approach.

W G Thompson1

  • 1University of Ottawa, Ottawa, Canada. wgthompson@home.com

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
|December 8, 2000
PubMed
Summary
This summary is machine-generated.

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Effective constipation management begins with a thorough patient assessment, addressing symptom details, potential causes, and prior treatments. Most cases improve with lifestyle changes, dietary fiber, and medication, while complex cases may need further investigation.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Digestive Health

Background:

  • Constipation is a common gastrointestinal complaint requiring careful initial evaluation.
  • Understanding the patient's specific symptoms and history is crucial for effective management.

Purpose of the Study:

  • To outline a systematic approach for diagnosing and managing constipation.
  • To guide clinicians in selecting appropriate investigations and treatments based on patient presentation.

Main Methods:

  • Comprehensive patient history taking, including symptom onset, stool characteristics, and contributing factors.
  • Assessment of lifestyle, diet, and previous treatment responses.
  • Consideration of further investigations like transit time estimation and anorectal function tests when indicated.

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Main Results:

  • Most constipation cases can be managed with lifestyle modifications, dietary fiber, and pharmacological adjustments.
  • Osmotic laxatives are effective for some patients.
  • Further investigations are reserved for refractory cases or those with prolonged transit time, potentially indicating colonic inertia or anismus.

Conclusions:

  • A detailed initial assessment guides effective constipation management.
  • Conservative measures and lifestyle adjustments are primary treatment strategies.
  • Advanced investigations and interventions like surgery or biofeedback are considered for specific, severe cases after thorough evaluation.