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Related Experiment Videos

A clinical approach to constipation.

Douglas O Faigel1

  • 1Division of Gastroenterology, Oregon Health & Science University, Portland VA Medical Center, Portland, Oregon, USA.

Clinical Cornerstone
|May 13, 2003
PubMed
Summary
This summary is machine-generated.

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Constipation significantly impacts the economy, leading to millions of doctor visits and substantial spending on laxatives and diagnostic procedures annually. This article offers a practical guide to understanding and managing constipation.

Area of Science:

  • Gastroenterology
  • Health Economics

Background:

  • Constipation affects millions, prompting numerous physician visits and specialist referrals.
  • The economic burden includes significant patient spending on laxatives and costly diagnostic evaluations like colonoscopy.

Purpose of the Study:

  • To discuss the underlying pathophysiology of constipation.
  • To present a practical framework for the evaluation and treatment of constipation.

Main Methods:

  • Review of existing literature on constipation's economic impact and pathophysiology.
  • Outline of a clinical approach to diagnosing and managing constipation.

Main Results:

  • Constipation generates substantial healthcare utilization, including 2.5 million physician visits and 100,000 gastroenterologist referrals yearly.

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  • Laxative sales total $800 million annually in the US, with diagnostic evaluations averaging $3000 per patient.

    • Conclusions:

    • Constipation represents a significant public health and economic challenge.
    • A systematic approach to evaluation and treatment is crucial for managing this common disorder effectively.