[Chronic constipation]

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Pelvic Floor Physical Therapy

Context:

• Chronic constipation affects patient quality of life, influenced by subjective and objective factors.
• The Rome-III criteria guide diagnosis, acknowledging that most cases lack distinct pathology.
• A subset of patients presents with slow colonic transit or pelvic floor dysfunction.

Purpose:

• To review the diagnostic approach and management strategies for chronic constipation.
• To highlight the importance of identifying underlying causes like slow colonic transit or pelvic floor dysfunction.
• To outline current therapeutic options, from pharmacological agents to procedural interventions.

Summary:

• Chronic constipation diagnosis considers subjective perceptions and objective parameters, often guided by Rome-III criteria.
• While many patients lack specific pathology, some exhibit slow colonic transit or pelvic floor dysfunction, necessitating further investigation.
• Management primarily involves laxatives, with biofeedback training and surgical interventions considered for refractory cases.

Impact:

• Improved patient quality of life through effective management of chronic constipation.
• Enhanced clinical evaluation by considering both common and less frequent causes of constipation.
• Guidance for healthcare providers on selecting appropriate treatments based on individual patient needs.