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[Constipation in adults: an update].
Pamela Cofré L1, Fernando Germain P, Luis Medina L
1Departamento de Gastroenterología, Hospital Naval Almirante Nef, Viña del Mar, Chile. pamecoli@hotmail.com
Revista Medica De Chile
|September 5, 2008
Summary
Constipation management involves initial steps like increasing fiber and fluid intake. For chronic idiopathic constipation, an algorithm guides treatment, including laxative use and biofeedback for pelvic floor dysfunction.
Area of Science:
- Gastroenterology
- Functional Bowel Disorders
Background:
- Constipation affects a significant portion of the population, ranging from 2% to 27%.
- It is frequently associated with other conditions, including irritable bowel syndrome (59%), pelvic floor dysfunction (29%), and slow transit constipation (13%).
Purpose of the Study:
- To present an evidence-based algorithm for managing chronic idiopathic constipation (CIC).
- To discuss the role of biofeedback in treating constipation related to pelvic floor dysfunction.
Main Methods:
- Review and synthesis of current literature on constipation management.
- Development of a clinical algorithm for CIC.
- Discussion of diagnostic considerations, including ruling out medication effects and chronic diseases.
Main Results:
- The proposed algorithm recommends increasing dietary fiber and fluid intake as a first-line approach.
- It outlines the sequential use of various laxative classes based on patient response.
- Biofeedback is highlighted as a potentially effective treatment for constipation in patients with pelvic floor dysfunction.
Conclusions:
- Effective management of chronic constipation requires identifying the underlying functional disorder.
- A structured algorithmic approach, starting with lifestyle modifications and progressing to pharmacological and behavioral therapies, can optimize patient outcomes.
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