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Management of chronic constipation in the elderly
Indra Kurniawan1, Marcellus Simadibrata
1Pangkalbalam Public Health Centre, Pangkalpinang, Bangka Belitung Archipelago, Indonesia. indra_kurniawan@windowslive.com
Acta Medica Indonesiana
|October 8, 2011
Summary
Constipation in the elderly often signals colorectal motility disorders, not just aging. Early evaluation and empiric therapy are key, with further diagnostics for refractory cases.
Area of Science:
- Geriatrics
- Gastroenterology
- Colorectal Health
Background:
- Constipation is a prevalent issue in the elderly population.
- Definitions vary, with Rome III criteria recommended for consistency.
- Constipation in seniors frequently indicates colorectal motility disorders or secondary conditions.
Purpose of the Study:
- To review the approach and treatment strategies for chronic constipation in the elderly.
- To highlight the importance of excluding secondary causes of constipation.
- To discuss management options for refractory constipation.
Main Methods:
- Comprehensive review of literature on chronic constipation in the elderly.
- Emphasis on detailed medical history and physical examination.
- Discussion of diagnostic evaluations and therapeutic interventions.
Main Results:
- Initial assessment should include history, physical exam, and laboratory evaluation.
- Empiric therapy is recommended for patients with normal initial investigations.
- Refractory constipation requires further diagnostic tests and advanced treatments.
Conclusions:
- Chronic constipation in the elderly necessitates a thorough diagnostic approach.
- Management involves identifying and treating underlying causes.
- Novel therapies offer hope for patients with refractory constipation.
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