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Related Experiment Videos

Large bowel problems.

R G Smith1

  • 1Department of Geriatric Medicine, City Hospital, Edingburgh, UK.

British Medical Bulletin
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

Large bowel disorders affect all ages, with specific challenges in the elderly, such as incontinence and constipation. Effective management involves addressing underlying causes and employing targeted treatments for different constipation types.

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Colorectal Disorders

Background:

  • Colonic function is complex and not fully understood.
  • Large bowel disorders present differently across age groups, with specific prevalences in the elderly.
  • Diarrheal states and constipation are common issues in the elderly, particularly those who are institutionalized and immobile.

Purpose of the Study:

  • To summarize common large bowel disorders and their management, with a focus on the elderly.
  • To differentiate types of constipation and outline appropriate treatment strategies.
  • To discuss the management of fecal incontinence and specific conditions like diverticular disease, ulcerative colitis, and Crohn's disease.

Main Methods:

  • Review of existing literature on large bowel disorders.

Related Experiment Videos

  • Analysis of age-related differences in colonic function and disease presentation.
  • Synthesis of current management approaches for constipation, fecal incontinence, and inflammatory bowel diseases.

    • Main Results:

    • Two distinct types of constipation requiring different treatment modalities have been identified.
    • Management of constipation involves addressing the root cause and utilizing rectal or oral therapies.
    • Neurological causes of fecal incontinence can be local or cortical; planned bowel evacuation may reduce frequency.
    • Diverticular disease management emphasizes fiber and bulking agents.
    • Ulcerative colitis and Crohn's disease treatments in the elderly are comparable to those in younger populations.

    Conclusions:

    • Effective management of large bowel disorders in the elderly requires tailored approaches, considering age-specific challenges.
    • Understanding the nuances of constipation and fecal incontinence is crucial for appropriate therapeutic interventions.
    • Standard treatments for inflammatory bowel diseases remain applicable to elderly patients.