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Related Experiment Videos

Constipation: endemic in the elderly? Gerontopathophysiology, evaluation, and management.

S C Castle1

  • 1UCLA School of Medicine.

The Medical Clinics of North America
|November 1, 1989
PubMed
Summary

Chronic constipation in older adults often stems from lifelong habits and chronic diseases impacting gut motility. Management involves evaluating these factors and employing a step-care approach for effective treatment.

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Area of Science:

  • Geriatrics
  • Gastroenterology
  • Physiology

Background:

  • Chronic constipation is a prevalent issue in the elderly population.
  • Contributing factors include lifelong habits, diet, laxative use, chronic diseases, and age-related changes in gut motility.

Purpose of the Study:

  • To discuss gerontopathophysiologic changes affecting gut motility in the elderly.
  • To outline an evaluation process for constipation in older adults.
  • To present a step-care management approach for geriatric constipation.

Main Methods:

  • Review of existing literature on geriatric constipation.
  • Analysis of pathophysiologic mechanisms related to aging and gut function.
  • Description of a phased management strategy.

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Main Results:

  • Identified multifactorial causes of chronic constipation in the elderly.
  • Highlighted the importance of evaluating gut motility changes.
  • Proposed a structured, step-care approach for treatment.

Conclusions:

  • Constipation in the elderly is complex, involving lifestyle, disease, and aging.
  • A systematic evaluation and step-care management are crucial for effective treatment.
  • Addressing gerontopathophysiologic changes can improve outcomes.