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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Constipation in older people: A consensus statement.

Anton Emmanuel1, Francesco Mattace-Raso2, Maria Cristina Neri3

  • 1GI Physiology Unit, University College London, London, UK.

International Journal of Clinical Practice
|December 10, 2016
PubMed
Summary
This summary is machine-generated.

Chronic constipation affects many older adults, reducing quality of life. Osmotic laxatives are recommended, and healthcare providers should proactively identify and treat constipation in this population.

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Area of Science:

  • Gerontology
  • Gastroenterology
  • Pharmacology

Background:

  • Chronic constipation significantly impacts the quality of life for 30%-40% of individuals over 60.
  • Constipation in older adults reduces quality of life comparable to diabetes and osteoarthritis.
  • Current Europe-wide guidelines for treating constipation in older people are lacking.

Framework:

  • European healthcare professionals convened to discuss constipation management in older adults.
  • Existing general population constipation treatment guidelines were reviewed.
  • This manuscript presents the consensus of experts in gastroenterology, geriatrics, nursing, and pharmacology.

Implementation:

  • General constipation treatment often involves increased fiber, fluid intake, and exercise, which may not be feasible for older patients.
  • Bulk-forming laxatives are generally unsuitable for older adults due to fluid intake requirements.
  • Osmotic laxatives are considered the most suitable first-line treatment for constipation in older individuals.

Implications:

  • General constipation treatment guidelines require modifications for effective application in older populations.
  • Specific European guidelines for managing constipation in older adults are still needed.
  • Increased awareness of constipation, its complications, and treatment options among healthcare providers, patients, and caregivers is crucial.