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Treatment of constipation in the elderly.
1Veterans Administration Medical Center, Phoenix.
Postgraduate Medicine
|March 1, 1988
Summary
Constipation management in the elderly prioritizes lifestyle changes like exercise, fluids, and fiber before considering laxatives. Bulk-forming agents and lactulose are preferred when medication is necessary.
Area of Science:
- Geriatrics
- Gastroenterology
Background:
- Annual laxative spending in the US exceeds $250 million, with significant use among the elderly.
- Constipation is a common issue in older adults, impacting quality of life and healthcare costs.
Purpose of the Study:
- To outline an evidence-based approach to managing constipation in elderly patients.
- To emphasize conservative measures before pharmacological intervention.
Main Methods:
- Review of current clinical guidelines and literature on constipation management in geriatrics.
- Discussion of non-pharmacological interventions including diet, hydration, and exercise.
- Evaluation of laxative classes and their appropriate use.
Main Results:
- Lifestyle modifications (exercise, fluids, high-fiber diet) are the first line of treatment.
- If lifestyle changes fail and underlying pathology is ruled out, laxative therapy may be initiated.
- Bulk-forming laxatives and lactulose are recommended as primary pharmacological options.
Conclusions:
- A stepwise approach to constipation management in the elderly is crucial.
- Prioritizing conservative measures and selecting appropriate laxatives can optimize treatment outcomes.
- Patient education on diet and medication is essential for effective management.