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Drugs for Treatment of Constipation-Predominant IBS01:21

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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Chronic Kidney Disease I: Introduction01:25

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Chronic Bowel Disorders: Introduction01:17

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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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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
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The Mexican consensus on chronic constipation.

J M Remes-Troche1, E Coss-Adame2, A Lopéz-Colombo3

  • 1Laboratorio de Fisiología Digestiva y Motilidad Gastrointestinal, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Veracruz, México.

Revista De Gastroenterologia De Mexico (English)
|March 21, 2018
PubMed
Summary
This summary is machine-generated.

This consensus review updates chronic constipation knowledge, offering 42 statements on diagnosis and treatment. It integrates new evidence on diet, exercise, laxatives, and novel medications for improved patient care.

Keywords:
ConsensoConsensusConstipationEstreñimientoFiberFibraLaxantesLaxativesMexicoMéxico

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Area of Science:

  • Gastroenterology
  • Clinical Practice Guidelines
  • Evidence-Based Medicine

Background:

  • Significant advances in understanding chronic constipation epidemiology, pathophysiology, diagnosis, and treatment since 2011.
  • Need for updated information integrating new scientific evidence.

Framework:

  • Consensus review based on literature from January 2011 to January 2017.
  • 62 statements formulated and revised by 12 national experts using the Delphi system.
  • Statements classified using the GRADE system, with >75% agreement required for inclusion.

Implementation:

  • Development of 42 consensus statements providing updated knowledge.
  • Inclusion of information not covered in previous guidelines.
  • Establishment of strength of recommendation and quality of evidence for each statement.

Implications:

  • Provides current definitions for chronic constipation, functional constipation, and opioid-induced constipation.
  • Describes diagnostic strategies based on available methods.
  • Establishes consensus treatment recommendations including diet, exercise, fiber, laxatives, new drugs, biofeedback, and surgery.