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Related Concept Videos

Gastrointestinal Motility Disorders01:20

Gastrointestinal Motility Disorders

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Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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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.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
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Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents01:17

Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents

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Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
576
Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents01:20

Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents

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Diarrhea is characterized by the occurrence of frequent, watery bowel movements. Various factors can trigger diarrhea, including viral or bacterial infections, foodborne illnesses, side effects from certain medications, and underlying digestive disorders. If not adequately managed, diarrhea can lead to complications such as dehydration, electrolyte imbalances, and nutrient deficiencies. Severe diarrhea can lead to significant weight loss, malnutrition, and weakened immune function.
Adsorbents...
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[Update of the German guideline on chronic and poorly healing peripheral wounds - a geriatric medicine perspective].

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[Intestinal motility disorders in multimorbidity: between constipation and diarrhea].

Klaus Friedrich Becher1, Saskia Rupp1

  • 1Klinik Wartenberg, Prof. Dr. Selmair GmbH & Co.KG, Wartenberg.

Deutsche Medizinische Wochenschrift (1946)
|October 6, 2020
PubMed
Summary

Diagnosing chronic constipation in the elderly requires careful assessment using Rome IV criteria and geriatric evaluations. Differentiating low-transit constipation is key for effective treatment strategies.

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Area of Science:

  • Gastroenterology
  • Geriatrics
  • Internal Medicine

Background:

  • Chronic constipation is a common complaint in the elderly, often presenting as a defecation disorder.
  • The Rome IV criteria aid in distinguishing primary chronic constipation from other conditions.
  • Identifying the underlying causes is crucial for appropriate management in older adults.

Purpose of the Study:

  • To outline diagnostic strategies for chronic constipation in the elderly.
  • To review current and emerging therapeutic possibilities for managing constipation in this demographic.

Main Methods:

  • Utilizing the Rome IV criteria for diagnosis.
  • Employing anamnesis, red flag observation, and geriatric basic assessment.
  • Reviewing pharmacological interventions and lifestyle modifications.

Main Results:

  • Distinguishing low-transit constipation from normal intestinal function significantly impacts therapeutic choices.
  • Various pharmacological agents, including osmotic laxatives, stimulating laxatives, and opioid receptor antagonists, are available.
  • Dietary interventions like fiber and prebiotics can be beneficial, though their efficacy may vary in severe cases.

Conclusions:

  • Accurate diagnosis through comprehensive geriatric assessment is vital for effective constipation management in the elderly.
  • A range of therapeutic options exists, from traditional laxatives to newer agents and lifestyle interventions.
  • Individualized treatment plans considering the type and severity of constipation are essential.