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Constipation and fecal incontinence in the elderly population
Y Romero1, J M Evans, K C Fleming
1Division of Gastroenterology and Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clinic Proceedings
|January 1, 1996
Summary
Constipation and fecal incontinence are common issues in older adults. Effective management requires individualized treatment plans based on the specific cause and the patient
Area of Science:
- Geriatric Medicine
- Gastroenterology
Background:
- Constipation and fecal incontinence are prevalent and debilitating conditions in the elderly population.
- These conditions significantly impact the quality of life for geriatric patients.
Purpose of the Study:
- To outline the assessment and management strategies for constipation in elderly patients.
- To describe the evaluation and treatment approaches for fecal incontinence in the geriatric population.
Main Methods:
- A comprehensive review of recent medical literature was conducted.
- Effective management strategies for constipation and fecal incontinence in geriatric patients were identified and synthesized.
Main Results:
- Constipation is categorized into functional constipation and rectosigmoid outlet delay, requiring history, physical examination, and lab tests for evaluation.
- Management of constipation includes nonpharmacologic (exercise, fiber) and pharmacologic interventions.
- Fecal incontinence causes include impaction, medications, dementia, and neuromuscular issues, with management involving addressing contributing factors, medication, and behavioral techniques.
Conclusions:
- Constipation and fecal incontinence are common, debilitating conditions in the elderly.
- Individualized management is crucial, considering the cause, comorbidities, and cognitive status of the patient.