Adult constipation: a review and clinical guide.

Autor: Jacobs TQ; Case Western Reserve University School of Medicine, Cleveland, OH 44106-4966, USA., Pamies RJ
Jazyk: angličtina
Zdroj: Journal of the National Medical Association [J Natl Med Assoc] 2001 Jan; Vol. 93 (1), pp. 22-30.
Abstrakt: Constipation is a common complaint that can be a symptom of serious disease. Awareness of the potential etiologies can help direct the history, physical exam and subsequent work-up for the presenting individual. This article details the differential diagnosis and pathophysiology of constipation based on a review of the literature. The article is also designed to be useful as a guide to the work-up of constipation. Key elements of the history, physical exam and testing are outlined. Included is a detailed flow diagram to guide the work-up of constipation. Testing methods and their value in the evaluation of chronic idiopathic constipation are discussed. Finally, although the focus of this article is the evaluation of constipation, a section on the treatment of constipation is included.
Databáze: MEDLINE